{!! Html::link('/dnradmin/sales-rep',SALESREP_MANAGEMENT) !!} » Update {{ SALESREP_MANAGEMENT }}

{!! Form::open(array('url' => '/dnradmin/sales-rep/edit/'.$manager->fldManagerID, '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

{{ SALESREP_MANAGEMENT }} Information

First name

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

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

@endif

Last name

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

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

@endif

Email Address

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

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

@endif

Password

at least 8 char

an uppercase

a number

special char

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

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

@endif

Phone no

{!! Form::text('phone',$manager->fldManagerPhoneNo,array('size'=>'50','pattern'=>'\d{3}[\-]\d{3}[\-]\d{4}')) !!} eg 123-456-7890

Address

{!! Form::text('address',$manager->fldManagerAddress,array('size'=>'50')) !!} @if($errors->manager->first('address'))

{!!$errors->manager->first('address')!!}

@endif

Gender

{!! Form::radio('gender', 'Male',$manager->fldManagerGender=='Male' ? 1 :0) !!} Male {!! Form::radio('gender', 'Female',$manager->fldManagerGender=='Female' ? 1 :0) !!} Female

Birthdate

fldManagerBirthDate}}">

@if(isset($braintreeMerchant->funding['routingNumber']))

Banking Information
Bank Name

{!! Form::text('bankname',$manager->fldManagerBankName,array('size'=>'50','class'=>'required','disabled')) !!}

Account Number

{!! Form::text('accno',isset($braintreeMerchant->funding['accountNumberLast4']) ? '*******'.$braintreeMerchant->funding['accountNumberLast4'] : "",array('size'=>'50','class'=>'required','disabled')) !!}

Type Of Account

{!! Form::email('typeacc',$manager->fldManagerTypeofAccount,array('size'=>'50','class'=>'required','disabled')) !!}

Routing Number

{!! Form::email('typeacc',isset($braintreeMerchant->funding['routingNumber']) ? $braintreeMerchant->funding['routingNumber'] : "",array('size'=>'50','class'=>'required','disabled')) !!}

Banking Address

{!! Form::email('typeacc',isset($braintreeMerchant->individual['address']['streetAddress']) ? $braintreeMerchant->individual['address']['streetAddress'] : "",array('size'=>'50','class'=>'required','disabled')) !!}

Banking City

{!! Form::email('typeacc',isset($braintreeMerchant->individual['address']['locality']) ? $braintreeMerchant->individual['address']['locality'] : "",array('size'=>'50','class'=>'required','disabled')) !!}

State

{!! Form::email('typeacc',isset($braintreeMerchant->individual['address']['region']) ? $braintreeMerchant->individual['address']['region'] : "",array('size'=>'50','class'=>'required','disabled')) !!}

Zip

{!! Form::email('typeacc',isset($braintreeMerchant->individual['address']['postalCode']) ? $braintreeMerchant->individual['address']['postalCode'] : "",array('size'=>'50','class'=>'required','disabled')) !!}

@endif @if(isset($braintreeClient->firstName))

Credit Card Information
First name

{!! Form::text('bankname',isset($braintreeClient->firstName) ? $braintreeClient->firstName : "",array('size'=>'50','class'=>'required','disabled')) !!}

Last name

{!! Form::text('accno',isset($braintreeClient->lastName) ? $braintreeClient->lastName : "",array('size'=>'50','class'=>'required','disabled')) !!}

Credit Card No

{!! Form::email('typeacc',isset($braintreeClient->creditCards{0}->maskedNumber) ? $braintreeClient->creditCards{0}->maskedNumber : "",array('size'=>'50','class'=>'required','disabled')) !!}

CVV

{!! Form::email('typeacc',$manager->fldManagerCVV,array('size'=>'50','class'=>'required','disabled')) !!}

Expiration Date

{!! Form::email('typeacc',isset($braintreeClient->creditCards{0}->expirationMonth) ? $braintreeClient->creditCards{0}->expirationMonth . '/' . $braintreeClient->creditCards{0}->expirationYear : "",array('size'=>'50','class'=>'required','disabled')) !!}

@endif

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