Created
February 2, 2021 22:46
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<div id="company-info"> | |
<form wire:submit.prevent="saveAndAdvance"> | |
<fieldset class="text-left mb-8 p-4 rounded-lg border-2 border-blue-200 w-full"> | |
<legend class="text-xl uppercase text-blue-500"> | |
General Information | |
</legend> | |
<div class="flex text-left space-x-8"> | |
<div class="w-1/3"> | |
<x-form.vee-group class="mb-8" | |
label="Legal Business Name" | |
for="legal_name" | |
:error="$errors->first('company.legal_name')" | |
cornerText="Required"> | |
<x-input.text wire:model.lazy="company.legal_name" /> | |
</x-form.vee-group> | |
</div> | |
<div class="w-1/3"> | |
<x-form.vee-group class="mb-8" | |
label="Operating (Doing Business) As" | |
for="dba"> | |
<x-input.text wire:model.lazy="company.dba" /> | |
</x-form.vee-group> | |
</div> | |
<div class="w-1/3"> | |
<x-form.vee-group class="mb-8" | |
label="Country" | |
for="country" | |
:error="$errors->first('company.country')" | |
cornerText="Required"> | |
<x-input.select wire:model="company.country"> | |
<option value="">Select...</option> | |
@foreach($countries as $country) | |
<option value="{{optional($country)->iso}}"> | |
{{optional($country)->country}} | |
</option> | |
@endforeach | |
</x-input.select> | |
</x-form.vee-group> | |
</div> | |
</div> | |
<div class="flex text-left space-x-8"> | |
<div class="w-1/3"> | |
<x-form.vee-group class="mb-8" | |
label="Physical Address" | |
for="address" | |
:error="$errors->first('company.address')" | |
cornerText="Required"> | |
<x-input.text wire:model.lazy="company.address" /> | |
</x-form.vee-group> | |
</div> | |
<div class="w-1/3"> | |
<x-form.vee-group class="mb-8" | |
label="Physical Address 2" | |
for="address2"> | |
<x-input.text wire:model.lazy="company.address2" /> | |
</x-form.vee-group> | |
</div> | |
<div class="w-1/3"> | |
@if($company['country'] !== 'US') | |
<x-form.vee-group class="mb-8" | |
label="Physical Address 3" | |
for="address3" | |
:error="$errors->first('company.address3')" | |
cornerText="required"> | |
<x-input.text wire:model.lazy="company.address3" /> | |
</x-form.vee-group> | |
@endif | |
</div> | |
</div> | |
@if($company['country'] === 'US') | |
<div class="flex text-left space-x-8"> | |
<div class="w-1/3"> | |
<x-form.vee-group class="mb-8" | |
label="City" | |
for="city" | |
:error="$errors->first('company.city')" | |
cornerText="required"> | |
<x-input.text wire:model.lazy="company.city" /> | |
</x-form.vee-group> | |
</div> | |
<div class="w-1/3"> | |
<x-form.vee-group class="mb-8" | |
label="State" | |
for="state" | |
:error="$errors->first('company.state')" | |
cornerText="required"> | |
<x-input.select wire:model="company.state"> | |
<option value="">Select...</option> | |
@foreach($states as $state) | |
<option value="{{optional($state)->abbreviation}}"> | |
{{optional($state)->state}} | |
</option> | |
@endforeach | |
</x-input.select> | |
</x-form.vee-group> | |
</div> | |
<div class="w-1/3"> | |
<x-form.vee-group class="mb-8" | |
label="Postal Code" | |
for="zip" | |
:error="$errors->first('company.zip')" | |
cornerText="required"> | |
<x-input.text wire:model.lazy="company.zip" /> | |
</x-form.vee-group> | |
</div> | |
</div> | |
@endif | |
<div class="flex text-left space-x-8"> | |
<div class="w-1/3"> | |
<x-form.vee-group class="mb-8" | |
label="Phone" | |
for="phone"> | |
<x-input.text wire:model.lazy="company.phone" /> | |
</x-form.vee-group> | |
</div> | |
<div class="w-1/3"> | |
<x-form.vee-group class="mb-8" | |
label="Fax" | |
for="fax"> | |
<x-input.text wire:model.lazy="company.fax" /> | |
</x-form.vee-group> | |
</div> | |
<div class="w-1/3"> | |
<x-form.vee-group class="mb-8" | |
label="Main Email" | |
for="email"> | |
<x-input.email wire:model.lazy="company.email" /> | |
</x-form.vee-group> | |
</div> | |
</div> | |
<div class="flex text-left space-x-8"> | |
<div class="w-1/3"> | |
<x-form.vee-group class="mb-8" | |
label="Cage Code" | |
for="cage"> | |
<x-input.text wire:model.lazy="company.cage" /> | |
</x-form.vee-group> | |
</div> | |
<div class="w-1/3"> | |
<x-form.vee-group class="mb-8" | |
label="NAICS Code" | |
for="naics"> | |
<x-input.text wire:model.lazy="company.naics" /> | |
</x-form.vee-group> | |
</div> | |
<div class="w-1/3"> | |
<x-form.vee-group class="mb-8" | |
label="Website" | |
for="uri"> | |
<x-input.text wire:model.lazy="company.uri" /> | |
</x-form.vee-group> | |
</div> | |
</div> | |
</fieldset> | |
<div class="mb-4 flex justify-center"> | |
<x-buttons.submit label="Continue" /> | |
</div> | |
</form> | |
</div> |
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