= form_for [:user, @saved_credit_card] do |f|
  .col-sm-6
    %legend Card Billing Address
    = f.fields_for :address do |address|
      .form-group
        .row
          .col-sm-6
            = address.label :first_name, 'first name'
            = address.text_field :first_name, class: 'form-control'

          .col-sm-6
            = address.label :last_name, 'last name'
            = address.text_field :last_name, class: 'form-control'

      .form-group
        = address.label :address1, 'address 1'
        = address.text_field :address1, class: 'form-control'

      .form-group
        = address.label :address2, 'address 2'
        = address.text_field :address2, class: 'form-control'

      .form-group
        = address.label :phone, 'phone number'
        = address.text_field :telephone, class: 'form-control'

      .form-group
        = address.label :city, 'city'
        = address.text_field :city, class: 'form-control'

      .form-group
        = address.label :country
        = address.collection_select 'country_id', Gemgento::Country.all, :id, :name, {}, class: 'form-control'

      .form-group
        .row
          .col-sm-6
            - regions = Gemgento::Region.where(country: @saved_credit_card.address.country)
            = address.label 'region_id', 'state'
            = address.collection_select 'region_id', regions, :id, :name, {}, class: 'form-control'
          .col-sm-6
            = address.label :zip
            = address.text_field :postcode, class: 'form-control'

  .col-sm-6
    %legend Card Details
    .form-group
      = f.label :card_type
      = f.select(:cc_type, [%w[Visa 1], ['American Express', 2], %w[MasterCard 3], %w[Visa Electron 122]], {}, {:class => 'form-control'})

    .form-group
      = f.label :cc_number, 'card number'
      = f.text_field :cc_number, class: 'form-control'

    .form-group
      .row
        .col-sm-4
          = f.label :exp_month, 'expiration month'
          = f.select :exp_month, (1..12), {}, {:class => 'form-control'}
        .col-sm-4
          = f.label :exp_year, 'expiration year'
          = f.select :exp_year, ((Time.now.year)..(Time.now.year + 10)), {}, {:class => 'form-control'}
        .col-sm-4
          = f.label :cc_cid, 'CVV Code'
          = f.text_field 'cc_cid', class: 'form-control'

    .form-group
      = f.submit 'SAVE CARD', class: 'btn btn-lg'
      = link_to 'cancel', gemgento.user_saved_credit_cards_path, class: ''