<h1>{{ heading_title }}</h1>
<form id="form-affiliate" action="{{ save }}" data-on="submit:onSubmit">
  <fieldset>
    <legend>{{ text_my_affiliate }}</legend>
    <div class="row mb-3">
      <label for="input-company" class="col-sm-2 col-form-label">{{ entry_company }}</label>
      <div class="col-sm-10">
        <input type="text" name="company" value="{{ company }}" placeholder="{{ entry_company }}" id="input-company" class="form-control"/>
      </div>
    </div>
    <div class="row mb-3">
      <label for="input-website" class="col-sm-2 col-form-label">{{ entry_website }}</label>
      <div class="col-sm-10">
        <input type="text" name="website" value="{{ website }}" placeholder="{{ entry_website }}" id="input-website" class="form-control"/>
      </div>
    </div>
  </fieldset>
  <fieldset>
    <legend>{{ text_payment }}</legend>
    <div class="row mb-3">
      <label for="input-tax" class="col-sm-2 col-form-label">{{ entry_tax }}</label>
      <div class="col-sm-10">
        <input type="text" name="tax" value="{{ tax }}" placeholder="{{ entry_tax }}" id="input-tax" class="form-control"/>
      </div>
    </div>
    <div class="row mb-3">
      <label class="col-sm-2 col-form-label">{{ entry_payment_method }}</label>
      <div class="col-sm-10">
        <div class="form-check">
          <input type="radio" name="payment_method" value="cheque" id="input-payment-cheque" class="form-check-input"{% if payment_method == 'cheque' %} checked{% endif %}/> <label for="input-payment-cheque" class="form-check-label">{{ text_cheque }}</label>
        </div>
        <div class="form-check">
          <input type="radio" name="payment_method" value="paypal" id="input-payment-paypal" class="form-check-input"{% if payment_method == 'paypal' %} checked{% endif %}/> <label for="input-payment-paypal" class="form-check-label">{{ text_paypal }}</label>
        </div>
        <div class="form-check">
          <input type="radio" name="payment_method" value="bank" id="input-payment-bank" class="form-check-input"{% if payment_method == 'bank' %} checked{% endif %}/> <label for="input-payment-bank" class="form-check-label">{{ text_bank }}</label>
        </div>
        <div id="error-payment-method" class="invalid-feedback"></div>
      </div>
    </div>
    <div class="row mb-3 required payment" id="payment-cheque">
      <label for="input-cheque" class="col-sm-2 col-form-label">{{ entry_cheque }}</label>
      <div class="col-sm-10">
        <input type="text" name="cheque" value="{{ cheque }}" placeholder="{{ entry_cheque }}" id="input-cheque" class="form-control"/>
        <div id="error-cheque" class="invalid-feedback"></div>
      </div>
    </div>
    <div class="row mb-3 required payment" id="payment-paypal">
      <label for="input-paypal" class="col-sm-2 col-form-label">{{ entry_paypal }}</label>
      <div class="col-sm-10">
        <input type="text" name="paypal" value="{{ paypal }}" placeholder="{{ entry_paypal }}" id="input-paypal" class="form-control"/>
        <div id="error-paypal" class="invalid-feedback"></div>
      </div>
    </div>
    <div id="payment-bank" class="payment">
      <div class="row mb-3">
        <label for="input-bank-name" class="col-sm-2 col-form-label">{{ entry_bank_name }}</label>
        <div class="col-sm-10">
          <input type="text" name="bank_name" value="{{ bank_name }}" placeholder="{{ entry_bank_name }}" id="input-bank-name" class="form-control"/>
        </div>
      </div>
      <div class="row mb-3">
        <label for="input-bank-branch-number" class="col-sm-2 col-form-label">{{ entry_bank_branch_number }}</label>
        <div class="col-sm-10">
          <input type="text" name="bank_branch_number" value="{{ bank_branch_number }}" placeholder="{{ entry_bank_branch_number }}" id="input-bank-branch-number" class="form-control"/>
        </div>
      </div>
      <div class="row mb-3">
        <label for="input-bank-swift-code" class="col-sm-2 col-form-label">{{ entry_bank_swift_code }}</label>
        <div class="col-sm-10">
          <input type="text" name="bank_swift_code" value="{{ bank_swift_code }}" placeholder="{{ entry_bank_swift_code }}" id="input-bank-swift-code" class="form-control"/>
        </div>
      </div>
      <div class="row mb-3 required row">
        <label for="input-bank-account-name" class="col-sm-2 col-form-label">{{ entry_bank_account_name }}</label>
        <div class="col-sm-10">
          <input type="text" name="bank_account_name" value="{{ bank_account_name }}" placeholder="{{ entry_bank_account_name }}" id="input-bank-account-name" class="form-control"/>
          <div id="error-bank-account-name" class="invalid-feedback"></div>
        </div>
      </div>
      <div class="row mb-3 required row">
        <label for="input-bank-account-number" class="col-sm-2 col-form-label">{{ entry_bank_account_number }}</label>
        <div class="col-sm-10">
