@extends('maindash2')

@section('htmlheader_title')
	Setup Vendors
@endsection


@section('content')

	<!--div class="container spark-screen"-->
		<div class="row">
			<div class="col-md-12">
				<div class="panel panel-default">
					<div class="panel-heading" align="center">Setup and Update Vendors</div>
                        <div class="panel-body">
                        <br><br>
                            {!! Form::open(['url' => 'setupvendors', 'autocomplete'=>'off']) !!}
                                <div class="form-group">
                                    {!! Form::label('hauler_name', 'Hauler Name:') !!}
                                    {!! Form::text('hauler_name', null, ['class' =>'form-control']) !!}
                                    {!! Form::label('address', 'Street Address:') !!}
                                    {!! Form::text('address', null, ['class' =>'form-control']) !!}
                                    {!! Form::label('city', 'City:') !!}
                                    {!! Form::text('city', null, ['class' =>'form-control']) !!}
                                    {!! Form::label('state', 'State:') !!}
                                    {!! Form::text('state', null, ['class' =>'form-control']) !!}
                                    {!! Form::label('zip', 'Zip:') !!}
                                    {!! Form::text('zip', null, ['class' =>'form-control']) !!}
																		{!! Form::label('contact_name', 'Contact Name:') !!}
                                    {!! Form::text('contact_name', null, ['class' =>'form-control']) !!}
																		{!! Form::label('office_phone', 'Office Phone:') !!}
                                    {!! Form::text('office_phone', null, ['class' =>'form-control']) !!}
																		{!! Form::label('cell_phone', 'Cell Phone:') !!}
                                    {!! Form::text('cell_phone', null, ['class' =>'form-control']) !!}
																		{!! Form::label('title', 'Title:') !!}
                                    {!! Form::text('title', null, ['class' =>'form-control']) !!}
																		{!! Form::label('email', 'Email:') !!}
                                    {!! Form::text('email', null, ['class' =>'form-control']) !!}
																		{!! Form::label('contact_name_2', 'Contact Name 2:') !!}
                                    {!! Form::text('contact_name_2', null, ['class' =>'form-control']) !!}
																		{!! Form::label('office_phone_2', 'Office Phone 2:') !!}
                                    {!! Form::text('office_phone_2', null, ['class' =>'form-control']) !!}
																		{!! Form::label('cell_phone_2', 'Cell Phone 2:') !!}
                                    {!! Form::text('cell_phone_2', null, ['class' =>'form-control']) !!}
																		{!! Form::label('title_2', 'Title 2:') !!}
                                    {!! Form::text('title_2', null, ['class' =>'form-control']) !!}
																		{!! Form::label('email_2', 'Email 2:') !!}
                                    {!! Form::text('email_2', null, ['class' =>'form-control']) !!}
																		<br>
                                <div class="form-group">
                                    {!! Form::submit('Add/Update Vendor', ['class' => 'btn btn-primary form-control']) !!}

                                </div>

                                </div>

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

                            @if($errors->any())

                                <ul class="alert alert-danger">
                                    @foreach($errors->all() as $error)

                                    <li>{{ $error }}</li>

                                    @endforeach
                                </ul>

                            @endif

					</div><div class="panel-footer" align="center">Setup and Update Vendors</div>
				</div>
			</div>
		</div>
	<!--/div-->
@endsection