@extends('web.layout.master')
@section('content')
	<section class="section bg-cover overlay" data-background="{{asset('assets/images/backgrounds/page-title.jpg')}}">
		<div class="container">
			<div class="row">
				<div class="col-12">
					<h2 class="text-white mb-md-3 mb-2 head_allpages">Cost Calculator</h2>
					<nav aria-label="breadcrumb">
						<ol class="breadcrumb bg-transparent p-0">
							<li class="breadcrumb-item font-weight-semebold"><a class="text-white" href="javscript:;">Home</a></li>
							<li class="breadcrumb-item font-weight-semebold active text-primary" aria-current="page">Cost Calculator</li>
						</ol>
					</nav>
				</div>
			</div>
		</div>
	</section>
	<section class="cost-calculator py-5">
		<div class="container py-lg-4">
			<form class="row"  id="queryForm">
				@csrf
				<div class="col-12 mb-lg-5 mb-md-4 mb-4">
					<div class="cost-calculator-heading text-center"> <span class="section-title-border border-center"></span>
						<h2 class="section-title">Calculate Your Business Setup Cost </h2> </div>
				</div>
				<div class="col-12">
					<ul class="nav nav-tabs" id="myTab" role="tablist">
						<li class="nav-item" role="presentation">
							<a class="nav-link active" id="home-tab" data-toggle="tab" href="#home" role="tab" aria-controls="home" aria-selected="true">
								<div class="cost-calculator-btn"> <span>01</span>
									<label>Business Activity</label>
								</div>
							</a>
						</li>
						<li class="nav-item" role="presentation">
							<a class="nav-link" id="profile-tab" data-toggle="tab" href="#profile" role="tab" aria-controls="profile" aria-selected="false">
								<div class="cost-calculator-btn"> <span>02</span>
									<label>Juridiction</label>
								</div>
							</a>
						</li>
						<li class="nav-item" role="presentation">
							<a class="nav-link" id="contact-tab" data-toggle="tab" href="#contact" role="tab" aria-controls="contact" aria-selected="false">
								<div class="cost-calculator-btn"> <span>03</span>
									<label> Owners</label>
								</div>
							</a>
						</li>
						<li class="nav-item" role="presentation">
							<a class="nav-link" id="contact1-tab" data-toggle="tab" href="#contact1" role="tab" aria-controls="contact1" aria-selected="false">
								<div class="cost-calculator-btn"> <span>04</span>
									<label>Visa</label>
								</div>
							</a>
						</li>
						<li class="nav-item" role="presentation">
							<a class="nav-link" id="contact2-tab" data-toggle="tab" href="#contact2" role="tab" aria-controls="contact2" aria-selected="false">
								<div class="cost-calculator-btn"> <span>05</span>
									<label>Office Space </label>
								</div>
							</a>
						</li>
						<li class="nav-item" role="presentation">
							<a class="nav-link" id="contact3-tab" data-toggle="tab" href="#contact3" role="tab" aria-controls="contact3" aria-selected="false">
								<div class="cost-calculator-btn"> <span>06</span>
									<label>Business Name </label>
								</div>
							</a>
						</li>
						<li class="nav-item" role="presentation">
							<a class="nav-link" id="contact4-tab" data-toggle="tab" href="#contact4" role="tab" aria-controls="contact4" aria-selected="false">
								<div class="cost-calculator-btn"> <span>07</span>
									<label>Contact Details </label>
								</div>
							</a>
						</li>
					</ul>
				</div>
				<div class="col-12 mt-md-5 mt-4 pt-lg-4">
					<div class="tab-content" id="myTabContent">
						<div class="tab-pane fade show active" id="home" role="tabpanel" aria-labelledby="home-tab">
							<div class="row justify-content-center">
								<div class="col-lg-6 col-md-8">
									<div class="caculator-form">
										<div class="from-group row mb-md-4 mb-3">
											<div class="col-12 mb-md-3 mb-2">
												<label class="form-lable" for="">Which Business activity are you looking for? </label>
											</div>
											<div class="col-12">
												<select class="form-select" aria-label="Default select example" name="business_activity">
													<option value="" selected="">Select a business activity</option>
													<option value="Advertising">Advertising</option>
													<option value="Architecture">Architecture</option>
													<option value="Business Consultancy">Business Consultancy</option>
													<option value="Design Services">Design Services</option>
