@if (isset($lead)) {!! Form::model($lead, ['url' => $type . '/' . $lead->id, 'method' => 'put', 'id'=>'lead', 'files'=> true]) !!} @else {!! Form::open(['url' => $type, 'method' => 'post', 'files'=> true,'id'=>'lead']) !!} @endif

{!! Form::label('company_name', trans('lead.company_name'), ['class' => 'control-label required']) !!}

{!! Form::text('company_name', null, ['class' => 'form-control', 'placeholder'=>'Company name']) !!} {{ $errors->first('company_name', ':message') }}

{!! Form::label('function', trans('Function Type'), ['class' => 'control-label required', 'placeholder' => 'Please select']) !!}

{!! Form::select('function', $functions, null, ['id'=>'function', 'class' => 'form-control select_function']) !!} {{ $errors->first('function', ':message') }}

{!! Form::label('product_name', trans('lead.product_name'), ['class' => 'control-label required' ]) !!}

{!! Form::text('product_name', null, ['class' => 'form-control', 'placeholder'=>'Product Name']) !!} {{ $errors->first('product_name', ':message') }}

{!! Form::label('company_site', trans('lead.company_site'), ['class' => 'control-label required' ]) !!}

{!! Form::text('company_site', null, ['class' => 'form-control', 'placeholder'=>'Company Web Site']) !!} {{ $errors->first('company_site', ':message') }}

{!! Form::label('additionl_info', trans('lead.additionl_info'), ['class' => 'control-label']) !!}

{!! Form::textarea('additionl_info', null, ['class' => 'form-control resize_vertical']) !!} {{ $errors->first('additionl_info', ':message') }}

Personal Info:

{!! Form::label('title', trans('lead.title'), ['class' => 'control-label required']) !!}

{!! Form::select('title', $titles, null, ['id'=>'title', 'class' => 'form-control title_select select2']) !!} {{ $errors->first('title', ':message') }}

{!! Form::label('client_name', trans('lead.agent_name'), ['class' => 'control-label required']) !!}

{!! Form::text('client_name', null, ['class' => 'form-control', 'placeholder'=>'Agent Name']) !!} {{ $errors->first('client_name', ':message') }}

{!! Form::label('country_id', trans('lead.country'), ['class' => 'control-label required']) !!}

{!! Form::select('country_id', $countries, null, ['id'=>'country_id', 'class' => 'form-control']) !!} {{ $errors->first('country_id', ':message') }}

{!! Form::label('state_id', trans('lead.state'), ['class' => 'control-label required']) !!}

{!! Form::select('state_id', isset($lead)?$states:[0=>trans('lead.select_state')], null, ['id'=>'state_id', 'class' => 'form-control']) !!} {{ $errors->first('state_id', ':message') }}

{!! Form::label('city_id', trans('lead.city'), ['class' => 'control-label required']) !!}

{!! Form::select('city_id', isset($lead)?$cities:[0=>trans('lead.select_city')], null, ['id'=>'city_id', 'class' => 'form-control']) !!} {{ $errors->first('city_id', ':message') }}

{!! Form::label('address', trans('lead.address'), ['class' => 'control-label']) !!}

{!! Form::textarea('address', null, ['class' => 'form-control resize_vertical']) !!} {{ $errors->first('address', ':message') }}

{!! Form::label('phone', trans('lead.phone'), ['class' => 'control-label required']) !!}

{!! Form::text('phone', null, ['class' => 'form-control','data-fv-integer' => "true",'placeholder'=>'Phone Number']) !!} {{ $errors->first('phone', ':message') }}

{!! Form::label('mobile', trans('lead.mobile'), ['class' => 'control-label']) !!}

{!! Form::text('mobile', null, ['class' => 'form-control','data-fv-integer' => 'true', 'placeholder'=>'Mobile number']) !!} {{ $errors->first('mobile', ':message') }}

{!! Form::label('email', trans('lead.email'), ['class' => 'control-label required']) !!}

{!! Form::email('email', null, ['class' => 'form-control', 'placeholder'=>'Email Address']) !!} {{ $errors->first('email', ':message') }}

{!! Form::label('priority', trans('lead.priority'), ['class' => 'control-label required']) !!}

{!! Form::select('priority', $priority, null, ['id'=>'priority','class' => 'form-control select2', 'placeholder'=>trans('lead.select_priority')]) !!} {{ $errors->first('priority', ':message') }}

{!! Form::close() !!}