Checkout

@csrf

Personal info

Insert your personal details

First Name

@if ($errors->has('first_name')) Field required @endif

Last Name

@if ($errors->has('last_name')) Field required @endif

Email address

@if ($errors->has('email')) {{$errors->first('email')}} @endif

Phone number

@if ($errors->has('phone')) {{$errors->first('phone')}} @endif

Your Mailing Address

Insert your mailing address details

Your Address

@if ($errors->has('address')) {{$errors->first('address')}} @endif

City

@if ($errors->has('city')) {{$errors->first('city')}} @endif

State

@if ($errors->has('state')) {{$errors->first('state')}} @endif

Zip Code

@if ($errors->has('zip_code')) {{$errors->first('zip_code')}} @endif

Check box if your billing address is different from your mailing address

Your Billing Address

Insert your billing address details

Your Address

City

State

Zip Code

Card Details

Insert your card details

Name on card

{{--

--}}

Card Number

Expiration date

CVV

Subtotal

${{$subtotal}}