													<option value="E-Commerce">E-Commerce</option>
													<option value="Event Management">Event Management</option>
													<option value="Fashion Design Consultancy">Fashion Design Consultancy</option>
													<option value="Food &amp; Beverage Trading">Food &amp; Beverage Trading</option>
													<option value="General Trading">General Trading</option>
													<option value="Human Resources Consultancy">Human Resources Consultancy</option>
													<option value="Interior Design">Interior Design</option>
													<option value="IT Consultancy">IT Consultancy</option>
													<option value="Lifestyle Consultancy">Lifestyle Consultancy</option>
													<option value="Management Consultancy">Management Consultancy</option>
													<option value="Marketing Services">Marketing Services</option>
													<option value="Media Services">Media Services</option>
													<option value="Online Education">Online Education</option>
													<option value="Other">Other</option>
													<option value="Photography Services">Photography Services</option>
													<option value="Production">Production</option>
													<option value="Project Management Consultancy">Project Management Consultancy</option>
													<option value="Public Relations">Public Relations</option>
													<option value="Publishing">Publishing</option>
													<option value="Recruitment Consultancy">Recruitment Consultancy</option>
													<option value="Software Development Management">Software Development Management</option>
													<option value="Sports Management">Sports Management</option>
													<option value="Tax Consultancy">Tax Consultancy</option>
													<option value="Training Services">Training Services</option>
													<option value="Video Services">Video Services</option>
													<option value="Wholesale of Household Goods">Wholesale of Household Goods</option>
												</select>
											</div>
										</div>
										<div class="from-group row mb-md-4 mb-3">
											<div class="col-12 mb-md-3 mb-2">
												<label class="form-lable" for="">Please Describe: </label>
											</div>
											<div class="col-12">
												<textarea class="form-control" name="description_en" id=""></textarea>
												
											</div>
										</div>
										<div class="from-group row pt-3">
											<div class="col-12">
												<button type="button" onclick="autofill3()"  class="btn btn-primary hover-ripple">Next</button>
											</div>
										</div>
									</div>
								</div>
							</div>
						</div>
						<div class="tab-pane " id="profile" role="tabpanel" aria-labelledby="profile-tab">
							<div class="row justify-content-center">
								<div class="col-lg-6 col-md-8">
									<div class="caculator-form">
										<div class="from-group row mb-md-4 mb-3">
											<div class="col-12 mb-md-4 mb-3">
												<label class="form-lable">Select Jurisdiction </label>
											</div>
											<div class="col-12 custom_checkbox mb-md-4 mb-3">
												<input type="radio" value="1" id="check1" name="checkbox1">
												<input type="hidden" value="50"  name="estimated_price">
												<label for="check1">Dubai Mainland</label>
											</div>
											<div class="col-12 custom_checkbox mb-md-4 mb-3">
												<input type="radio" value="2" id="check2" checked name="checkbox1">
												<label for="check2">Free Zone</label>
											</div>
											<div class="col-12 custom_checkbox mb-md-4 mb-3">
												<input type="radio" value="3" id="check3" name="checkbox1">
												<label for="check3">Not Sure</label>
											</div>
										</div>
										<div class="from-group row">
											<div class="col-12 flex-show">
												<button type="button" onclick="autofill()" class="btn btn-primary hover-ripple mr-3">Previous</button>
												<button type="button" onclick="autofill3()" class="btn btn-primary hover-ripple">Next</button>
											</div>
										</div>
									</div>
								</div>
							</div>
						</div>
						<div class="tab-pane  " id="contact" role="tabpanel" aria-labelledby="contact-tab">
							<div class="row justify-content-center">
								<div class="col-lg-6 col-md-8">
									<div class="caculator-form">
