{!! Form::text('name','',array('id'=>'name','class'=> $errors->has('name') ? 'form-control is-invalid state-invalid' : 'form-control', 'placeholder'=>'Name', 'autocomplete'=>'off','required'=>'required')) !!}
@if ($errors->has('name'))
{{ $errors->first('name') }}
@endif
{!! Form::text('email','',array('id'=>'email','class'=> $errors->has('email') ? 'form-control is-invalid state-invalid' : 'form-control', 'placeholder'=>'Email Address', 'autocomplete'=>'off','required'=>'required')) !!}
@if ($errors->has('email'))
{{ $errors->first('email') }}
@endif
{!! Form::text('username','',array('id'=>'username','class'=> $errors->has('username') ? 'form-control is-invalid state-invalid' : 'form-control', 'placeholder'=>'User Name', 'autocomplete'=>'off','required'=>'required')) !!}
@if ($errors->has('username'))
{{ $errors->first('username') }}
@endif
{!! Form::password('password',array('id'=>'password','class'=> $errors->has('password') ? 'form-control is-invalid state-invalid' : 'form-control', 'placeholder'=>'Password', 'autocomplete'=>'off','required'=>'required')) !!}
@if ($errors->has('password'))
{{ $errors->first('password') }}
@endif
{!! Form::password('confirm-password',array('id'=>'confirm-password','class'=> $errors->has('confirm-password') ? 'form-control is-invalid state-invalid' : 'form-control', 'placeholder'=>'Confirm Password', 'autocomplete'=>'off','required'=>'required')) !!}
@if ($errors->has('confirm-password'))
{{ $errors->first('confirm-password') }}
@endif
{!! Form::text('mobile','',array('id'=>'mobile','class'=> $errors->has('mobile') ? 'form-control is-invalid state-invalid' : 'form-control', 'placeholder'=>'Mobile', 'autocomplete'=>'off','required'=>'required')) !!}
@if ($errors->has('mobile'))
{{ $errors->first('mobile') }}
@endif
{!! Form::text('companyName','',array('id'=>'companyName','class'=> $errors->has('companyName') ? 'form-control is-invalid state-invalid' : 'form-control', 'placeholder'=>'Company Name', 'autocomplete'=>'off','required'=>'required')) !!}
@if ($errors->has('companyName'))
{{ $errors->first('companyName') }}
@endif
{!! Form::select('country',$countries,'98', ['class' => 'form-control']) !!}
@if ($errors->has('country'))
{{ $errors->first('country') }}
@endif
{!! Form::text('city','',array('id'=>'city','class'=> $errors->has('city') ? 'form-control is-invalid state-invalid' : 'form-control', 'placeholder'=>'city', 'autocomplete'=>'off','required'=>'required')) !!}
@if ($errors->has('city'))
{{ $errors->first('city') }}
@endif
{!! Form::text('address','',array('id'=>'address','class'=> $errors->has('address') ? 'form-control is-invalid state-invalid' : 'form-control', 'placeholder'=>'Address', 'autocomplete'=>'off','required'=>'required')) !!}
@if ($errors->has('address'))
{{ $errors->first('address') }}
@endif
{!! Form::number('zipCode','',array('id'=>'zipCode','class'=> $errors->has('zipCode') ? 'form-control is-invalid state-invalid' : 'form-control', 'placeholder'=>'zipCode', 'autocomplete'=>'off')) !!}
@if ($errors->has('zipCode'))
{{ $errors->first('zipCode') }}
@endif
{!! app('captcha')->display() !!}
@if ($errors->has('g-recaptcha-response'))
{{ $errors->first('g-recaptcha-response') }}
@endif