          <input type="text" name="bank_account_number" value="{{ bank_account_number }}" placeholder="{{ entry_bank_account_number }}" id="input-bank-account-number" class="form-control"/>
          <div id="error-bank-account-number" class="invalid-feedback"></div>
        </div>
      </div>
    </div>
    {% for custom_field in custom_fields %}
      {% if custom_field.location == 'affiliate' %}

        {% if custom_field.type == 'select' %}
          <div class="row mb-3{% if custom_field.required %} required{% endif %} custom-field">
            <label for="input-custom-field-{{ custom_field.custom_field_id }}" class="col-sm-2 col-form-label">{{ custom_field.name }}</label>
            <div class="col-sm-10">
              <select name="custom_field[{{ custom_field.custom_field_id }}]" id="input-custom-field-{{ custom_field.custom_field_id }}" class="form-select">
                <option value="">{{ text_select }}</option>
                {% for custom_field_value in custom_field.custom_field_value %}
                  <option value="{{ custom_field_value.custom_field_value_id }}"{% if affiliate_custom_field[custom_field.custom_field_id] and custom_field_value.custom_field_value_id == affiliate_custom_field[custom_field.custom_field_id] %} selected{% endif %}>{{ custom_field_value.name }}</option>
                {% endfor %}
              </select>
              <div id="error-custom-field-{{ custom_field.custom_field_id }}" class="invalid-feedback"></div>
            </div>
          </div>
        {% endif %}

        {% if custom_field.type == 'radio' %}
          <div class="row mb-3{% if custom_field.required %} required{% endif %} custom-field">
            <label class="col-sm-2 col-form-label">{{ custom_field.name }}</label>
            <div class="col-sm-10">
              <div id="input-custom-field-{{ custom_field.custom_field_id }}">
                {% for custom_field_value in custom_field.custom_field_value %}
                  <div class="form-check">
                    <input type="radio" name="custom_field[{{ custom_field.custom_field_id }}]" value="{{ custom_field_value.custom_field_value_id }}" id="input-custom-value-{{ custom_field_value.custom_field_value_id }}" class="form-check-input"{% if affiliate_custom_field[custom_field.custom_field_id] and custom_field_value.custom_field_value_id == affiliate_custom_field[custom_field.custom_field_id] %} checked{% endif %}/> <label for="input-custom-value-{{ custom_field_value.custom_field_value_id }}" class="form-check-label">{{ custom_field_value.name }}</label>
                  </div>
                {% endfor %}
              </div>
              <div id="error-custom-field-{{ custom_field.custom_field_id }}" class="invalid-feedback"></div>
            </div>
          </div>
        {% endif %}

        {% if custom_field.type == 'checkbox' %}
          <div class="row mb-3{% if custom_field.required %} required{% endif %} custom-field">
            <label class="col-sm-2 col-form-label">{{ custom_field.name }}</label>
            <div class="col-sm-10">
              <div id="input-custom-field-{{ custom_field.custom_field_id }}">
                {% for custom_field_value in custom_field.custom_field_value %}
                  <div class="form-check">
                    <input type="checkbox" name="custom_field[{{ custom_field.custom_field_id }}]" value="{{ custom_field_value.custom_field_value_id }}" id="input-custom-value-{{ custom_field_value.custom_field_value_id }}" class="form-check-input"{% if affiliate_custom_field[custom_field.custom_field_id] and custom_field_value.custom_field_value_id in affiliate_custom_field[custom_field.custom_field_id] %} checked{% endif %}/> <label for="input-custom-value-{{ custom_field_value.custom_field_value_id }}" class="form-check-label">{{ custom_field_value.name }}</label>
                  </div>
                {% endfor %}
              </div>
              <div id="error-custom-field-{{ custom_field.custom_field_id }}" class="invalid-feedback"></div>
            </div>
          </div>
        {% endif %}
        {% if custom_field.type == 'text' %}
          <div class="row mb-3{% if custom_field.required %} required{% endif %} custom-field">
            <label for="input-custom-field-{{ custom_field.custom_field_id }}" class="col-sm-2 col-form-label">{{ custom_field.name }}</label>
            <div class="col-sm-10">
              <input type="text" name="custom_field[{{ custom_field.custom_field_id }}]" value="{% if affiliate_custom_field[custom_field.custom_field_id] %}{{ affiliate_custom_field[custom_field.custom_field_id] }}{% else %}{{ custom_field.value }}{% endif %}" placeholder="{{ custom_field.name }}" id="input-custom-field-{{ custom_field.custom_field_id }}" class="form-control"/>
              <div id="error-custom-field-{{ custom_field.custom_field_id }}" class="invalid-feedback"></div>
            </div>
          </div>
        {% endif %}
        {% if custom_field.type == 'textarea' %}
