<div class="row"> <div class="col-xs-3"> <h4 class="text-uppercase"><?php echo trans('website.labels.shipment-information'); ?></h4> </div> <div class="col-xs-9 equal"> <?php echo Form::checkbox('billing_shipment_equal', 1, true); ?> <?php echo trans('website.fields.same-as-billing-information'); ?> </div> </div> <div class="shipment-information"> <div class="row form-group <?php echo $errors->shipment->has('first_name') ? 'has-error' : ''; ?>"> <div class="col-xs-3"> <?php echo Form::label('shipment_first_name', trans('website.fields.first-name').":"); ?> <i class="required">*</i> </div> <div class="col-xs-4"> <?php echo Form::text('shipment_first_name'); ?> </div> <?php echo $errors->shipment->first('first_name', '<div class="col-xs-5"><span class="help-block">:message</span></div>'); ?> </div> <div class="row form-group <?php echo $errors->shipment->has('last_name') ? 'has-error' : ''; ?>"> <div class="col-xs-3"> <?php echo Form::label('shipment_last_name', trans('website.fields.last-name').":"); ?> <i class="required">*</i> </div> <div class="col-xs-4"> <?php echo Form::text('shipment_last_name'); ?> </div> <?php echo $errors->shipment->first('last_name', '<div class="col-xs-5"><span class="help-block">:message</span></div>'); ?> </div> <div class="row form-group <?php echo $errors->shipment->has('company') ? 'has-error' : ''; ?>"> <div class="col-xs-3"> <?php echo Form::label('shipment_company', trans('website.fields.company-name').":"); ?> </div> <div class="col-xs-4"> <?php echo Form::text('shipment_company'); ?> </div> <?php echo $errors->shipment->first('company', '<div class="col-xs-5"><span class="help-block">:message</span></div>'); ?> </div> <div class="row form-group <?php echo $errors->shipment->has('street') ? 'has-error' : ''; ?>"> <div class="col-xs-3"> <?php echo Form::label('shipment_street', trans('website.fields.street').":"); ?> <i class="required">*</i> </div> <div class="col-xs-4"> <?php echo Form::text('shipment_street'); ?> </div> <?php echo $errors->shipment->first('street', '<div class="col-xs-5"><span class="help-block">:message</span></div>'); ?> </div> <div class="row form-group <?php echo $errors->shipment->has('postcode') ? 'has-error' : ''; ?>"> <div class="col-xs-3"> <?php echo Form::label('shipment_postcode', trans('website.fields.postcode').":"); ?> <i class="required">*</i> </div> <div class="col-xs-4"> <?php echo Form::text('shipment_postcode'); ?> </div> <?php echo $errors->shipment->first('postcode', '<div class="col-xs-5"><span class="help-block">:message</span></div>'); ?> </div> <div class="row form-group <?php echo $errors->shipment->has('city') ? 'has-error' : ''; ?>"> <div class="col-xs-3"> <?php echo Form::label('shipment_city', trans('website.fields.city').":"); ?> <i class="required">*</i> </div> <div class="col-xs-4"> <?php echo Form::text('shipment_city'); ?> </div> <?php echo $errors->shipment->first('city', '<div class="col-xs-5"><span class="help-block">:message</span></div>'); ?> </div> <div class="row form-group <?php echo $errors->shipment->has('country') ? 'has-error' : ''; ?>"> <div class="col-xs-3"> <?php echo Form::label('shipment_country', trans('website.fields.country').":"); ?> <i class="required">*</i> </div> <div class="col-xs-4"> <?php echo Form::select('shipment_country', $country_options); ?> </div> <?php echo $errors->shipment->first('country', '<div class="col-xs-5"><span class="help-block">:message</span></div>'); ?> </div> </div>