@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><a href="{{ route('vendors.index') }}"> {{ __('lbl.vendors') }}</a></li>
            <li class="active">{{ $title }}</li>
        </ol>
    </section>
    <section class="content">
        {{ Form::open(['url' => route('vendors.store'), 'method'=>'POST', 'name' => 'vendors', 'id' => 'vendors']) }}
        <div class="box box-default">
            <div class="box-body">
                <div class="row">
                    <div class="col-md-4">
                        <div class="form-group required"> 
                            {{ Form::label( __('lbl.vendor_name') ) }}
                            {{ Form::text('vendor_name', '', ["maxlength"=>"30", "class"=>"form-control","placeholder"=>__('lbl.vendor_name'),"id"=>"vendor_name","name"=>"vendor_name"]) }}
                            @if ($errors->has('vendor_name'))
                            <label class="error" for="vendor_name">{{ $errors->first('vendor_name') }}</label>
                            @endif
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group required"> 
                            {{ Form::label( __('lbl.contact_name') ) }}
                            {{ Form::text('contact_name', '', ["maxlength"=>"20", "class"=>"form-control","placeholder"=>__('lbl.contact_name'),"id"=>"contact_name","name"=>"contact_name"]) }}
                            @if ($errors->has('contact_name'))
                            <label class="error" for="contact_name">{{ $errors->first('contact_name') }}</label>
                            @endif
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group required"> 
                            {{ Form::label( __('lbl.email') ) }}
                            {{ Form::text('vendor_email', '', ["maxlength"=>"40", "class"=>"form-control validEmail","placeholder"=>__('lbl.email'),"id"=>"vendor_email","name"=>"vendor_email"]) }}
                            @if ($errors->has('vendor_email'))
                            <label class="error" for="vendor_email">{{ $errors->first('vendor_email') }}</label>
                            @endif
                        </div>
                    </div>
                    <div class="clearfix"></div>
                    <div class="col-md-4">
                        <div class="form-group required"> 
                            {{ Form::label(__('lbl.stores')) }}
                            {{ Form::select('warehouse_id',$warehouses, 1,["class"=>"form-control ","id"=>"warehouse_id","name"=>"warehouse_id"]) }}
                            @if ($errors->has('warehouse_id'))
                            <label class="error" for="status">{{ $errors->first('warehouse_id') }}</label>
                            @endif
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group "> 
                            {{ Form::label( __('lbl.main_number') ) }}
                            {{ Form::text('main_number', '', ["maxlength"=>"15",  "class"=>"form-control phoneUS","placeholder"=>__('lbl.main_number'),"id"=>"main_number","name"=>"main_number"]) }}
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group "> 
                            {{ Form::label( __('lbl.fax') ) }}
                            {{ Form::text('fax', '', ["maxlength"=>"15",  "class"=>"form-control faxUS","placeholder"=>__('lbl.fax'),"id"=>"fax","name"=>"fax"]) }}
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group "> 
                            {{ Form::label( __('lbl.alt_phone') ) }}
                            {{ Form::text('alt_phone', '', ["maxlength"=>"15", "class"=>"form-control phoneUS","placeholder"=>__('lbl.alt_phone'),"id"=>"alt_phone","name"=>"alt_phone"]) }}
                        </div>
                    </div>

                    <div class="col-md-4">
                        <div class="form-group "> 
                            {{ Form::label("EDI Status") }}
                            {{ Form::select('edi_status',["1"=>"ON","0"=>"OFF"], "1",["class"=>"form-control ","id"=>"edi_status","name"=>"edi_status"]) }}
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group "> 
                            {{ Form::label("EDI ID")}}
                            {{ Form::text('edi_id', '', ["class"=>"form-control","placeholder"=>"EDI ID","id"=>"edi_id","name"=>"edi_id"]) }}
                        </div>
                    </div>

