@php $event_types = ['event1' => 'Event 1', 'event2' => 'Event 2'] @endphp @php $form_id = 'contact_add_form'; if(isset($quick_add)){ $form_id = 'quick_add_contact'; } @endphp {!! Form::open(['url' => action('ContactController@store'), 'method' => 'post', 'id' => $form_id, 'enctype' => 'multipart/form-data']) !!}

{!! Form::label('type', __('contact.contact_type') . ':*' ) !!}

{!! Form::select('type', $types, null , ['class' => 'form-control', 'id' => 'contact_type','placeholder' => __('messages.please_select'), 'required']); !!}

{!! Form::label('name', __('contact.name') . ':*') !!}

{!! Form::text('name', null, ['class' => 'form-control','placeholder' => __('contact.name'), 'required']); !!}

{!! Form::label('mobile', __('contact.mobile') . ':*') !!}

{!! Form::text('mobile', null, ['class' => 'form-control', 'required', 'placeholder' => __('contact.mobile'), 'pattern'=>"\d{10}"]); !!}

{!! Form::label('image', __('contact.image') . ':*') !!} {!! Form::file('image', ['id' => 'upload_image', 'accept' => 'image/*']); !!}

{!! Form::label('supplier_business_name', __('business.business_name') . ':*') !!}

{!! Form::text('supplier_business_name', null, ['class' => 'form-control', 'placeholder' => __('business.business_name')]); !!}

{!! Form::label('search_code', __('contact.search.code') . ':*') !!}

{!! Form::text('search_code', null, ['class' => 'form-control', 'placeholder' => __('contact.search.code')]); !!}

{!! Form::label('contact_id', __('lang_v1.contact_id') . ':') !!}

{!! Form::text('contact_id', null, ['class' => 'form-control','placeholder' => __('lang_v1.contact_id')]); !!}

{!! Form::label('tax_number', __('contact.tax_no') . ':') !!}

{!! Form::text('tax_number', null, ['class' => 'form-control', 'placeholder' => __('contact.tax_no')]); !!}

{!! Form::label('opening_balance', __('lang_v1.opening_balance') . ':') !!}

{!! Form::text('opening_balance', 0, ['class' => 'form-control input_number']); !!}

{!! Form::label('dob', __('Date Of Birth') . ':*') !!}

{!! Form::text('dob', @format_date('now'), ['class' => 'form-control', 'readonly', 'required', 'id' => 'dob_date']); !!}

{!! Form::label('pay_term_number', __('contact.pay_term') . '*:') !!} @show_tooltip(__('tooltip.pay_term'))

{!! Form::number('pay_term_number', null, ['class' => 'form-control', 'placeholder' => __('contact.pay_term')]); !!}

{!! Form::label('pay_term_type', __('contact.pay_term_period') . '*:') !!}

{!! Form::select('pay_term_type', ['months' => __('lang_v1.months'), 'days' => __('lang_v1.days')], '', ['class' => 'form-control','placeholder' => __('messages.please_select')]); !!}

{!! Form::label('customer_group_id', __('lang_v1.customer_group') . ':') !!}

{!! Form::select('customer_group_id', $customer_groups, '', ['class' => 'form-control']); !!}

{!! Form::label('credit_limit', __('lang_v1.credit_limit') . ':') !!}

{!! Form::text('credit_limit', null, ['class' => 'form-control input_number', 'placeholder' => __('lang_v1.credit_limit_help')]); !!}

{!! Form::label('event_type', __('contact.event_type') . ':') !!}

{!! Form::select('event_type', $event_types, null , ['class' => 'form-control', 'id' => 'contact_type','placeholder' => __('contact.event_type')]); !!}

{!! Form::label('is_loyalty', __('contact.loyalty') . ':') !!}

{!! Form::checkbox('is_loyalty', 1, 1 , [ 'class' => 'input-icheck']); !!} {{ __('contact.loyalty')}}

{!! Form::label('email', __('business.email') . ':') !!}

{!! Form::email('email', null, ['class' => 'form-control','placeholder' => __('business.email')]); !!}

{!! Form::label('alternate_number', __('contact.alternate_contact_number') . ':') !!}

{!! Form::text('alternate_number', null, ['class' => 'form-control', 'placeholder' => __('contact.alternate_contact_number'), 'pattern'=>"\d{10}"]); !!}

{!! Form::label('landline', __('contact.landline') . ':') !!}

{!! Form::text('landline', null, ['class' => 'form-control', 'placeholder' => __('contact.landline'), 'pattern'=>"\d{10}"]); !!}

{!! Form::label('city', __('business.city') . ':') !!}

{!! Form::text('city', null, ['class' => 'form-control', 'placeholder' => __('business.city')]); !!}

{!! Form::label('state', __('business.state') . ':') !!}

{!! Form::text('state', null, ['class' => 'form-control', 'placeholder' => __('business.state')]); !!}

{!! Form::label('country', __('business.country') . ':') !!}

{!! Form::text('country', null, ['class' => 'form-control', 'placeholder' => __('business.country')]); !!}

{!! Form::label('zipcode', __('contact.zipcode') . ':') !!}

{!! Form::text('zipcode', null, ['class' => 'form-control', 'placeholder' => __('contact.zipcode')]); !!}

{!! Form::label('landmark', __('business.landmark') . ':') !!}

{!! Form::text('landmark', null, ['class' => 'form-control', 'placeholder' => __('business.landmark')]); !!}

{!! Form::label('fax_no', __('contact.faxno') . ':') !!}

{!! Form::text('fax_no', null, ['class' => 'form-control', 'placeholder' => __('contact.faxno'), 'pattern'=>"\d{10}"]); !!}

{!! Form::label('website', __('contact.website') . ':') !!}

{!! Form::text('website', null, ['class' => 'form-control', 'placeholder' => __('contact.website')]); !!}

{!! Form::label('vat_no', __('contact.vatno') . ':') !!}

{!! Form::text('vat_no', null, ['class' => 'form-control', 'placeholder' => __('contact.vatno')]); !!}

{!! Form::label('tin_no', __('contact.tinno') . ':') !!}

{!! Form::text('tin_no', null, ['class' => 'form-control', 'placeholder' => __('contact.tinno')]); !!}

{!! Form::label('bank_account_id', __('contact.bank_account') . ':') !!}

{!! Form::select('bank_account_id', $bank_accounts, null, ['class' => 'form-control', 'placeholder' => __('messages.please_select')]); !!}

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

@lang('contact.add_contact')