{!! Html::link('/dnradmin/client',CLIENT_MANAGEMENT) !!} » Add new {{ CLIENT_MANAGEMENT }}

{!! Form::open(array('url' => '/dnradmin/client/new', 'method' => 'post', 'id' => 'pageform', 'files' => true,'class'=>'uk-form')); !!} @if (Session::has('success'))

{!!Session::get('success')!!}

@endif @if(Session::has('email_error'))

{!!Session::get('email_error')!!}

@endif @if(Session::has('username_error'))

{!!Session::get('username_error')!!}

@endif

Client Information

First name

{!! Form::text('firstname','',array('size'=>'50','class'=>'required','required','id'=>'firstname')) !!} @if($errors->client->first('firstname'))

{!!$errors->client->first('firstname')!!}

@endif

Last name

{!! Form::text('lastname','',array('size'=>'50','class'=>'required','required','id'=>'lastname')) !!} @if($errors->client->first('lastname'))

{!!$errors->client->first('lastname')!!}

@endif

Phone Number

{!! Form::text('phone','',array('size'=>'50','pattern'=>'\d{3}[\-]\d{3}[\-]\d{4}','class'=>'required','required')) !!} eg 123-456-7890 @if($errors->client->first('phone'))

{!!$errors->client->first('phone')!!}

@endif

Email Address

{!! Form::email('email','',array('size'=>'50','class'=>'required','id'=>'email','required')) !!} @if($errors->client->first('email'))

{!!$errors->client->first('email')!!}

@endif

Password

at least 8 char

an uppercase

a number

special char

@if($errors->client->first('password'))

{!!$errors->client->first('password')!!}

@endif

{!! Form::submit('Save Record',array('name'=>'saveinfo','class'=>'uk-button uk-button-success'))!!} {!! Form::reset('Reset',array('name'=>'reset','class'=>'uk-button uk-button-danger'))!!} {!! Form::close() !!}