										<div class="from-group row mb-md-4 mb-3">
											<div class="col-12 mb-md-4 mb-3">
												<label class="form-lable">How Many Owners will be involved? </label>
											</div>
											<div class="col-12 custom_checkbox mb-md-4 mb-3">
												<input type="radio" value="1"  id="check4" name="checkbox2">
												<label for="check4">Single</label>
											</div>
											<div class="col-12 custom_checkbox mb-md-4 mb-3">
												<input type="radio" value="2"  id="check5" checked name="checkbox2">
												<label for="check5">Multiple</label>
											</div>
											<div class="col-12 custom_checkbox mb-md-4 mb-3">
												<input type="radio" value="3"  id="check6" name="checkbox2">
												<label for="check6">Not Sure</label>
											</div>
										</div>
										<div class="from-group row">
											<div class="col-12 flex-show">
												<button type="button" onclick="autofill()" class="btn btn-primary hover-ripple mr-3">Previous</button>
												<button type="button" onclick="autofill3()" class="btn btn-primary hover-ripple">Next</button>
											</div>
										</div>
									</div>
								</div>
							</div>
						</div>
						<div class="tab-pane " id="contact1" role="tabpanel" aria-labelledby="contact1-tab">
							<div class="row justify-content-center">
								<div class="col-lg-6 col-md-8">
									<div class="caculator-form">
										<div class="from-group row mb-md-4 mb-3">
											<div class="col-12 mb-md-4 mb-3">
												<label class="form-lable">Will you require Visa(s)? </label>
											</div>
											<div class="col-12 custom_checkbox mb-md-4 mb-3">
												<input type="radio" value="1"  id="check7" name="checkbox3">
												<label for="check7">Single</label>
											</div>
											<div class="col-12 custom_checkbox mb-md-4 mb-3">
												<input type="radio" value="2"  id="check8" checked name="checkbox3">
												<label for="check8">Multiple</label>
											</div>
										</div>
										<div class="from-group row">
											<div class="col-12 flex-show">
												<button type="button" onclick="autofill()" class="btn btn-primary hover-ripple mr-3">Previous</button>
												<button type="button" onclick="autofill3()" class="btn btn-primary hover-ripple">Next</button>
											</div>
										</div>
									</div>
								</div>
							</div>
						</div>
						<div class="tab-pane " id="contact2" role="tabpanel" aria-labelledby="contact2-tab">
							<div class="row justify-content-center">
								<div class="col-lg-6 col-md-8">
									<div class="caculator-form">
										<div class="from-group row mb-md-4 mb-3">
											<div class="col-12 mb-md-4 mb-3">
												<label class="form-lable">Do you require an office Space? </label>
											</div>
											<div class="col-12 custom_checkbox mb-md-4 mb-3">
												<input type="radio" value="1"  id="check9" name="checkbox4">
												<label for="check9">Yes</label>
											</div>
											<div class="col-12 custom_checkbox mb-md-4 mb-3">
												<input type="radio" value="2"  id="check10" checked name="checkbox4">
												<label for="check10">No</label>
											</div>
											<div class="col-12 custom_checkbox mb-md-4 mb-3">
												<input type="radio" value="3"  id="check11" checked name="checkbox4">
												<label for="check11">Not Sure</label>
											</div>
										</div>
										<div class="from-group row">
											<div class="col-12 flex-show">
												<button type="button" onclick="autofill()" class="btn btn-primary hover-ripple mr-3">Previous</button>
												<button type="button" onclick="autofill3()" class="btn btn-primary hover-ripple">Next</button>
											</div>
										</div>
									</div>
								</div>
							</div>
						</div>
						<div class="tab-pane " id="contact3" role="tabpanel" aria-labelledby="contact3-tab">
							<div class="row justify-content-center">
								<div class="col-lg-6 col-md-8">
									<div class="caculator-form">
										<div class="from-group row mb-md-4 mb-3">
											<div class="col-12 mb-md-4 mb-3">
												<label class="form-lable" for="">Do you have a business name in mind? </label>
											</div>
											<div class="col-12">
