@extends('layouts.app')

@section('title', 'Add New Client')
@section('page-title', 'Add New Client')

@section('content')
<div class="card">
    <div class="card-header bg-primary text-white">
        <h6 class="mb-0"><i class="fas fa-plus me-2"></i>Add New Client</h6>
    </div>
    <div class="card-body">
        <div class="alert alert-info">
            <i class="fas fa-info-circle me-2"></i>
            <strong>Note:</strong> This client will be automatically assigned to you.
        </div>
        
        <form method="POST" action="{{ route('member.clients.store') }}">
            @csrf
            
            <div class="row">
                <div class="col-md-6 mb-3">
                    <label class="form-label">Company Name <span class="text-danger">*</span></label>
                    <input type="text" name="company_name" class="form-control @error('company_name') is-invalid @enderror" value="{{ old('company_name') }}" required>
                    @error('company_name') <div class="invalid-feedback">{{ $message }}</div> @enderror
                </div>
                
                <div class="col-md-6 mb-3">
                    <label class="form-label">Contact Person</label>
                    <input type="text" name="contact_person" class="form-control" value="{{ old('contact_person') }}">
                </div>
                
                <div class="col-md-6 mb-3">
                    <label class="form-label">Phone</label>
                    <input type="text" name="phone" class="form-control" value="{{ old('phone') }}">
                </div>
                
                <div class="col-md-6 mb-3">
                    <label class="form-label">Email</label>
                    <input type="email" name="email" class="form-control" value="{{ old('email') }}">
                </div>
                
                <div class="col-md-12 mb-3">
                    <label class="form-label">Address</label>
                    <textarea name="address" class="form-control" rows="2">{{ old('address') }}</textarea>
                </div>
                
                <div class="col-md-4 mb-3">
                    <label class="form-label">Policy Number</label>
                    <input type="text" name="policy_number" class="form-control" value="{{ old('policy_number') }}">
                </div>
                
                <div class="col-md-4 mb-3">
                    <label class="form-label">Premium Amount (BDT)</label>
                    <input type="number" step="0.01" name="premium_amount" class="form-control" value="{{ old('premium_amount') }}">
                </div>
                
                <div class="col-md-4 mb-3">
                    <label class="form-label">Renewal Date</label>
                    <input type="date" name="renewal_date" class="form-control" value="{{ old('renewal_date') }}">
                </div>
                
                <div class="col-md-6 mb-3">
                    <label class="form-label">Status <span class="text-danger">*</span></label>
                    <select name="status" class="form-control @error('status') is-invalid @enderror" required>
                        <option value="prospect" {{ old('status') == 'prospect' ? 'selected' : '' }}>Prospect</option>
                        <option value="active" {{ old('status') == 'active' ? 'selected' : '' }}>Active</option>
                        <option value="inactive" {{ old('status') == 'inactive' ? 'selected' : '' }}>Inactive</option>
                    </select>
                </div>
                
                <div class="col-md-6 mb-3">
                    <label class="form-label">Notes</label>
                    <textarea name="notes" class="form-control" rows="2">{{ old('notes') }}</textarea>
                </div>
            </div>
            
            <div class="mt-3">
                <button type="submit" class="btn btn-primary">
                    <i class="fas fa-save me-1"></i> Save Client
                </button>
                <a href="{{ route('member.clients.index') }}" class="btn btn-secondary">Cancel</a>
            </div>
        </form>
    </div>
</div>
@endsection