61 lines
3.9 KiB
PHP
61 lines
3.9 KiB
PHP
<div class="form-group col-sm-12 {{ $errors->has('site_name') ? 'has-error' : '' }}">
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<label for="site_name">Site Name</label>
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<input type="text" class="form-control" id="site_name" name="site_name" placeholder="Site Name" value="{{ old('site_name',$so->site_name) }}">
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<span class="help-block">{{ $errors->first('site_name') }}</span>
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</div>
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<div class="form-group col-sm-12 {{ $errors->has('site_description') ? 'has-error' : '' }}">
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<label for="site_description">Site Description</label>
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<textarea class="form-control" id="site_description" name="site_description" placeholder="Site Description" rows="3">{{ old('site_description',$so->site_description) }}</textarea>
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<span class="help-block">{{ $errors->first('site_description') }}</span>
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</div>
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<fieldset class="form-group col-sm-12">
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<label>Site Address</label>
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<div class="form-group col-sm-12 {{ $errors->has('site_address1') ? 'has-error' : '' }}">
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<label for="site_address">Site Address Lines</label>
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<input type="text" class="form-control" id="site_address1" name="site_address1" placeholder="Address1" value="{{ old('site_address1',$so->site_address1) }}">
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<input type="text" class="form-control" id="site_address2" name="site_address2" placeholder="Address2" value="{{ old('site_address2',$so->site_address2) }}">
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<span class="help-block">{{ $errors->first('site_address1') }} {{ $errors->first('site_address2') }}</span>
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</div>
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<div class="form-group col-sm-6 {{ $errors->has('site_city') ? 'has-error' : '' }}">
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<label for="site_address">Site City</label>
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<input type="text" class="form-control" id="site_city" name="site_city" placeholder="City" value="{{ old('site_city',$so->site_city) }}">
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<span class="help-block">{{ $errors->first('site_city') }}</span>
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</div>
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<div class="form-group col-sm-3 {{ $errors->has('site_state') ? 'has-error' : '' }}">
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<label for="site_address">Site State</label>
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<input type="text" class="form-control col-sm-3" id="site_state" name="site_state" placeholder="State" value="{{ old('site_state',$so->site_state) }}">
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<span class="help-block">{{ $errors->first('site_state') }}</span>
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</div>
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<div class="form-group col-sm-3 {{ $errors->has('site_postcode') ? 'has-error' : '' }}">
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<label for="site_address">Site Post Code</label>
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<input type="text" class="form-control col-sm-3" id="site_postcode" name="site_postcode" placeholder="Post Code" value="{{ old('site_postcode',$so->site_postcode) }}">
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<span class="help-block">{{ $errors->first('site_postcode') }}</span>
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</div>
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</fieldset>
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<div class="form-group col-sm-6 {{ $errors->has('site_phone') ? 'has-error' : '' }}">
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<label for="site_phone">Site Phone</label>
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<input class="form-control" id="site_phone" name="site_phone" placeholder="Site Phone" value="{{ old('site_phone',$so->site_phone) }}">
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<span class="help-block">{{ $errors->first('site_phone') }}</span>
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</div>
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<div class="form-group col-sm-6 {{ $errors->has('site_fax') ? 'has-error' : '' }}">
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<label for="site_fax">Site Fax</label>
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<input class="form-control" id="site_fax" name="site_fax" placeholder="Site Fax" value="{{ old('site_fax',$so->site_fax) }}">
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<span class="help-block">{{ $errors->first('site_fax') }}</span>
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</div>
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<div class="control-group form-group col-sm-6 {{ $errors->has('site_email') ? 'has-error' : '' }}">
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<label for="site_email">Site Email</label>
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<input type="email" class="form-control" id="site_email" name="site_email" placeholder="Site Email" value="{{ old('site_email',$so->site_email) }}">
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<span class="help-block">{{ $errors->first('site_email') }}</span>
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</div>
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<div class="control-group form-group col-sm-6 {{ $errors->has('site_tax') ? 'has-error' : '' }}">
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<label for="site_tax">Site Tax Number</label>
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<div class="input-group">
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<span class="input-group-addon">ABN</span>
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<input type="number" class="form-control" id="site_tax" name="site_tax" minlength="10" maxlength="10" placeholder="Site Tax" value="{{ old('site_tax',$so->site_tax) }}">
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</div>
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<span class="help-block">{{ $errors->first('site_tax') }}</span>
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</div> |