                    <div class="clearfix"></div>
                    <div class="col-md-4">
                        <div class="form-group "> 
                            {{ Form::label( __('lbl.account_number') ) }} <!--digits-->
                            {{ Form::text('account_number', '', ["maxlength"=>"20", "class"=>"form-control ","placeholder"=>__('lbl.account_number'),"id"=>"account_number","name"=>"account_number"]) }}
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group "> 
                            {{ Form::label( __('lbl.fob') ) }}
                            {{ Form::text('fob', '', ["maxlength"=>"15","class"=>"form-control","placeholder"=>__('lbl.fob'),"id"=>"fob","name"=>"fob"]) }}
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group "> 
                            {{ Form::label( __('lbl.mobile_number') ) }}
                            {{ Form::text('mobile_number', '', ["maxlength"=>"15", "class"=>"form-control phoneUS","placeholder"=>__('lbl.mobile_number'),"id"=>"mobile_number","name"=>"mobile_number"]) }}
                        </div>
                    </div>
                    <div class="clearfix"></div>
                    <div class="col-md-4">
                        <div class="form-group "> 
                            {{ Form::label( __('lbl.country') ) }}
                            {{ Form::text('country', '', ["maxlength"=>"30", "class"=>"form-control","placeholder"=>__('lbl.country'),"id"=>"country","name"=>"country"]) }}
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group "> 
                            {{ Form::label( __('lbl.state') ) }}
                            {{ Form::text('state', '', ["maxlength"=>"20", "class"=>"form-control","placeholder"=>__('lbl.state'),"id"=>"state","name"=>"state"]) }}
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group "> 
                            {{ Form::label( __('lbl.city') ) }}
                            {{ Form::text('city', '', ["maxlength"=>"20", "class"=>"form-control","placeholder"=>__('lbl.city'),"id"=>"city","name"=>"city"]) }}
                        </div>
                    </div>
                    <div class="clearfix"></div>
                    <div class="col-md-4">
                        <div class="form-group "> 
                            {{ Form::label( __('lbl.zip') ) }}
                            {{ Form::text('zip', '', ["maxlength"=>"5","class"=>"form-control numer_only","placeholder"=>__('lbl.zip'),"id"=>"zip","name"=>"zip"]) }}
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group "> 
                            {{ Form::label( __('lbl.tax_id') ) }}
                            {{ Form::text('tax_id', '', ["maxlength"=>"15","class"=>"form-control","placeholder"=>__('lbl.tax_id'),"id"=>"tax_id","name"=>"tax_id"]) }}
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group required"> 
                            {{ Form::label(__('lbl.status')) }}
                            {{ Form::select('status', [""=>"---Select Status---", "1"=>"Active","0"=>"Inactive"], 1,["class"=>"form-control ","id"=>"status","name"=>"status"]) }}
                            @if ($errors->has('status'))
                            <label class="error" for="status">{{ $errors->first('status') }}</label>
                            @endif
                        </div>
                    </div>
                    <div class="clearfix"></div>
                    <div class="col-md-4">
                        <div class="form-group "> 
                            {{ Form::label(__('lbl.shipping_terms')) }}
                            {{ Form::textarea('shipping_terms', '', ["maxlength"=>"100", "class"=>"form-control","rows"=>2,"placeholder"=>__('lbl.shipping_terms'),"id"=>"shipping_terms","name"=>"shipping_terms"]) }}
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group "> 
                            {{ Form::label(__('lbl.address_1')) }}
                            {{ Form::textarea('address_line_1', '', ["maxlength"=>"100", "class"=>"form-control","rows"=>2,"placeholder"=>__('lbl.address_1'),"id"=>"address_line_1","name"=>"address_line_1"]) }}
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group "> 
                            {{ Form::label(__('lbl.address_2')) }}
                            {{ Form::textarea('address_line_2', '', ["maxlength"=>"100", "class"=>"form-control","rows"=>2,"placeholder"=>__('lbl.address_2'),"id"=>"address_line_2","name"=>"address_line_2"]) }}
                        </div>
                    </div>
                </div> 	
            </div>
            <div class="box-footer with-border">
                <div class="row">
                    <div class="col-md-6">
                        {{ Form::button('<i class="fa fa-save"></i> '.__('lbl.submit'), ['type' => 'submit',"value"=>__('lbl.submit'), 'class' => 'clickbtncommon btn-sm btn btn-primary '] )  }}
                        <a href="{{ route('vendors.index') }}" class="clickbtncommon btn-sm btn btn-primary"><i class="fa fa-backward"></i> {{ __('lbl.cancel') }}</a> 
                    </div>
                </div>
            </div>
            {{ Form::close() }}
        </div>
    </section>
</div>
@endsection

@section('pagescript')
{!! Helper::pagejs(['js/backend/vendors/add_edit.js']) !!}
@stop