												<input class="form-control" type="text" id="business" name="business_name" placeholder=""> </div>
										</div>
										<div class="from-group row pt-3">
											<div class="col-12 flex-show">
												<button type="button" onclick="autofill()" class="btn btn-primary hover-ripple mr-3">Previous</button>
												<button type="button" onclick="autofill3()" class="btn btn-primary hover-ripple">Next</button>
											</div>
										</div>
									</div>
								</div>
							</div>
						</div>
						<div class="tab-pane " id="contact4" role="tabpanel" aria-labelledby="contact4-tab">
							<div class="row justify-content-center">
								<div class="col-lg-6 col-md-8">
									<div class="caculator-form">
										<div class="from-group row mb-md-4 mb-3">
											<div class="col-12 mb-md-4 mb-3">
												<label class="form-lable" for="">Contact Details </label>
											</div>
											<div class="col-12 mb-md-4 mb-3">
												<input class="form-control" type="text" id="name" name="name" placeholder="Enter Your Name"> </div>
											<div class="col-12 mb-md-4 mb-3">
												<input class="form-control" type="email" id="Email" name="mail" placeholder="Enter Your Email"> </div>
											<div class="col-12 mb-md-4 mb-3">
												<input class="form-control" type="text" id="name" name="phone" placeholder="Enter Your Phone Number"> </div>
											<div class="col-12 mb-md-4 mb-3">
												<select class="form-select" aria-label="Default select example" name="nationality">
													<option value="" selected="">Select Nationality</option>
													<option value="Afganistan">Afghanistan</option>
													<option value="Albania">Albania</option>
													<option value="Algeria">Algeria</option>
													<option value="American Samoa">American Samoa</option>
													<option value="Andorra">Andorra</option>
													<option value="Angola">Angola</option>
													<option value="Anguilla">Anguilla</option>
													<option value="Antigua &amp; Barbuda">Antigua &amp; Barbuda</option>
													<option value="Argentina">Argentina</option>
													<option value="Armenia">Armenia</option>
													<option value="Aruba">Aruba</option>
													<option value="Australia">Australia</option>
													<option value="Austria">Austria</option>
													<option value="Azerbaijan">Azerbaijan</option>
													<option value="Bahamas">Bahamas</option>
													<option value="Bahrain">Bahrain</option>
													<option value="Bangladesh">Bangladesh</option>
													<option value="Barbados">Barbados</option>
													<option value="Belarus">Belarus</option>
													<option value="Belgium">Belgium</option>
													<option value="Belize">Belize</option>
													<option value="Benin">Benin</option>
													<option value="Bermuda">Bermuda</option>
													<option value="Bhutan">Bhutan</option>
													<option value="Bolivia">Bolivia</option>
													<option value="Bonaire">Bonaire</option>
													<option value="Bosnia &amp; Herzegovina">Bosnia &amp; Herzegovina</option>
													<option value="Botswana">Botswana</option>
													<option value="Brazil">Brazil</option>
													<option value="British Indian Ocean Ter">British Indian Ocean Ter</option>
													<option value="Brunei">Brunei</option>
													<option value="Bulgaria">Bulgaria</option>
													<option value="Burkina Faso">Burkina Faso</option>
													<option value="Burundi">Burundi</option>
													<option value="Cambodia">Cambodia</option>
													<option value="Cameroon">Cameroon</option>
													<option value="Canada">Canada</option>
													<option value="Canary Islands">Canary Islands</option>
													<option value="Cape Verde">Cape Verde</option>
													<option value="Cayman Islands">Cayman Islands</option>
													<option value="Central African Republic">Central African Republic</option>
													<option value="Chad">Chad</option>
													<option value="Channel Islands">Channel Islands</option>
													<option value="Chile">Chile</option>
													<option value="China">China</option>
													<option value="Christmas Island">Christmas Island</option>
													<option value="Cocos Island">Cocos Island</option>
													<option value="Colombia">Colombia</option>