          <div class="row mb-3{% if custom_field.required %} required{% endif %} custom-field">
            <label for="input-custom-field-{{ custom_field.custom_field_id }}" class="col-sm-2 col-form-label">{{ custom_field.name }}</label>
            <div class="col-sm-10">
              <textarea name="custom_field[{{ custom_field.custom_field_id }}]" rows="5" placeholder="{{ custom_field.name }}" id="input-custom-field-{{ custom_field.custom_field_id }}" class="form-control">{% if affiliate_custom_field[custom_field.custom_field_id] %}{{ affiliate_custom_field[custom_field.custom_field_id] }}{% else %}{{ custom_field.value }}{% endif %}</textarea>
              <div id="error-custom-field-{{ custom_field.custom_field_id }}" class="invalid-feedback"></div>
            </div>
          </div>
        {% endif %}
        {% if custom_field.type == 'file' %}
          <div class="row mb-3{% if custom_field.required %} required{% endif %} custom-field">
            <label class="col-sm-2 col-form-label">{{ custom_field.name }}</label>
            <div class="col-sm-10">
              <div>
                <button type="button" data-oc-toggle="upload" data-oc-url="{{ upload }}" data-oc-size-max="{{ config_file_max_size }}" data-oc-size-error="{{ error_upload_size }}" data-oc-target="#input-custom-field-{{ custom_field.custom_field_id }}" class="btn btn-light"><i class="fa-solid fa-upload"></i> {{ button_upload }}</button>
                <input type="hidden" name="custom_field[{{ custom_field.custom_field_id }}]" value="{% if affiliate_custom_field[custom_field.custom_field_id] %}{{ affiliate_custom_field[custom_field.custom_field_id] }}{% endif %}" id="input-custom-field-{{ custom_field.custom_field_id }}"/>
              </div>
              <div id="error-custom-field-{{ custom_field.custom_field_id }}" class="invalid-feedback"></div>
            </div>
          </div>
        {% endif %}
        {% if custom_field.type == 'date' %}
          <div class="row mb-3{% if custom_field.required %} required{% endif %} custom-field">
            <label for="input-custom-field-{{ custom_field.custom_field_id }}" class="col-sm-2 col-form-label">{{ custom_field.name }}</label>
            <div class="col-sm-10">
              <input type="date" name="custom_field[{{ custom_field.custom_field_id }}]" value="{% if affiliate_custom_field[custom_field.custom_field_id] %}{{ affiliate_custom_field[custom_field.custom_field_id] }}{% else %}{{ custom_field.value }}{% endif %}" placeholder="{{ custom_field.name }}" id="input-custom-field-{{ custom_field.custom_field_id }}" class="form-control"/>
              <div id="error-custom-field-{{ custom_field.custom_field_id }}" class="invalid-feedback"></div>
            </div>
          </div>
        {% endif %}
        {% if custom_field.type == 'time' %}
          <div class="row mb-3{% if custom_field.required %} required{% endif %} custom-field">
            <label for="input-custom-field-{{ custom_field.custom_field_id }}" class="col-sm-2 col-form-label">{{ custom_field.name }}</label>
            <div class="col-sm-10">
              <input type="time" name="custom_field[{{ custom_field.custom_field_id }}]" value="{% if affiliate_custom_field[custom_field.custom_field_id] %}{{ affiliate_custom_field[custom_field.custom_field_id] }}{% else %}{{ custom_field.value }}{% endif %}" placeholder="{{ custom_field.name }}" id="input-custom-field-{{ custom_field.custom_field_id }}" class="form-control"/>
              <div id="error-custom-field-{{ custom_field.custom_field_id }}" class="invalid-feedback"></div>
            </div>
          </div>
        {% endif %}
        {% if custom_field.type == 'datetime' %}
          <div class="row mb-3{% if custom_field.required %} required{% endif %} custom-field">
            <label for="input-custom-field-{{ custom_field.custom_field_id }}" class="col-sm-2 col-form-label">{{ custom_field.name }}</label>
            <div class="col-sm-10">
              <input type="datetime-local" name="custom_field[{{ custom_field.custom_field_id }}]" value="{% if affiliate_custom_field[custom_field.custom_field_id] %}{{ affiliate_custom_field[custom_field.custom_field_id] }}{% else %}{{ custom_field.value }}{% endif %}" placeholder="{{ custom_field.name }}" id="input-custom-field-{{ custom_field.custom_field_id }}" class="form-control"/>
              <div id="error-custom-field-{{ custom_field.custom_field_id }}" class="invalid-feedback"></div>
            </div>
          </div>
        {% endif %}
      {% endif %}
    {% endfor %}
  </fieldset>
  <div class="text-end">
    {% if text_agree %}
      <label for="input-agree" class="form-check-label">{{ text_agree }}</label>
      <x-switch name="agree" value="1" input-id="input-agree" input-class="form-switch form-switch-lg form-check-reverse form-check-inline align-top"></x-switch>
    {% endif %}
    <button type="submit" class="btn btn-primary">{{ button_continue }}</button>
  </div>
</form>
