@if($onlineUser)

upgrade

You are upgrading from {{ $onlineUser->customer_role->name }} to Brand Partner

Your Email: {{ $onlineUser->email }}
{{ SiteSettingFind('_replicated_enroller_label','Enroller') }}: {{ $onlineUser->enroller() }}

@else

sign up

account information

@endif

@if(!$onlineUser)

{{ SiteSettingFind('_replicated_enroller_label','Enroller') }}: {{ $referral_info['name'] }} ({{ $referral_info['code'] }}) - Change

{!! Form::email('email' , request()->input('email') ,['class' => 'form-control ref_verify_them', 'placeholder'=> 'Email','required' => true]) !!}

{!! Form::password('password',['class' => 'form-control', 'placeholder'=> 'Password','required' => true]) !!}

{!! Form::text('first_name' , null ,['class' => 'form-control', 'placeholder'=> 'First Name','required' => true]) !!}

{!! Form::text('last_name' , null ,['class' => 'form-control', 'placeholder'=> 'Last Name','required' => true]) !!}

@endif @include('frontend.template.auth._custom_field')

{!! Form::text('my_referral_code' , optional($onlineUser)->username ,['class' => 'form-control ref_verify_them enrollment-username', 'placeholder'=> 'Your Referral Code','required' => true]) !!} (One You Will Share With Others You Refer)

(Enter Birthday)

{!! Form::text('address' , optional($primaryAddress)['Street1'] ,['class' => 'form-control', 'placeholder'=> 'Address','required' => true]) !!}

{!! Form::text('city' , optional($primaryAddress)['City'] ,['class' => 'form-control', 'placeholder'=> 'City','required' => true]) !!}

{!! Form::text('zip' , optional($primaryAddress)['PostalCode'] ,['class' => 'form-control', 'placeholder'=> 'Zip','required' => true]) !!}

{!! Form::select('country', $countries, 'US',['class' => 'form-control','required' => true]) !!}

@foreach($states as $key => $value)

{!! Form::select('country_'.strtolower($key), $value, optional($primaryAddress)['Region'],['placeholder' => 'Select','class' => 'form-control']) !!}

@endforeach

{!! Form::text('phone' , optional($onlineUser)->cell_phone ,['class' => 'form-control', 'placeholder'=> 'Phone','required' => true]) !!}

@if(!$onlineUser)

{{ SiteSettingFind('_replicated_enroller_label','Enroller') }}: {{ $referral_info['name'] }} ({{ $referral_info['code'] }}) - Change

@endif