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