21 lines
1.6 KiB
PHP
21 lines
1.6 KiB
PHP
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<fieldset class="form-group">
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<label class="col-md-12">VOIP</label>
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<div class="form-group col-sm-6 {{ $errors->has('product_options.phonenumber') ? 'has-error' : '' }}">
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<label for="product_options.phonenumber">Phone Number</label>
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<input type="text" class="form-control" id="product_options.phonenumber" name="product_options[phonenumber]" placeholder="Phone Number with Area Code" value="{{ old('product_options.phonenumber') }}">
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<span class="help-block">{{ $errors->first('product_options.phonenumber') }} {{ $errors->first('product_options.phonenumber') }}</span>
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</div>
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<div class="form-group col-sm-6 {{ $errors->has('product_options.supplier') ? 'has-error' : '' }}">
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<label for="product_order.supplier">Existing Supplier</label>
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<input type="text" class="form-control" id="product_options.supplier" name="product_options[supplier]" placeholder="eg: Telstra" value="{{ old('product_options.supplier') }}">
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<span class="help-block">{{ $errors->first('product_options.supplier') }} {{ $errors->first('product_options.supplier') }}</span>
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</div>
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<div class="form-group col-sm-6 {{ $errors->has('product_options.supplieraccnum') ? 'has-error' : '' }}">
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<label for="product_options.supplieraccnum">Suppliers Account Number</label>
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<input type="text" class="form-control" id="product_options.supplieraccnum" name="product_options[supplieraccnum]" placeholder="Refer to Bill" value="{{ old('product_options.supplieraccnum') }}">
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<span class="help-block">{{ $errors->first('product_options.supplieraccnum') }} {{ $errors->first('product_options.supplieraccnum') }}</span>
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</div>
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</fieldset>
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