@extends('adminlte::page')
@section('title', $pageTitle)
@section('content_header')
    <h1>{{ $pageTitle }}</h1>
@stop
@section('content')
    <div class="row">
        <div class="col-sm-12">
            @if(!is_null($row['id']))
                {!! Form::model($address, ['method' => 'PATCH','url' => ['addresses', $address->id]]) !!}
                {!! Form::hidden('id', $row['id']) !!}
            @else
                {!! Form::open(['route' => 'addresses.store']) !!}
            @endif
                {{--<div class="form-group">
                    {!! Form::label('label', SiteHelpers::activeLang('Label', (isset($fields['label']['language'])? $fields['label']['language'] : array())))!!}
                    {!! Form::text('label', $row['label'],array('class'=>'form-control', 'placeholder'=>'')) !!}
                </div>--}}
                <div class="form-group {{ $errors->inline->has('first_name') ? 'has-error' : '' }}">
                    {!! Form::label('label', SiteHelpers::activeLang('First Name', (isset($fields['first_name']['language'])? $fields['first_name']['language'] : array())))!!}
                    {!! Form::text('first_name', $row['first_name'],array('class'=>'form-control', 'placeholder'=>'',   )) !!}
                    @if($errors->inline->has('first_name'))
                        <span class="help-block">
                            <strong>{{ $errors->inline->first('first_name') }}</strong>
                        </span>
                    @endif
                </div>
                <div class="form-group {{ $errors->inline->has('last_name') ? 'has-error' : '' }}">
                    {!! Form::label('label', SiteHelpers::activeLang('Last Name', (isset($fields['last_name']['language'])? $fields['last_name']['language'] : array())))!!}
                    {!! Form::text('last_name', $row['last_name'],array('class'=>'form-control', 'placeholder'=>'',   )) !!}
                    @if($errors->inline->has('last_name'))
                        <span class="help-block">
                            <strong>{{ $errors->inline->first('last_name') }}</strong>
                        </span>
                    @endif
                </div>
                <div class="form-group">
                    {!! Form::label('label', SiteHelpers::activeLang('Company', (isset($fields['company']['language'])? $fields['company']['language'] : array())))!!}
                    {!! Form::text('company', $row['company'],array('class'=>'form-control', 'placeholder'=>'',   )) !!}
                </div>
                <div class="form-group {{ $errors->inline->has('address_1') ? 'has-error' : '' }}">
                    {!! Form::label('label', SiteHelpers::activeLang('Address 1', (isset($fields['address_1']['language'])? $fields['address_1']['language'] : array())))!!}
                    {!! Form::text('address_1', $row['address_1'],array('class'=>'form-control', 'placeholder'=>'',   )) !!}
                    @if($errors->inline->has('address_1'))
                        <span class="help-block">
                            <strong>{{ $errors->inline->first('address_1') }}</strong>
                        </span>
                    @endif
                </div>
                <div class="form-group">
                    {!! Form::label('label', SiteHelpers::activeLang('Address 2', (isset($fields['address_2']['language'])? $fields['address_2']['language'] : array())))!!}
                    {!! Form::text('address_2', $row['address_2'],array('class'=>'form-control', 'placeholder'=>'',   )) !!}
                </div>
                <div class="form-group {{ $errors->inline->has('city') ? 'has-error' : '' }}">
                    {!! Form::label('label', SiteHelpers::activeLang('City', (isset($fields['city']['language'])? $fields['city']['language'] : array())))!!}
                    {!! Form::text('city', $row['city'],array('class'=>'form-control', 'placeholder'=>'',   )) !!}
                    @if($errors->inline->has('city'))
                        <span class="help-block">
                            <strong>{{ $errors->inline->first('city') }}</strong>
                        </span>
                    @endif
                </div>
                <div class="form-group {{ $errors->inline->has('state') ? 'has-error' : '' }}">
                    {!! Form::label('label', SiteHelpers::activeLang('State', (isset($fields['state']['language'])? $fields['state']['language'] : array())))!!}
                    {!! Form::text('state', $row['state'],array('class'=>'form-control', 'placeholder'=>'',   )) !!}
                    @if($errors->inline->has('state'))
                        <span class="help-block">
                            <strong>{{ $errors->inline->first('state') }}</strong>
                        </span>
                    @endif
                </div>
                <div class="form-group {{ $errors->inline->has('zip') ? 'has-error' : '' }}">
                    {!! Form::label('label', SiteHelpers::activeLang('Zip', (isset($fields['zip']['language'])? $fields['zip']['language'] : array())))!!}
                    {!! Form::text('zip', $row['zip'],array('class'=>'form-control', 'placeholder'=>'',   )) !!}
                    @if($errors->inline->has('zip'))
                        <span class="help-block">
                            <strong>{{ $errors->inline->first('zip') }}</strong>
                        </span>
                    @endif
                </div>
                <div class="form-group {{ $errors->inline->has('phone') ? 'has-error' : '' }}">
                    {!! Form::label('label', SiteHelpers::activeLang('Phone', (isset($fields['phone']['language'])? $fields['phone']['language'] : array())))!!}
                    {!! Form::text('phone', $row['phone'],array('class'=>'form-control', 'placeholder'=>'',   )) !!}
                    @if($errors->inline->has('phone'))
                        <span class="help-block">
                            <strong>{{ $errors->inline->first('phone') }}</strong>
                        </span>
                    @endif
                </div>
                <div class="form-group {{ $errors->inline->has('country') ? 'has-error' : '' }}">
                    {!! Form::label('label', SiteHelpers::activeLang('Country', (isset($fields['country']['language'])? $fields['country']['language'] : array())))!!}
                    {!! Form::select('country',$countries,isset($row['country']) ? $row['country'] : 'US',array('class'=>'form-control', 'placeholder'=>'')) !!}
                    @if($errors->inline->has('country'))
                        <span class="help-block">
                            <strong>{{ $errors->inline->first('country') }}</strong>
                        </span>
                    @endif
                </div>
                <div class="form-group">
                    <button type="button" onclick="location.href='{{ url()->previous() }}'" class="btn btn-success btn-sm"><i class="fa  fa-arrow-circle-left"></i> Back </button>
                    <button type="submit" name="submit" class="btn btn-primary btn-sm"><i class="fa  fa-save "></i> {{ Lang::get('core.sb_save') }}</button>
                </div>
            </div>
            {!! Form::close() !!}
        </div>
    </div>
@stop