{!! Form::label('brand_company_name', 'Brand Company Name:',['class'=>'col-md-3 col-lg-3 col-12 control-label']) !!}

{!! Form::text('brand_company_name', null, ['class' => 'form-control','required' => '']) !!}

{!! Form::label('images', 'Image URL:',['class'=>'col-md-3 col-lg-3 col-12 control-label']) !!}

{!! Form::text('images', null, ['class' => 'form-control']) !!}

{!! Form::label('address_line1', 'Address Line1:',['class'=>'col-md-3 col-lg-3 col-12 control-label']) !!}

{!! Form::text('address_line1', null, ['class' => 'form-control','required' => '']) !!}

{!! Form::label('address_line2', 'Address Line2:',['class'=>'col-md-3 col-lg-3 col-12 control-label']) !!}

{!! Form::text('address_line2', null, ['class' => 'form-control']) !!}

{!! Form::label('address_line3', 'Address Line3:',['class'=>'col-md-3 col-lg-3 col-12 control-label']) !!}

{!! Form::text('address_line3', null, ['class' => 'form-control']) !!}

{!! Form::label('address_line4', 'Address Line4:',['class'=>'col-md-3 col-lg-3 col-12 control-label']) !!}

{!! Form::text('address_line4', null, ['class' => 'form-control']) !!}

{!! Form::label('email', 'Email:',['class'=>'col-md-3 col-lg-3 col-12 control-label']) !!}

{!! Form::email('email', null, ['class' => 'form-control','required' => '']) !!}

{!! Form::label('telephone', 'Telephone:',['class'=>'col-md-3 col-lg-3 col-12 control-label']) !!}

{!! Form::number('telephone', null, ['class' => 'form-control','required' => '']) !!}

{!! Form::label('mobile', 'Mobile:',['class'=>'col-md-3 col-lg-3 col-12 control-label']) !!}

{!! Form::number('mobile', null, ['class' => 'form-control','required' => '']) !!}

{!! Form::label('fax', 'Fax:',['class'=>'col-md-3 col-lg-3 col-12 control-label']) !!}

{!! Form::text('fax', null, ['class' => 'form-control']) !!}

{!! Form::label('company_profile_type', 'Company Profile Type:',['class'=>'col-md-3 col-lg-3 col-12 control-label']) !!}

{!! Form::select('company_profile_type', ['' => 'Select Item','BRAND' => 'Brand', 'COMPANY' => 'Company'], null, ['class' => 'form-control','required' => '']) !!}

{!! Form::label('applicable_sites', 'Applicable Sites:',['class'=>'col-md-3 col-lg-3 col-12 control-label']) !!}

{!! Form::text('applicable_sites', null, ['class' => 'form-control']) !!}

{!! Form::label('remarks', 'Remarks:',['class'=>'col-md-3 col-lg-3 col-12 control-label']) !!}

{!! Form::text('remarks', null, ['class' => 'form-control']) !!}

{!! Form::hidden('created_by', 1, ['class' => 'form-control','required' => '']) !!}

{!! Form::hidden('state', 1, ['class' => 'form-control','required' => '']) !!}

{!! Form::submit('Save', ['class' => 'btn btn-primary']) !!} Cancel