@php $s = $supplier ?? null; @endphp

<div class="row">
    <div class="col-md-6 mb-3">
        <label class="font-weight-bold">Name <span class="text-danger">*</span></label>
        <input type="text" name="name" class="form-control @error('name') is-invalid @enderror"
               value="{{ old('name', $s->name ?? '') }}" required style="border-radius:8px;">
        @error('name')<div class="invalid-feedback">{{ $message }}</div>@enderror
    </div>
    <div class="col-md-3 mb-3">
        <label class="font-weight-bold">Code</label>
        <input type="text" name="code" class="form-control @error('code') is-invalid @enderror"
               value="{{ old('code', $s->code ?? '') }}" style="border-radius:8px;">
        @error('code')<div class="invalid-feedback">{{ $message }}</div>@enderror
    </div>
    <div class="col-md-3 mb-3">
        <label class="font-weight-bold">Status <span class="text-danger">*</span></label>
        <select name="status" class="form-control @error('status') is-invalid @enderror" required style="border-radius:8px;">
            <option value="active" @selected(old('status', $s->status ?? 'active') === 'active')>Active</option>
            <option value="inactive" @selected(old('status', $s->status ?? '') === 'inactive')>Inactive</option>
        </select>
        @error('status')<div class="invalid-feedback">{{ $message }}</div>@enderror
    </div>
</div>

<div class="row">
    <div class="col-md-4 mb-3">
        <label class="font-weight-bold">Channel Type <span class="text-danger">*</span></label>
        <select name="channel_type" class="form-control @error('channel_type') is-invalid @enderror" required style="border-radius:8px;">
            @foreach(['equipment','chemistry_consumables','packaging','direct_import','other'] as $ch)
                <option value="{{ $ch }}" @selected(old('channel_type', $s->channel_type ?? '') === $ch)>
                    {{ ucfirst(str_replace('_', ' ', $ch)) }}
                </option>
            @endforeach
        </select>
        @error('channel_type')<div class="invalid-feedback">{{ $message }}</div>@enderror
    </div>
    <div class="col-md-4 mb-3">
        <label class="font-weight-bold">Lead Time (days)</label>
        <input type="number" name="lead_time_days" min="0" class="form-control @error('lead_time_days') is-invalid @enderror"
               value="{{ old('lead_time_days', $s->lead_time_days ?? '') }}" style="border-radius:8px;">
        @error('lead_time_days')<div class="invalid-feedback">{{ $message }}</div>@enderror
    </div>
    <div class="col-md-4 mb-3 d-flex align-items-end">
        <div class="custom-control custom-checkbox mb-2">
            <input type="checkbox" class="custom-control-input" id="is_regional_reexporter" name="is_regional_reexporter" value="1"
                   @checked(old('is_regional_reexporter', $s->is_regional_reexporter ?? false))>
            <label class="custom-control-label" for="is_regional_reexporter">Regional re-exporter</label>
        </div>
    </div>
</div>

<div class="row">
    <div class="col-md-4 mb-3">
        <label class="font-weight-bold">Contact Person</label>
        <input type="text" name="contact_person" class="form-control" value="{{ old('contact_person', $s->contact_person ?? '') }}" style="border-radius:8px;">
    </div>
    <div class="col-md-4 mb-3">
        <label class="font-weight-bold">Email</label>
        <input type="email" name="email" class="form-control @error('email') is-invalid @enderror"
               value="{{ old('email', $s->email ?? '') }}" style="border-radius:8px;">
        @error('email')<div class="invalid-feedback">{{ $message }}</div>@enderror
    </div>
    <div class="col-md-4 mb-3">
        <label class="font-weight-bold">Phone</label>
        <input type="text" name="phone" class="form-control" value="{{ old('phone', $s->phone ?? '') }}" style="border-radius:8px;">
    </div>
</div>

<div class="row">
    <div class="col-md-6 mb-3">
        <label class="font-weight-bold">Address</label>
        <input type="text" name="address" class="form-control" value="{{ old('address', $s->address ?? '') }}" style="border-radius:8px;">
    </div>
    <div class="col-md-3 mb-3">
        <label class="font-weight-bold">City</label>
        <input type="text" name="city" class="form-control" value="{{ old('city', $s->city ?? '') }}" style="border-radius:8px;">
    </div>
    <div class="col-md-3 mb-3">
        <label class="font-weight-bold">Country</label>
        <input type="text" name="country" class="form-control" value="{{ old('country', $s->country ?? '') }}" style="border-radius:8px;">
    </div>
</div>

<div class="row">
    <div class="col-md-4 mb-3">
        <label class="font-weight-bold">Tax Number</label>
        <input type="text" name="tax_number" class="form-control" value="{{ old('tax_number', $s->tax_number ?? '') }}" style="border-radius:8px;">
    </div>
    <div class="col-md-4 mb-3">
        <label class="font-weight-bold">Payment Terms</label>
        <input type="text" name="payment_terms" class="form-control" value="{{ old('payment_terms', $s->payment_terms ?? '') }}"
               placeholder="e.g. Net 30" style="border-radius:8px;">
    </div>
    <div class="col-md-4 mb-3">
        <label class="font-weight-bold">Notes</label>
        <textarea name="notes" rows="1" class="form-control" style="border-radius:8px;">{{ old('notes', $s->notes ?? '') }}</textarea>
    </div>
</div>