Billing Information

@if(Session::has('success'))
{!!Session::get('success')!!}
@endif {!! Form::open(array('url' => '/user-billing', 'method' => 'post', 'class' => 'row-fluid input-100 bill-info')) !!}
{!! Form::label('lastname', 'Last Name',array('style'=>'width:120px')); !!} {!! Form::text('lastname',isset($billing->fldClientsBillingLastname) ? $billing->fldClientsBillingLastname : "",array('id'=>'lastname','required','class'=>'form-control')) !!}
{!! Form::label('firstname', 'First Name',array('style'=>'width:120px')); !!} {!! Form::text('firstname',isset($billing->fldClientsBillingFirstname) ? $billing->fldClientsBillingFirstname : "",array('id'=>'firstname','required','class'=>'form-control')) !!}
{!! Form::label('address', 'Address',array('style'=>'width:120px')); !!} {!! Form::text('address',isset($billing->fldClientsBillingAddress) ? $billing->fldClientsBillingAddress : "",array('id'=>'address','required','class'=>'form-control')) !!}
{!! Form::label('address1', 'Address 2',array('style'=>'width:120px')); !!} {!! Form::text('address1',isset($billing->fldClientsBillingAddress1) ? $billing->fldClientsBillingAddress1 : "",array('id'=>'address1','class'=>'form-control')) !!}
{!! Form::label('city', 'City',array('style'=>'width:120px')); !!} {!! Form::text('city',isset($billing->fldClientsBillingCity) ? $billing->fldClientsBillingCity : "",array('id'=>'city','required','class'=>'form-control')) !!}
{!! Form::label('state', 'State',array('style'=>'width:120px')); !!} {!! Form::select('state',array('0' => 'Select one')+App\Models\State::displayState(),isset($billing->fldClientsBillingState) ? $billing->fldClientsBillingState : "0",array('data-placeholder'=>'Select State','class'=>'form-control')) !!}
{!! Form::label('country', 'Country',array('style'=>'width:120px')); !!} {!! Form::select('country',array('0' => 'Select one')+App\Models\Country::displayCountry(),isset($billing->fldClientsBillingCountry) ? $billing->fldClientsBillingCountry : "US",array('id'=>'country','data-placeholder'=>'Select Country','class'=>'form-control')) !!}
{!! Form::label('zip', 'Zip Code',array('style'=>'width:120px')); !!} {!! Form::text('zip',isset($billing->fldClientsBillingZip) ? $billing->fldClientsBillingZip : "",array('id'=>'zip','required','class'=>'form-control')) !!}
{!! Form::label('phone', 'Phone Number',array('style'=>'width:120px')); !!} {!! Form::text('phone',isset($billing->fldClientsBillingPhone) ? $billing->fldClientsBillingPhone : "",array('id'=>'phone','required','class'=>'form-control')) !!}
{!! Form::label('email', 'Email Address',array('style'=>'width:120px')); !!} {!! Form::email('email',isset($billing->fldClientsBillingEmail) ? $billing->fldClientsBillingEmail : "",array('id'=>'email','required','class'=>'form-control')) !!}
{!! Form::hidden('Id',$billing->fldClientsBillingID) !!} {!! Form::submit('Update Billing Information',array('name'=>'register','class'=>'uk-button uk-button-success'))!!} {!! Form::close() !!}
@include('home.includes.sidenav-account')