@extends('layouts.admin.app')
@section('title') Create Customer @stop
@section('main')
    <div class="box box-primary">
        <div class="box-body">

            {!! Form::open(['method'=>'POST','action' => 'AdminCustomersController@store']) !!}

            <div class="row">
                <div class="col-md-3">
                    <div class="form-group">
                        {!! Form::label('customer_id', 'Customer ID') !!}
                        {!! Form::text('customer_id', $customer_id, ['class'=>'form-control', 'placeholder'=>'Customer ID']) !!}
                        @if ($errors->has('customer_id'))
                            <span class="invalid-feedback">
                            <strong>{{ $errors->first('customer_id') }}</strong>
                        </span>
                        @endif
                    </div>
                    <div class="form-group">
                        {!! Form::label('customer', 'Customer Name') !!}
                        {!! Form::text('customer', null, ['class'=>'form-control', 'placeholder' =>'Customer Name']) !!}
                        @if ($errors->has('customer'))
                            <span class="invalid-feedback">
                            <strong>{{ $errors->first('customer') }}</strong>
                        </span>
                        @endif
                    </div>
                    <div class="form-group">
                        {!! Form::label('first_name', 'First Name') !!}
                        {!! Form::text('first_name', null, ['class'=>'form-control', 'placeholder' =>'First Name']) !!}
                        @if ($errors->has('first_name'))
                            <span class="invalid-feedback">
                            <strong>{{ $errors->first('first_name') }}</strong>
                        </span>
                        @endif
                    </div>
                    <div class="form-group">
                        {!! Form::label('last_name', 'Last Name') !!}
                        {!! Form::text('last_name', null, ['class'=>'form-control', 'placeholder' =>'Last Name']) !!}
                        @if ($errors->has('last_name'))
                            <span class="invalid-feedback">
                            <strong>{{ $errors->first('last_name') }}</strong>
                        </span>
                        @endif
                    </div>
                    <div class="form-group">
                        {!! Form::label('company', 'Company') !!}
                        {!! Form::text('company', null, ['class'=>'form-control', 'placeholder' =>'Company']) !!}
                        @if ($errors->has('company'))
                            <span class="invalid-feedback">
                            <strong>{{ $errors->first('company') }}</strong>
                        </span>
                        @endif
                    </div>
                    <div class="form-group">
                        {!! Form::label('corporate_name', 'Corporate Name') !!}
                        {!! Form::text('corporate_name', null, ['class'=>'form-control', 'placeholder' =>'Corporate Name']) !!}
                        @if ($errors->has('corporate_name'))
                            <span class="invalid-feedback">
                            <strong>{{ $errors->first('corporate_name') }}</strong>
                        </span>
                        @endif
                    </div>
                </div>
                <div class="col-md-3">
                    <div class="form-group">
                        {!! Form::label('ship_address', 'Ship Address') !!}
                        {!! Form::text('ship_address', null, ['class'=>'form-control', 'placeholder' =>'Ship Address']) !!}
                        @if ($errors->has('ship_address'))
                            <span class="invalid-feedback">
                            <strong>{{ $errors->first('ship_address') }}</strong>
                        </span>
                        @endif
                    </div>
                    <div class="form-group">
                        {!! Form::label('ship_city', 'Ship City') !!}
                        {!! Form::text('ship_city', null, ['class'=>'form-control', 'placeholder' =>'City']) !!}
                        @if ($errors->has('ship_city'))
                            <span class="invalid-feedback">
                            <strong>{{ $errors->first('ship_city') }}</strong>
                        </span>
                        @endif
                    </div>
                    <div class="form-group">
                        {!! Form::label('ship_state', 'Ship State') !!}
                        {!! Form::select('ship_state', $states, null,['class'=>'form-control', 'placeholder'=>'Select Ship State']) !!}
                        @if ($errors->has('ship_state'))
                            <span class="invalid-feedback">
                            <strong>{{ $errors->first('ship_state') }}</strong>
                        </span>
                        @endif
                    </div>
                    <div class="form-group">
                        {!! Form::label('ship_zip', 'Ship Zip Code') !!}
                        {!! Form::text('ship_zip', null, ['class'=>'form-control', 'placeholder' =>'Zip Code']) !!}
                        @if ($errors->has('ship_zip'))
