Supplier Records

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

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

:message

') !!}

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

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

:message

') !!}

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

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

:message

') !!}

{!! Html::decode(Form::label('phone_no', 'Phone No *', ['class' => 'col-md-4 control-label'])) !!}

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

:message

') !!}

{!! Html::decode(Form::label('landLine_no', 'Landline No *', ['class' => 'col-md-4 control-label'])) !!}

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

:message

') !!}

{!! Html::decode(Form::label('fax_no', 'Fax No', ['class' => 'col-md-4 control-label'])) !!}

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

:message

') !!}

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

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

:message

') !!}

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

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

:message

') !!}

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

{!! Form::select('country', ['' => 'Select Country'] + $page_data['countryData']->toArray(), null, ['class' => 'm-wrap span12 wh-select2-class arr']) !!} {!! $errors->first('country', '

:message

') !!}

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

{!! Form::select('location', $page_data['locationData']->toArray(), (isset($supplier->location) && !empty($supplier->location)) ? explode(",", $supplier->location) : null, ['class' => 'm-wrap span12 wh-select2-class arr js-select-type-multiple', 'name' => 'location[]', 'multiple' => 'multiple', 'required' => 'true']) !!} {!! $errors->first('location', '

:message

') !!} {!! $errors->first('location', '

: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('module', 'Module', ['class' => 'col-md-4 control-label'])) !!}

Store Logistic Transport Warehouse Fuel Mis

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