@extends('layouts.adminLayout.admin_design') @section('content')
<div class="content-wrapper">
    <section class="content-header">
        <h1>{{ $title }} </h1>
        <ol class="breadcrumb">
            <li><a href="{{ route('dashboard') }}"><i class="fa fa-dashboard"></i> {{ __('lbl.home') }}</a></li>
            <li class="active">{{ $title }}</li>
        </ol>
    </section>
    <section class="content">
        <div class="row">
            <div class="col-md-12">
                <div class="active tab-pane" id="receipts">
                    <div class="row">
                        {{ Form::open(['url' => route('shipping_address'), 'method'=>'post', 'name' => 'shipping_address', 'id' => 'shipping_address']) }}
                        <div class="col-md-12 ">
                            <div class="box box-default">
                               
                                <br/>
                                <div class="form-horizontal">
                                    <div class="box-body">
                                        <div class="col-md-12">
                                            <div class="form-group">
                                                {{ Form::label('company_name', __('lbl.company_name'), ['class' => 'col-sm-3 control-label']) }}
                                                <div class="col-sm-8">
                                                    {{ Form::text('company_name', !empty($shippingdata) ? $shippingdata['company_name'] : "",['placeholder'=>__('lbl.company_name'),"class"=>"form-control col-sm-8 mxlen_50","id"=>"company_name","name"=>"company_name"]) }}
                                                </div>
                                            </div>
                                            <div class="form-group">
                                                {{ Form::label('address_line_1', __('lbl.address_line_1'), ['class' => 'col-sm-3 control-label']) }}
                                                <div class="col-sm-8">
                                                    {{ Form::text('address_line_1', !empty($shippingdata) ? $shippingdata['address_line_1'] : "",['placeholder'=>__('lbl.address_line_1'),"class"=>"form-control col-sm-8 mxlen_50","id"=>"address_line_1","name"=>"address_line_1"]) }}
                                                </div>
                                            </div>
                                            <div class="form-group">
                                                {{ Form::label('address_line_2', __('lbl.address_line_2'), ['class' => 'col-sm-3 control-label']) }}
                                                <div class="col-sm-8">
                                                    {{ Form::text('address_line_2', !empty($shippingdata) ? $shippingdata['address_line_2'] : "",['placeholder'=>__('lbl.address_line_2'),"class"=>"form-control col-sm-8 ","id"=>"address_line_2","name"=>"address_line_2"]) }}
                                                </div>
                                            </div>
                                            <div class="form-group">
                                                {{ Form::label('city', __('lbl.city'), ['class' => 'col-sm-3 control-label']) }}
                                                <div class="col-sm-8">
                                                    {{ Form::text('city', !empty($shippingdata) ? $shippingdata['city'] : "",['placeholder'=>__('lbl.city'),"class"=>"form-control col-sm-8 mxlen_20","id"=>"city","name"=>"city"]) }}
                                                </div>
                                            </div>

                                            <div class="form-group">
                                                {{ Form::label('state', __('lbl.state'), ['class' => 'col-sm-3 control-label']) }}
                                                <div class="col-sm-8">
                                                    {{ Form::text('state', !empty($shippingdata) ? $shippingdata['state'] : "",['placeholder'=>__('lbl.state'),"class"=>"form-control col-sm-8 mxlen_20","id"=>"state","name"=>"state"]) }}
                                                </div>
                                            </div>
                                            <div class="form-group">
                                                {{ Form::label('country', __('lbl.country'), ['class' => 'col-sm-3 control-label']) }}
                                                <div class="col-sm-8">
                                                    {{ Form::text('country', !empty($shippingdata) ? $shippingdata['country'] : "",['placeholder'=>__('lbl.country'),"class"=>"form-control col-sm-8 mxlen_20","id"=>"country","name"=>"country"]) }}
                                                </div>
                                            </div>
                                            <div class="form-group">
                                                {{ Form::label('zip', __('lbl.zip'), ['class' => 'col-sm-3 control-label']) }}
                                                <div class="col-sm-8">
                                                    {{ Form::text('zip', !empty($shippingdata) ? $shippingdata['zip'] : "",['placeholder'=>__('lbl.zip'),"class"=>"form-control col-sm-8 mxlen_10","id"=>"zip","name"=>"zip"]) }}
                                                </div>
                                            </div>
                                            <div class="form-group">
                                                {{ Form::label('authorization_name', __('lbl.authorization_name'), ['class' => 'col-sm-3 control-label']) }}
                                                <div class="col-sm-8">
                                                    {{ Form::text('authorization_name', !empty($shippingdata) ? $shippingdata['authorization_name'] : "",['placeholder'=>__('lbl.authorization_name'),"class"=>"form-control col-sm-8 mxlen_30","id"=>"authorization_name","name"=>"authorization_name"])
                                                    }}
                                                </div>
                                            </div>
                                            <div class="form-group">
                                                {{ Form::label('contact_name', __('lbl.contact_name'), ['class' => 'col-sm-3 control-label']) }}
                                                <div class="col-sm-8">
                                                    {{ Form::text('contact_name', !empty($shippingdata) ? $shippingdata['contact_name'] : "",['placeholder'=>__('lbl.contact_name'),"class"=>"form-control col-sm-8 mxlen_20","id"=>"contact_name","name"=>"contact_name"]) }}
                                                </div>
                                            </div>
                                            <div class="form-group">
                                                {{ Form::label('messages.contact_phone', __('lbl.contact_phone'), ['class' => 'col-sm-3 control-label']) }}
                                                <div class="col-sm-8">
                                                    {{ Form::text('contact_phone', !empty($shippingdata) ? $shippingdata['contact_phone'] : "",['placeholder'=>__('lbl.contact_phone'),"class"=>"form-control col-sm-8 mxlen_20","id"=>"contact_phone","name"=>"contact_phone"]) }}
                                                </div>
                                            </div>
                                            <div class="form-group">
                                                {{ Form::label('contact_fax', __('lbl.contact_fax'), ['class' => 'col-sm-3 control-label']) }}
                                                <div class="col-sm-8">
                                                    {{ Form::text('contact_fax', !empty($shippingdata) ? $shippingdata['contact_fax'] : "",['placeholder'=>__('lbl.contact_fax'),"class"=>"form-control col-sm-8 ","id"=>"contact_fax","name"=>"contact_fax"]) }}
                                                </div>
                                            </div>
                                            <div class="form-group">
                                                
                                            </div>
                                        </div>
                                    </div>
                                </div>
                                <div class="box-footer">
                                    <div class="col-sm-3"></div>
                                    <div class="col-sm-8">
                                        {{ Form::hidden('invisible', $id, ['name'=>'id', 'id' => 'latestId']) }}
                                        <button type="submit" class="clickbtncommon btn-sm btn btn-primary"><i class="fa fa-save"></i> {{ __('lbl.save') }}</button>
                                    </div>
                                </div>
                            </div>
                            
                        </div>
                        {{ Form::close() }}
                    </div>
                </div>
            </div>
        </div>
    </section>
</div>
 
@endsection 
@section('pagescript') {!! Helper::pagejs(['js/backend/shippingaddress/list.js']) !!} @stop