<div class="row"> <div class="col-xs-12 col-sm-8"> <?php echo $__env->make('includes.form_errors', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?> <?php echo Form::open(['method'=>'post', 'action'=>'ManageDeliveryLocationController@store', 'onsubmit'=>'submit_button.disabled = true; submit_button.value = "' . __('Please Wait...') . '"; return true;']); ?> <div class="form-group<?php echo e($errors->has('enable_delivery_location') ? ' has-error' : ''); ?>"> <?php echo Form::label('enable_delivery_location', __('Delivery location Status:')); ?> <?php echo Form::select('enable_delivery_location', [true=>__('Active'), false=>__('Inactive')], true, ['class'=>'form-control selectpicker', 'data-style'=>'btn-default']); ?> </div> <?php echo $__env->make('partials.countries_field', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?> <div class="form-group<?php echo e($errors->has('state') ? ' has-error' : ''); ?>"> <?php echo Form::label('state', __('State:')); ?> <?php echo Form::text('state', null, ['class'=>'form-control', 'placeholder'=>__('Enter shipment state')]); ?> </div> <div class="form-group<?php echo e($errors->has('city') ? ' has-error' : ''); ?>"> <?php echo Form::label('city', __('City:')); ?> <?php echo Form::text('city', null, ['class'=>'form-control', 'placeholder'=>__('Enter shipment city')]); ?> </div> <div class="form-group<?php echo e($errors->has('zip_code') ? ' has-error' : ''); ?>"> <?php echo Form::label('zip_code', __('Zip Code:')); ?> <?php echo Form::text('zip_code', null, ['class'=>'form-control', 'placeholder'=>__('Enter Delivery Location zip code')]); ?> </div> <div class="form-group"> <?php echo Form::submit(__('Add Delivery Location'), ['class'=>'btn btn-primary btn-block', 'name'=>'submit_button']); ?> </div> <?php echo Form::close(); ?> </div> </div>