                            <span class="invalid-feedback">
                            <strong>{{ $errors->first('ship_zip') }}</strong>
                        </span>
                        @endif
                    </div>
                </div>
                <div class="col-md-3">
                    <div class="form-group">
                        {!! Form::label('bill_address', 'Bill Address') !!}
                        {!! Form::text('bill_address', null, ['class'=>'form-control', 'placeholder' =>'Bill Address']) !!}
                        @if ($errors->has('bill_address'))
                            <span class="invalid-feedback">
                            <strong>{{ $errors->first('bill_address') }}</strong>
                        </span>
                        @endif
                    </div>
                    <div class="form-group">
                        {!! Form::label('bill_city', 'Bill City') !!}
                        {!! Form::text('bill_city',null, ['class'=>'form-control', 'placeholder' =>'Bill City']) !!}
                        @if ($errors->has('bill_city'))
                            <span class="invalid-feedback">
                            <strong>{{ $errors->first('bill_city') }}</strong>
                        </span>
                        @endif
                    </div>
                    <div class="form-group">
                        {!! Form::label('bill_state', 'Bill State') !!}
                        {!! Form::select('bill_state', $states, null,['class'=>'form-control', 'placeholder'=>'Select Bill State']) !!}
                        @if ($errors->has('bill_state'))
                            <span class="invalid-feedback">
                            <strong>{{ $errors->first('bill_state') }}</strong>
                        </span>
                        @endif
                    </div>
                    <div class="form-group">
                        {!! Form::label('bill_zip', 'Bill Zip Code') !!}
                        {!! Form::text('bill_zip', null, ['class'=>'form-control', 'placeholder' =>'Zip Code']) !!}
                        @if ($errors->has('bill_zip'))
                            <span class="invalid-feedback">
                            <strong>{{ $errors->first('bill_zip') }}</strong>
                        </span>
                        @endif
                    </div>
                </div>
                <div class="col-md-3">
                    <div class="form-group">
                        {!! Form::label('email', 'Email') !!}
                        {!! Form::email('email', null, ['class'=>'form-control', 'placeholder' =>'Email']) !!}
                        @if ($errors->has('email'))
                            <span class="invalid-feedback">
                            <strong>{{ $errors->first('email') }}</strong>
                        </span>
                        @endif
                    </div>
                    <div class="form-group">
                        {!! Form::label('phone', 'Phone Number') !!}
                        {!! Form::text('phone', null, ['class'=>'form-control', 'placeholder' =>'Phone Number']) !!}
                        @if ($errors->has('phone'))
                            <span class="invalid-feedback">
                            <strong>{{ $errors->first('phone') }}</strong>
                        </span>
                        @endif
                    </div>
                    <div class="form-group">
                        {!! Form::label('rep_id', 'Rep') !!}
                        {!! Form::select('rep_id', $rep, null,['class'=>'form-control', 'placeholder'=>'Select Sales Rep']) !!}
                        @if ($errors->has('rep_id'))
                            <span class="invalid-feedback">
                            <strong>{{ $errors->first('rep_id') }}</strong>
                        </span>
                        @endif
                    </div>
                    <div class="form-group">
                        {!! Form::label('terms', 'Terms') !!}
                        {!! Form::select('terms', ['Credit Card'=>'Credit Card','Invoice'=>'Invoice'], null,['class'=>'form-control', 'placeholder'=>'Select Terms']) !!}
                        @if ($errors->has('terms'))
                            <span class="invalid-feedback">
                            <strong>{{ $errors->first('terms') }}</strong>
                        </span>
                        @endif
                    </div>
                    <div class="form-group">
                        {!! Form::label('new_account', 'New Account?') !!}
                        {!! Form::select('new_account', ['0'=>'No','1'=>'Yes'], 0,['class'=>'form-control']) !!}
                        @if ($errors->has('new_account'))
                            <span class="invalid-feedback">
                            <strong>{{ $errors->first('new_account') }}</strong>
                        </span>
                        @endif
                    </div>
                </div>
                <div class="col-md-12 text-center">
                    {!! Form::submit('Create Customer Profile', ['class'=>'btn btn-primary']) !!}
                </div>
            </div>

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

        </div>
    </div>
@stop
@section('footer')
@stop