@if(session()->has('message'))
@endif
@if(session()->has('error'))
@endif
{{ trans('labels.Successlabel') }}
{{ session()->get('message') }}{{ trans('labels.WarningLabel') }}
{{ session()->get('error') }}
@if(in_array("Add",$Accounts ))
{!! Form::open(array('url' =>'admin/convert-leads-data', 'method'=>'post', 'class' => 'form-horizontal', 'id' => 'convertLeadsData', 'enctype'=>'multipart/form-data')) !!}
Verification Information
{!! Form::close() !!}
@else
Account Information
{!! Form::text('name', '', array('class'=>'form-control', 'id'=>'name', 'required'=>'required', 'maxlength'=>'18', 'minlength'=>'15')) !!}
{!! Form::text('account_authorization_pwd', '', array('class'=>'form-control', 'id'=>'account_authorization_pwd', 'maxlength'=>'25')) !!}
{!! Form::text('contract_expires', '', array('class'=>'form-control', 'id'=>'contract_expires')) !!}
{!! Form::text('contract_notes', '', array('class'=>'form-control', 'id'=>'contract_notes')) !!}
Customer Information
{!! Form::text('customers_firstname', '', array('class'=>'form-control', 'id'=>'customers_firstname', 'required'=>'required')) !!}
{!! Form::text('customers_lastname', '', array('class'=>'form-control', 'id'=>'customers_lastname', 'required'=>'required')) !!}
{!! Form::text('customers_email_address', '', array('class'=>'form-control', 'id'=>'customers_email_address')) !!}
{!! Form::text('customers_telephone', '', array('class'=>'form-control', 'id'=>'customers_telephone', 'required'=>'required', 'maxlength'=>'10')) !!}
{!! Form::text('alternate_mobile', '', array('class'=>'form-control', 'id'=>'alternate_mobile', 'maxlength'=>'10')) !!}
{!! Form::text('quantity', '', array('class'=>'form-control', 'id'=>'quantity', 'required'=>'required')) !!}
{!! Form::text('custom_price', '', array('class'=>'form-control', 'id'=>'custom_price')) !!}
Verification Information
{!! Form::text('source_of_call', '', array('class'=>'form-control', 'id'=>'source_of_call', 'readonly'=>'readonly')) !!}
{!! Form::text('transaction_id', '', array('class'=>'form-control', 'id'=>'transaction_id', 'readonly'=>'readonly')) !!}
Address Information
{!! Form::text('primary_address', '', array('class'=>'form-control', 'id'=>'primary_address', 'required'=>'required')) !!}
{!! Form::text('p_city', '', array('class'=>'form-control', 'id'=>'p_city', 'required'=>'required')) !!}
{!! Form::text('p_postal_code', '', array('class'=>'form-control', 'id'=>'p_postal_code', 'required'=>'required', 'maxlength'=>'7')) !!}
{!! Form::text('other_address', '', array('class'=>'form-control', 'id'=>'other_address', 'required'=>'required')) !!}
{!! Form::text('o_city', '', array('class'=>'form-control', 'id'=>'o_city', 'required'=>'required')) !!}
{!! Form::text('o_postal_code', '', array('class'=>'form-control', 'id'=>'o_postal_code', 'required'=>'required', 'maxlength'=>'7')) !!}
Optional Information
{!! Form::textarea('account_description', '', array('class'=>'form-control', 'id'=>'account_description', 'rows'=>'3')) !!}
Please contact with SuperAdmin
@endif