{{ template "header.html" . }}

<div class="flex min-h-full flex-col justify-center px-6 py-12 lg:px-8">
  <div class="sm:mx-auto sm:w-full sm:max-w-sm">
    <img class="mx-auto h-10 w-auto" src="/static/img/circlea.png" alt="Your Company">
    <h2 class="mt-10 text-center text-2xl/9 font-bold tracking-tight text-gray-900">Checkout</h2>
  </div>


  <div class="mt-10 sm:mx-auto sm:w-full sm:max-w-sm">
    <form class="space-y-6" action="#" method="POST" enctype="multipart/form-data">
      <div>
        <label for="name" class="block text-sm/6 font-medium text-gray-900">First Name</label>
        <div class="mt-2">
          <input type="text" name="firstname" id="firstname" required class="block w-full rounded-md bg-white px-3 py-1.5 text-base text-gray-900 outline outline-1 -outline-offset-1 outline-gray-300 placeholder:text-gray-400 focus:outline focus:outline-2 focus:-outline-offset-2 focus:outline-indigo-600 sm:text-sm/6">
        </div>
      </div>

      <div>
        <label for="lastname" class="block text-sm/6 font-medium text-gray-900">Last Name</label>
        <div class="mt-2">
          <input type="text" name="lastname" id="lastname" required class="block w-full rounded-md bg-white px-3 py-1.5 text-base text-gray-900 outline outline-1 -outline-offset-1 outline-gray-300 placeholder:text-gray-400 focus:outline focus:outline-2 focus:-outline-offset-2 focus:outline-indigo-600 sm:text-sm/6">
        </div>
      </div>

      <div>
        <label for="Address" class="block text-sm/6 font-medium text-gray-900">Streetname and Number</label>
        <div class="mt-2">
          <input type="text" name="address" id="address" required class="block w-full rounded-md bg-white px-3 py-1.5 text-base text-gray-900 outline outline-1 -outline-offset-1 outline-gray-300 placeholder:text-gray-400 focus:outline focus:outline-2 focus:-outline-offset-2 focus:outline-indigo-600 sm:text-sm/6">
        </div>
      </div>


      <div>
        <label for="lastname" class="block text-sm/6 font-medium text-gray-900">Postal Code</label>
        <div class="mt-2">
          <input type="text" name="lastname" id="lastname" required class="block w-full rounded-md bg-white px-3 py-1.5 text-base text-gray-900 outline outline-1 -outline-offset-1 outline-gray-300 placeholder:text-gray-400 focus:outline focus:outline-2 focus:-outline-offset-2 focus:outline-indigo-600 sm:text-sm/6">
        </div>
      </div>


      <div>
        <label for="lastname" class="block text-sm/6 font-medium text-gray-900">City</label>
        <div class="mt-2">
          <input type="text" name="lastname" id="lastname" required class="block w-full rounded-md bg-white px-3 py-1.5 text-base text-gray-900 outline outline-1 -outline-offset-1 outline-gray-300 placeholder:text-gray-400 focus:outline focus:outline-2 focus:-outline-offset-2 focus:outline-indigo-600 sm:text-sm/6">
        </div>
      </div>


      <div>
        <label for="lastname" class="block text-sm/6 font-medium text-gray-900">Country</label>
        <div class="mt-2">
          <input type="text" name="lastname" id="lastname" required class="block w-full rounded-md bg-white px-3 py-1.5 text-base text-gray-900 outline outline-1 -outline-offset-1 outline-gray-300 placeholder:text-gray-400 focus:outline focus:outline-2 focus:-outline-offset-2 focus:outline-indigo-600 sm:text-sm/6">
        </div>
      </div>


      <div>
        <label for="lastname" class="block text-sm/6 font-medium text-gray-900">E-Mail</label>
        <div class="mt-2">
          <input type="text" name="lastname" id="lastname" required class="block w-full rounded-md bg-white px-3 py-1.5 text-base text-gray-900 outline outline-1 -outline-offset-1 outline-gray-300 placeholder:text-gray-400 focus:outline focus:outline-2 focus:-outline-offset-2 focus:outline-indigo-600 sm:text-sm/6">
        </div>
      </div>


      <div>
        <label for="description" class="block text-sm/6 font-medium text-gray-900" for="passwordConfirmation">Comment</label>
        <textarea id="description" name="description" type="textarea" class="block w-full px-4 py-2 mt-2 text-gray-700 bg-white border border-gray-300 rounded-md dark:bg-gray-800 dark:text-gray-300 dark:border-gray-600 focus:border-blue-500 dark:focus:border-blue-500 focus:outline-none focus:ring"></textarea>
      </div>


                <div class="flex mb-4">
                    <label for="DeliveryMethod" class="block mb-2 text-sm font-medium text-gray-900 dark:text-white"></label>
                      <select name="DeliveryMethod" id="DeliveryMethod" required class="bg-gray-50 border border-gray-300 text-gray-900 text-sm rounded-lg focus:ring-blue-500 focus:border-blue-500 block w-full p-2.5 dark:bg-gray-700 dark:border-gray-600 dark:placeholder-gray-400 dark:text-white dark:focus:ring-blue-500 dark:focus:border-blue-500">
                        <option selected value="">Shipping</option>
                        <option value="germany">germany (DHL) 3.99€</option>
                        <option value="international">international (DHL) 5.99€</option>
                        <option value="pickup">pickup 0.00€</option>
                      </select>
                </div>

      <p class="mt-10 text-center text-sm/6 text-red-500">
      {{ .data.error }}
      </p>
      <p class="mt-10 text-center text-sm/6 text-green-500">
      {{ .data.success }}
      </p>


      <div>
        <button type="submit" class="flex w-full justify-center rounded-md bg-indigo-600 px-3 py-1.5 text-sm/6 font-semibold text-white shadow-sm hover:bg-indigo-500 focus-visible:outline focus-visible:outline-2 focus-visible:outline-offset-2 focus-visible:outline-indigo-600">Preview Order</button>
      </div>
    </form>
  </div>
</div>


{{ template "footer.html" . }}