Ip Records

{!! Html::decode(Form::label('branch_name', 'Branch Name*', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::text('branch_name', null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('branch_name', '

:message

') !!}

{!! Html::decode(Form::label('country', 'Country*', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::select('country', [''=>'Select country'] + $country, null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('country', '

:message

') !!}

{!! Form::label('site', 'Site', ['class' => 'col-md-4 control-label']) !!}

{!! Form::text('site', null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('site', '

:message

') !!}

{!! Html::decode(Form::label('ip_address', 'Ip Address*', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::text('ip_address', null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('ip_address', '

:message

') !!}

{!! Form::label('tax_id', 'Tax Id', ['class' => 'col-md-4 control-label']) !!}

{!! Form::text('tax_id', null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('tax_id', '

:message

') !!}

{!! Form::label('address', 'Address', ['class' => 'col-md-4 control-label']) !!}

{!! Form::textarea('address', null, ['class' => 'm-wrap span12', 'rows' => 3]) !!} {!! $errors->first('address', '

:message

') !!}

{!! Form::label('contact', 'Contact', ['class' => 'col-md-4 control-label']) !!}

{!! Form::text('contact', null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('contact', '

:message

') !!}

{!! Form::label('status', 'Status', ['class' => 'col-md-4 control-label']) !!}

{!! Form::select('status', ['Inactive', 'Active'], null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('status', '

:message

') !!}

{!! Html::decode(Form::label('logo', 'Logo (150px * 62px)', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::file('logo', null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('logo', '

:message

') !!}

{!! Form::submit(isset($submitButtonText) ? $submitButtonText : 'Create', ['class' => 'btn green']) !!}