<div class="row"> <div class="col-xs-12"> <h4 class="text-uppercase"><?php echo trans('website.labels.personal-information'); ?></h4> </div> </div> <div class="row form-group <?php echo $errors->order->has('first_name') ? 'has-error' : ''; ?>"> <div class="col-xs-3"> <?php echo Form::label('user_first_name', trans('website.fields.first-name').":"); ?> <i class="required">*</i> </div> <div class="col-xs-4"> <?php echo Form::text('user_first_name', Session::get('order.first_name')); ?> </div> <?php echo $errors->order->first('first_name', '<div class="col-xs-5"><span class="help-block">:message</span></div>'); ?> </div> <div class="row form-group <?php echo $errors->order->has('last_name') ? 'has-error' : ''; ?>"> <div class="col-xs-3"> <?php echo Form::label('user_last_name', trans('website.fields.last-name').":"); ?> <i class="required">*</i> </div> <div class="col-xs-4"> <?php echo Form::text('user_last_name', Session::get('order.last_name')); ?> </div> <?php echo $errors->order->first('last_name', '<div class="col-xs-5"><span class="help-block">:message</span></div>'); ?> </div> <div class="row form-group <?php echo $errors->order->has('phone_number') ? 'has-error' : ''; ?>"> <div class="col-xs-3"> <?php echo Form::label('user_phone_number', trans('website.fields.phone-number').":"); ?> <i class="required">*</i> </div> <div class="col-xs-4"> <?php echo Form::text('user_phone_number', Session::get('order.phone_number')); ?> </div> <?php echo $errors->order->first('phone_number', '<div class="col-xs-5"><span class="help-block">:message</span></div>'); ?> </div> <div class="row form-group <?php echo $errors->order->has('email') ? 'has-error' : ''; ?>"> <div class="col-xs-3"> <?php echo Form::label('user_email', trans('website.fields.email').":"); ?> <i class="required">*</i> </div> <div class="col-xs-4"> <?php echo Form::text('user_email', Session::get('order.email')); ?> </div> <?php echo $errors->order->first('email', '<div class="col-xs-5"><span class="help-block">:message</span></div>'); ?> </div>