													<option value="Comoros">Comoros</option>
													<option value="Congo">Congo</option>
													<option value="Cook Islands">Cook Islands</option>
													<option value="Costa Rica">Costa Rica</option>
													<option value="Cote DIvoire">Cote DIvoire</option>
													<option value="Croatia">Croatia</option>
													<option value="Cuba">Cuba</option>
													<option value="Curaco">Curacao</option>
													<option value="Cyprus">Cyprus</option>
													<option value="Czech Republic">Czech Republic</option>
													<option value="Denmark">Denmark</option>
													<option value="Djibouti">Djibouti</option>
													<option value="Dominica">Dominica</option>
													<option value="Dominican Republic">Dominican Republic</option>
													<option value="East Timor">East Timor</option>
													<option value="Ecuador">Ecuador</option>
													<option value="Egypt">Egypt</option>
													<option value="El Salvador">El Salvador</option>
													<option value="Equatorial Guinea">Equatorial Guinea</option>
													<option value="Eritrea">Eritrea</option>
													<option value="Estonia">Estonia</option>
													<option value="Ethiopia">Ethiopia</option>
													<option value="Falkland Islands">Falkland Islands</option>
													<option value="Faroe Islands">Faroe Islands</option>
													<option value="Fiji">Fiji</option>
													<option value="Finland">Finland</option>
													<option value="France">France</option>
													<option value="French Guiana">French Guiana</option>
													<option value="French Polynesia">French Polynesia</option>
													<option value="French Southern Ter">French Southern Ter</option>
													<option value="Gabon">Gabon</option>
													<option value="Gambia">Gambia</option>
													<option value="Georgia">Georgia</option>
													<option value="Germany">Germany</option>
													<option value="Ghana">Ghana</option>
													<option value="Gibraltar">Gibraltar</option>
													<option value="Great Britain">Great Britain</option>
													<option value="Greece">Greece</option>
													<option value="Greenland">Greenland</option>
													<option value="Grenada">Grenada</option>
													<option value="Guadeloupe">Guadeloupe</option>
													<option value="Guam">Guam</option>
													<option value="Guatemala">Guatemala</option>
													<option value="Guinea">Guinea</option>
													<option value="Guyana">Guyana</option>
													<option value="Haiti">Haiti</option>
													<option value="Hawaii">Hawaii</option>
													<option value="Honduras">Honduras</option>
													<option value="Hong Kong">Hong Kong</option>
													<option value="Hungary">Hungary</option>
													<option value="Iceland">Iceland</option>
													<option value="Indonesia">Indonesia</option>
													<option value="India">India</option>
													<option value="Iran">Iran</option>
													<option value="Iraq">Iraq</option>
													<option value="Ireland">Ireland</option>
													<option value="Isle of Man">Isle of Man</option>
													<option value="Israel">Israel</option>
													<option value="Italy">Italy</option>
													<option value="Jamaica">Jamaica</option>
													<option value="Japan">Japan</option>
													<option value="Jordan">Jordan</option>
													<option value="Kazakhstan">Kazakhstan</option>
													<option value="Kenya">Kenya</option>
													<option value="Kiribati">Kiribati</option>
													<option value="Korea North">Korea North</option>
													<option value="Korea Sout">Korea South</option>
													<option value="Kuwait">Kuwait</option>
													<option value="Kyrgyzstan">Kyrgyzstan</option>
													<option value="Laos">Laos</option>
													<option value="Latvia">Latvia</option>
													<option value="Lebanon">Lebanon</option>
													<option value="Lesotho">Lesotho</option>
													<option value="Liberia">Liberia</option>
													<option value="Libya">Libya</option>
													<option value="Liechtenstein">Liechtenstein</option>
													<option value="Lithuania">Lithuania</option>
													<option value="Luxembourg">Luxembourg</option>
