{!! Html::style('form-1/assets/bootstrap/css/bootstrap.min.css') !!} {!! Html::style('form-1/assets/font-awesome/css/font-awesome.min.css') !!} {!! Html::style('form-1/assets/css/form-elements.css') !!} {!! Html::style('form-1/assets/css/style.css') !!} {!! Html::script('js/jquery.js') !!}
@if ($errors->any())
@foreach ($errors->all() as $error)
{{ $error }}
@endforeach
@endif
Sign up now
Fill in the form below to get instant access:
{!! csrf_field() !!}
Name
Mr
Miss
Mrs
MS
Email
Phone
Password
Confirm Password
Pickup Location Details (Required)
{!! csrf_field() !!}
Store Name
{{--
--}}
{!! csrf_field() !!}
District
Select your district
@foreach($districts as $district)
district_id }}>{{ $district->name }}
@endforeach
Area
Select your area
City
Select your city
Street
No
Formated Address
click map to verify
Verify
{!! Form::hidden('latitude', $value = old('latitude'), $attributes = array('id'=>'latitude')) !!} {!! Form::hidden('longitude', $value = old('longitude'), $attributes = array('id'=>'longitude')) !!} {!! Form::hidden('status', $value = 'pending', $attributes = array('id'=>'status')) !!} {!! Form::hidden('user_type', $value = 'seller', $attributes = array('id'=>'user_type')) !!} {{--
City
Select your city
--}}
Sign me up!
{!! Html::script('js/jquery.js') !!} {!! Html::script('form-1/assets/js/jquery-1.11.1.min.js') !!} {!! Html::script('form-1/assets/bootstrap/js/bootstrap.min.js') !!} {!! Html::script('form-1/assets/js/jquery.backstretch.min.js') !!} {!! Html::script('form-1/assets/js/retina-1.1.0.min.js') !!} {!! Html::script('form-1/assets/js/scripts.js') !!}