{{ trans('messages.trouble_validating_card') }}
{!! Form::text('cardholder_name', Null, ['class' => 'form-control flat', 'placeholder' => trans('theme.placeholder.cardholder_name'), 'data-error' => trans('theme.help.enter_cardholder_name')]) !!}
{!! Form::text('cnumber', Null, ['id' => 'cnumber', 'class' => 'form-control flat', 'placeholder' => trans('theme.placeholder.card_number')]) !!}
{!! Form::text('ccode', Null, ['id' => 'ccode', 'class' => 'form-control flat', 'placeholder' => trans('theme.placeholder.card_cvc')]) !!}
{{ Form::selectMonth('card_expiry_month', Null, ['id' =>'card_expiry_month', 'class' => 'form-control flat', 'placeholder' => trans('theme.placeholder.card_exp_month'), 'data-error' => trans('theme.help.card_exp_month')], '%m') }}
{{ Form::selectYear('card_expiry_year', date('Y'), date('Y') + 10, Null, ['id' =>'card_expiry_year', 'class' => 'form-control flat', 'placeholder' => trans('theme.placeholder.card_exp_year'), 'data-error' => trans('theme.help.card_exp_year')]) }}