													<option value="Macau">Macau</option>
													<option value="Macedonia">Macedonia</option>
													<option value="Madagascar">Madagascar</option>
													<option value="Malaysia">Malaysia</option>
													<option value="Malawi">Malawi</option>
													<option value="Maldives">Maldives</option>
													<option value="Mali">Mali</option>
													<option value="Malta">Malta</option>
													<option value="Marshall Islands">Marshall Islands</option>
													<option value="Martinique">Martinique</option>
													<option value="Mauritania">Mauritania</option>
													<option value="Mauritius">Mauritius</option>
													<option value="Mayotte">Mayotte</option>
													<option value="Mexico">Mexico</option>
													<option value="Midway Islands">Midway Islands</option>
													<option value="Moldova">Moldova</option>
													<option value="Monaco">Monaco</option>
													<option value="Mongolia">Mongolia</option>
													<option value="Montserrat">Montserrat</option>
													<option value="Morocco">Morocco</option>
													<option value="Mozambique">Mozambique</option>
													<option value="Myanmar">Myanmar</option>
													<option value="Nambia">Nambia</option>
													<option value="Nauru">Nauru</option>
													<option value="Nepal">Nepal</option>
													<option value="Netherland Antilles">Netherland Antilles</option>
													<option value="Netherlands">Netherlands (Holland, Europe)</option>
													<option value="Nevis">Nevis</option>
													<option value="New Caledonia">New Caledonia</option>
													<option value="New Zealand">New Zealand</option>
													<option value="Nicaragua">Nicaragua</option>
													<option value="Niger">Niger</option>
													<option value="Nigeria">Nigeria</option>
													<option value="Niue">Niue</option>
													<option value="Norfolk Island">Norfolk Island</option>
													<option value="Norway">Norway</option>
													<option value="Oman">Oman</option>
													<option value="Pakistan">Pakistan</option>
													<option value="Palau Island">Palau Island</option>
													<option value="Palestine">Palestine</option>
													<option value="Panama">Panama</option>
													<option value="Papua New Guinea">Papua New Guinea</option>
													<option value="Paraguay">Paraguay</option>
													<option value="Peru">Peru</option>
													<option value="Philippines">Philippines</option>
													<option value="Pitcairn Island">Pitcairn Island</option>
													<option value="Poland">Poland</option>
													<option value="Portugal">Portugal</option>
													<option value="Puerto Rico">Puerto Rico</option>
													<option value="Qatar">Qatar</option>
													<option value="Republic of Montenegro">Republic of Montenegro</option>
													<option value="Republic of Serbia">Republic of Serbia</option>
													<option value="Reunion">Reunion</option>
													<option value="Romania">Romania</option>
													<option value="Russia">Russia</option>
													<option value="Rwanda">Rwanda</option>
													<option value="St Barthelemy">St Barthelemy</option>
													<option value="St Eustatius">St Eustatius</option>
													<option value="St Helena">St Helena</option>
													<option value="St Kitts-Nevis">St Kitts-Nevis</option>
													<option value="St Lucia">St Lucia</option>
													<option value="St Maarten">St Maarten</option>
													<option value="St Pierre &amp; Miquelon">St Pierre &amp; Miquelon</option>
													<option value="St Vincent &amp; Grenadines">St Vincent &amp; Grenadines</option>
													<option value="Saipan">Saipan</option>
													<option value="Samoa">Samoa</option>
													<option value="Samoa American">Samoa American</option>
													<option value="San Marino">San Marino</option>
													<option value="Sao Tome &amp; Principe">Sao Tome &amp; Principe</option>
													<option value="Saudi Arabia">Saudi Arabia</option>
													<option value="Senegal">Senegal</option>
													<option value="Seychelles">Seychelles</option>
													<option value="Sierra Leone">Sierra Leone</option>
													<option value="Singapore">Singapore</option>
