@if($errors)
{{ $errors }}
@endif
<form id="deliveryAddressForm">
@csrf
    <input type="hidden" name="directory" value="{{ $this->directory }}">
    <input type="hidden" id="full_address" name="full_address" value="{{ $this->full_address }}">
    <input type="hidden" id="user_address_google_place_id" name="user_address_google_place_id">
    <div class="row m-0 p-0 delivery-address-form">
    <div class="col-12 my-1">
        <input type="text" value="{{ $this->address }}" class="form-control" id="user_address" name="user_address" placeholder="Delivery Address - 555 Main Street, Vincennes IN 47591">
    </div>
    <div class="col-12 my-1">
        <input type="text" value="{{ $this->address2 }}" class="form-control" id="user_address2" name="user_address2" placeholder="Apartment, Unit, Suite, or Floor #">
    </div>
    <div class="col-12 my-1">
        <input readonly type="text" value="{{ $this->city }}" class="form-control" id="user_address_city" name="user_address_city" placeholder="City">
    </div>
    <div class="row m-0 px-2">
        <div class="col-6 p-1">
            <input readonly type="text" value="{{ $this->state }}" class="form-control" id="user_address_state" name="user_address_state" placeholder="State">
        </div>
        <div class="col-6 p-1">
            <input readonly type="text" value="{{ $this->postal_code }}" class="form-control" id="user_address_zip" name="user_address_zip" placeholder="Zipcode">
        </div>
    </div>
    <div class="col-12 my-1" style="text-align:right;">
        <label>
            <input type="checkbox" name="save_delivery_address" style="margin-right: 5px;">
            Save address for future use?
        </label>
    </div>
    </div>
</form>