{!! $login_type_text . ' '.$pages->fldPagesName !!}
{!!$pages->fldPagesSubTitle!!}
@if(Session::has('success')){!!Session::get('success')!!}
@endif
{!! Form::open(array('url' => '/sales-registration', 'method' => 'post', 'class' => 'row-fluid input-100 bill-info','id'=>'registration_form', 'onSubmit'=>'return validateMeForm()')); !!}
{!! Form::label('firstname', '* First Name'); !!}
{!! Form::text('firstname',"",array('id'=>'firstname','required','class'=>'form-control required')) !!}
@if($errors->manager->first('firstname'))
{!!$errors->manager->first('firstname')!!}
@endif
{!! Form::label('lastname', '* Last Name'); !!}
{!! Form::text('lastname', "",array('id'=>'lastname','required','class'=>'form-control required')) !!}
@if($errors->manager->first('lastname'))
{!!$errors->manager->first('lastname')!!}
@endif
{!! Form::label('email', '* Email Address'); !!}
{!! Form::email('email',"",array('id'=>'email','required','class'=>'form-control required')) !!}
@if($errors->manager->first('email'))
{!!$errors->manager->first('email')!!}
@endif
{!! Form::label('phone', '* Phone Number'); !!}
{!! Form::text('phone',"",array('id'=>'phone','required','class'=>'form-control phone_us required', 'data-mask-clearifnotmatch'=>"true")) !!}
@if($errors->manager->first('phone'))
{!!$errors->manager->first('phone')!!}
@endif
{!! Form::label('password', '* Password',array( )); !!}
{!! Form::password('password',array('id'=>'password','required', 'class' => 'form-width-large')) !!}
@if($errors->manager->first('password'))
at least 8 char | an uppercase | a number | special char |
{!!$errors->manager->first('password')!!}
@endif
{!! Form::label('password_confirmation', '* Retype Password'); !!}
{!! Form::password('password_confirmation',array('id'=>'password_confirmation','required', 'class' => 'form-width-large')) !!}
@if($errors->manager->first('password_confirmation'))
{!!$errors->manager->first('password_confirmation')!!}
@endif
Please Wait...
{!! Form::submit('Register',array('name'=>'register','class'=>'uk-button uk-button-primary uk-display-inline-block widauto'))!!}