{{ Form::open(['url' => route('customer.store'), 'method' => 'POST', 'data-ajax' => 'true']) }}

<div class="row">
    <div class="col-12">
        <div class="form-group">
            <label for="business_line" class="form-label required">{{ trans('customer.business_line') }}</label>
            {{ Form::select('business_line', $businessLines, null, ['class' => 'form-control choices', 'placeholder' => trans('customer.placeholder.business_line')]) }}
        </div>
    </div>
    <div class="col-12">
        <div class="form-group">
            <label for="name" class="form-label required">{{ trans('customer.name') }}</label>
            <input type="text" class="form-control" id="name" name="name" placeholder="{{ trans('customer.placeholder.name') }}">
        </div>
    </div>

    <div class="col-12 col-md-6">
        <div class="form-group">
            <label for="company_group" class="form-label">{{ trans('customer.company_group') }}</label>
            {{ Form::select('company_group', $companyGroups, null, ['class' => 'form-control choices', 'placeholder' => trans('customer.placeholder.company_group')]) }}
        </div>
    </div>

    <div class="col-12 col-md-6">
        <div class="form-group">
            <label for="service" class="form-label">{{ trans('customer.service') }}</label>
            {{ Form::select('service', $services, null, ['class' => 'form-control choices', 'placeholder' => trans('customer.placeholder.service')]) }}
        </div>
    </div>

    <div class="col-12 col-md-6">
        <div class="form-group">
            <label for="company" class="form-label required">{{ trans('customer.company_name') }}</label>
            <input type="text" id="company" class="form-control" name="company" placeholder="{{ trans('customer.placeholder.company_name') }}" />
        </div>
    </div>

    <div class="col-12 col-md-6">
        <div class="form-group">
            <label for="brand" class="form-label required">{{ trans('customer.brand_name') }}</label>
            <input type="text" id="brand" class="form-control" name="brand" placeholder="{{ trans('customer.placeholder.brand_name') }}" />
        </div>
    </div>

    <div class="col-12">
        <div class="form-group">
            <label for="address" class="form-label">{{ trans('customer.address') }}</label>
            <textarea id="address" class="form-control" name="address" placeholder="{{ trans('customer.placeholder.address') }}"></textarea>
        </div>
    </div>

    <div class="col-12">
        <div class="form-group">
            <label for="pic" class="form-label required">{{ trans('customer.pic') }}</label>
            {{ Form::select('pic', $pics, null, ['class' => 'form-control choices', 'placeholder' => trans('customer.placeholder.pic')]) }}
        </div>
    </div>
    <div class="form-group">
        <div class="custom-control custom-checkbox">
            <input class="custom-control-input" type="checkbox" id="status" name="status" value="1">
            <label for="status" class="custom-control-label">{{ trans('active') }}</label>
        </div>
    </div>
</div>

<x-lte-modal-footer />

{{ Form::close() }}