{!! Form::text('name', null, ['class' => 'form-control flat', 'placeholder' => trans('theme.placeholder.cardholder_name'), 'data-error' => trans('theme.help.enter_cardholder_name'), 'data-stripe' => 'name']) !!}

{{ Form::selectMonth('exp-month', null, ['id' => 'exp-month', 'class' => 'form-control flat', 'data-stripe' => 'exp-month', 'placeholder' => trans('theme.placeholder.card_exp_month'), 'data-error' => trans('theme.help.card_exp_month')], '%m') }}

{{ Form::selectYear('exp-year', date('Y'), date('Y') + 10, null, ['id' => 'exp-year', 'class' => 'form-control flat', 'data-stripe' => 'exp-year', 'placeholder' => trans('theme.placeholder.card_exp_year'), 'data-error' => trans('theme.help.card_exp_year')]) }}

{!! Form::checkbox('remember_the_card', null, null, ['id' => 'remember-the-card', 'class' => 'i-check']) !!} {!! trans('theme.remember_card_for_future_use') !!}