{!! Form::label('name_en', 'Office Name in English') !!} {!! Form::text('name_en',null,['class'=>'form-control']) !!}

{!! Form::label('name_sw', 'Office Name in Swahili') !!} {!! Form::text('name_sw',null,['class'=>'form-control']) !!}

{!! Form::label('latitude', 'HQ Latitude') !!} {!! Form::text('latitude',null,['class'=>'form-control']) !!}

{!! Form::label('longitude', 'HQ Longitude') !!} {!! Form::text('longitude',null,['class'=>'form-control']) !!}

{!! Form::label('phone', 'Phone Number') !!} {!! Form::text('phone',null,['class'=>'form-control']) !!}

{!! Form::label('toll_free', 'Toll Free Number') !!} {!! Form::text('toll_free',null,['class'=>'form-control']) !!}

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

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

{!! Form::label('used_as', 'Used as ') !!} {!! Form::select('used_as', ['1' => 'Contact us Address'],1,['class'=>'form-control disabled']) !!}

{!! Form::label('headquarter', 'HQ ') !!} {!! Form::select('headquarter', ['0' => 'Not HQ', '1' => 'HQ'],null,['class'=>'form-control']) !!}

{!! Form::label('physical_address_sw', 'Physical Address in Kiswahili') !!} {!! Form::textarea('physical_address_sw', null, ['class' => 'form-control','rows'=>'4']) !!}

{!! Form::label('physical_address_en', 'Physical Address in English') !!} {!! Form::textarea('physical_address_en', null, ['class' => 'form-control','rows'=>'4']) !!}

{!! Form::label('used_as', 'Used as ') !!} {!! Form::select('used_as', ['1' => 'Contact us Address','2' => 'Complainants Address'],null,['class'=>'form-control']) !!}

{!! Form::label('content_sw', 'Description in Swahili') !!} {!! Form::textarea('content_sw', null, ['id' => 'redactor_sw', 'class' => 'form-control']) !!}

{!! Form::label('content_en', 'Description in english') !!} {!! Form::textarea('content_en', null, ['id' => 'redactor_en', 'class' => 'form-control']) !!}

{!! Form::submit($submitButton, ['class' => 'btn btn-primary col-md-6 offset-md-3']) !!}