													<option value="Slovakia">Slovakia</option>
													<option value="Slovenia">Slovenia</option>
													<option value="Solomon Islands">Solomon Islands</option>
													<option value="Somalia">Somalia</option>
													<option value="South Africa">South Africa</option>
													<option value="Spain">Spain</option>
													<option value="Sri Lanka">Sri Lanka</option>
													<option value="Sudan">Sudan</option>
													<option value="Suriname">Suriname</option>
													<option value="Swaziland">Swaziland</option>
													<option value="Sweden">Sweden</option>
													<option value="Switzerland">Switzerland</option>
													<option value="Syria">Syria</option>
													<option value="Tahiti">Tahiti</option>
													<option value="Taiwan">Taiwan</option>
													<option value="Tajikistan">Tajikistan</option>
													<option value="Tanzania">Tanzania</option>
													<option value="Thailand">Thailand</option>
													<option value="Togo">Togo</option>
													<option value="Tokelau">Tokelau</option>
													<option value="Tonga">Tonga</option>
													<option value="Trinidad &amp; Tobago">Trinidad &amp; Tobago</option>
													<option value="Tunisia">Tunisia</option>
													<option value="Turkey">Turkey</option>
													<option value="Turkmenistan">Turkmenistan</option>
													<option value="Turks &amp; Caicos Is">Turks &amp; Caicos Is</option>
													<option value="Tuvalu">Tuvalu</option>
													<option value="Uganda">Uganda</option>
													<option value="United Kingdom">United Kingdom</option>
													<option value="Ukraine">Ukraine</option>
													<option value="United Arab Erimates">United Arab Emirates</option>
													<option value="United States of America">United States of America</option>
													<option value="Uraguay">Uruguay</option>
													<option value="Uzbekistan">Uzbekistan</option>
													<option value="Vanuatu">Vanuatu</option>
													<option value="Vatican City State">Vatican City State</option>
													<option value="Venezuela">Venezuela</option>
													<option value="Vietnam">Vietnam</option>
													<option value="Virgin Islands (Brit)">Virgin Islands (Brit)</option>
													<option value="Virgin Islands (USA)">Virgin Islands (USA)</option>
													<option value="Wake Island">Wake Island</option>
													<option value="Wallis &amp; Futana Is">Wallis &amp; Futana Is</option>
													<option value="Yemen">Yemen</option>
													<option value="Zaire">Zaire</option>
													<option value="Zambia">Zambia</option>
													<option value="Zimbabwe">Zimbabwe</option>
												</select>
											</div>
											<div class="col-12 mb-md-4 mb-3">
												<textarea class="form-control" placeholder="Enter Your Message" name="message" id=""></textarea>
											</div>
										</div>
										<div class="from-group row">
											<div class="col-12 flex-show">
												<button type="button" onclick="autofill()" value="" class="btn btn-primary hover-ripple mr-3">Previous</button>
												<button type="button"  onclick="sendQuery(this)" value="" class="btn btn-primary hover-ripple">Submit</button>
											</div>
										</div>
									</div>
								</div>
							</div>
						</div>
					</div>
				</div>
			</form>
		</div>
	</section>
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    <script>
          function sendQuery(obj) {
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                                                flag = false;
                                                $("#" + elem.attr('name') + 'Error').html('This field is required.');
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                                        });
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                                            $.ajax({
                                                url: '<br />
<b>Fatal error</b>:  Uncaught Error: Call to undefined function url() in /home/petclap/public_html/dev.paperless/resources/views/web/cost_calculator.blade.php:608
Stack trace:
#0 {main}
  thrown in <b>/home/petclap/public_html/dev.paperless/resources/views/web/cost_calculator.blade.php</b> on line <b>608</b><br />