{!! Form::open(['route' => 'admin::bliskapaczka::senders::store', 'class' => 'form form-horizontal']) !!}

<div class="form-group">
    {!! Form::label(null, trans('ShipmentBliskaPaczka::admin/senders/new.inputs.first_name'), ['class' => 'col-sm-2 control-label']) !!}
    <div class="col-sm-10">
        {!! Form::text('first_name', old('first_name'), ['class' => 'form-control']) !!}
    </div>
</div>

<div class="form-group">
    {!! Form::label(null, trans('ShipmentBliskaPaczka::admin/senders/new.inputs.last_name'), ['class' => 'col-sm-2 control-label']) !!}
    <div class="col-sm-10">
        {!! Form::text('last_name', old('last_name'), ['class' => 'form-control']) !!}
    </div>
</div>

<div class="form-group">
    {!! Form::label(null, trans('ShipmentBliskaPaczka::admin/senders/new.inputs.email'), ['class' => 'col-sm-2 control-label']) !!}
    <div class="col-sm-10">
        {!! Form::text('email', old('email'), ['class' => 'form-control']) !!}
    </div>
</div>

<div class="form-group">
    {!! Form::label(null, trans('ShipmentBliskaPaczka::admin/senders/new.inputs.phone'), ['class' => 'col-sm-2 control-label']) !!}
    <div class="col-sm-10">
        {!! Form::text('phone', old('phone'), ['class' => 'form-control']) !!}
    </div>
</div>

<div class="form-group">
    {!! Form::label(null, trans('ShipmentBliskaPaczka::admin/senders/new.inputs.account_number'), ['class' => 'col-sm-2 control-label']) !!}
    <div class="col-sm-10">
        {!! Form::text('account_number', old('account_number'), ['class' => 'form-control']) !!}
    </div>
</div>

<div class="form-group">
    <div class="col-sm-2 control-label">
        {!! Form::label(null, trans('ShipmentBliskaPaczka::admin/senders/new.inputs.street')) !!}
    </div>

    <div class="col-sm-10">
        <div class="row">
            <div class="col-sm-4">
                {!! Form::text('street', old('street'), [
                    'class' => 'form-control',
                    'placeholder' => trans('ShipmentBliskaPaczka::admin/senders/new.inputs.street'),
                ]) !!}
            </div>

            <div class="col-sm-4">
                {!! Form::text('building_number', old('building_number'), [
                    'class' => 'form-control',
                    'placeholder' => trans('ShipmentBliskaPaczka::admin/senders/new.inputs.building_number'),
                ]) !!}
            </div>

            <div class="col-sm-4">
                {!! Form::text('flat_number', old('flat_number'), [
                    'class' => 'form-control',
                    'placeholder' => trans('ShipmentBliskaPaczka::admin/senders/new.inputs.flat_number'),
                ]) !!}
            </div>
        </div>
    </div>
</div>

<div class="form-group">
    <div class="col-sm-2 control-label">
        {!! Form::label(null, trans('ShipmentBliskaPaczka::admin/senders/new.inputs.city')) !!}
    </div>

    <div class="col-sm-10">
        <div class="row">
            <div class="col-sm-4">
                {!! Form::text('post_code', old('post_code'), [
                    'class' => 'form-control',
                    'placeholder' => trans('ShipmentBliskaPaczka::admin/senders/new.inputs.post_code'),
                ]) !!}
            </div>

            <div class="col-sm-8">
                {!! Form::text('city', old('city'), [
                    'class' => 'form-control',
                    'placeholder' => trans('ShipmentBliskaPaczka::admin/senders/new.inputs.city'),
                ]) !!}
            </div>
        </div>
    </div>
</div>

<div class="form-group margin-bottom-0">
    <div class="col-xs-12 text-right">
        {!! Form::button( trans('global.add'), ['type' => 'submit', 'class' => 'btn btn-wide btn-success ladda-button', 'data-style' => 'slide-up'] ) !!}
    </div>
</div>
{!! Form::close() !!}