<meta name="csrf-token" content="{{ csrf_token() }}">
 
<div class="modal fade" id="add_new_company" data-keyboard="false" data-backdrop="static">
 	
	<div class="modal-dialog" id="company_create_model">
		
		<div class="modal-content">
 
            <div class="modal-header">

                <button type="button" class="close companyCreate_close" data-dismiss="modal" aria-label="Close">

                <span aria-hidden="true">&times;</span></button>

                <h4 class="modal-title">Add New Company</h4>

				<input type="hidden" id="generated_companycode">
				<input type="hidden" id="generated_by" value="{{ Auth::user()->id }}">

            </div>
 
            <div class="modal-body">

			  	<section class="content">

				  {!! Form::open(array('id'=>'company_create','action'=>'{{route("companies-store")}}','route'=>'companies-store','method'=>'POST')) !!}
                
				  		@csrf	
				  
						<div class="row">
							
							<div class="col-md-12">
							
							
								<div class="form-group">
									
									<label class="control-label" for="inputSuccess"> Company Name <sup><i class="fa fa-asterisk" style="font-size: 8px;" data-toggle="tooltip" data-placement="right" title="" data-original-title="THIS FIELD IS REQUIRED"></i></sup></label>

									<input type="text" class="form-control cname" name="company_name" id="inputSuccess" >

									<span class="help-block hide" id="cnameblock">Help block with success</span>

								</div>

							</div>

							<!-- <div class="col-md-6">
							  
								<div class="form-group">
								
									<label class="control-label" for="inputSuccess"> Company Code <sup><i class="fa fa-asterisk" style="font-size: 8px;" data-toggle="tooltip" data-placement="right" title="" data-original-title="THIS FIELD IS REQUIRED"></i></sup></label>

                  					<input type="text" class="form-control ccode" name="company_code" >

                  					<span class="help-block hide" id="ccodeblock">Help block with success</span>

                				</div>

							</div> -->

						</div>

						<div class="row">
							
							<div class="col-md-6">
								
								<div class="form-group">
									
									<label class="control-label" for="inputSuccess"> GSTIN <sup><i class="fa fa-asterisk" style="font-size: 8px;" data-toggle="tooltip" data-placement="right" title="" data-original-title="THIS FIELD IS REQUIRED"></i></sup>   <i class="fa fa-info-circle" id="gstno" style="font-size:15px" data-toggle="tooltip" data-placement="right" title="IF YOU DONT HAVE GST NUMEBR THAN ENTER URP"></i></label>

									

									<input type="text" class="form-control cgstin" name="company_gst" id="cgst">

									<span class="help-block hide" id="cgstinblock">Help block with success</span>

								</div>

							</div>

							<div class="col-md-6">
								
								<div class="form-group">

									<!--label class="control-label" for="inputSuccess"> Email <sup><i class="fa fa-asterisk" style="font-size: 8px;" data-toggle="tooltip" data-placement="right" title="" data-original-title="THIS FIELD IS REQUIRED"></i></sup></label!-->
									<label class="control-label" for="inputSuccess"> Email </label>

									<div class="input-group">

										<input type="text" class="form-control cemail" name="company_email" id="cemail">
									
										<span class="input-group-addon" id="addalternate_emailspan"><i class="fa fa-plus-circle" id="addalternate_email" data-toggle="tooltip" data-placement="right" title="" data-original-title="ADD ALTERNATE EMAIL ID"></i></span>

									</div>
									
									<span class="help-block hide" id="cemailblock">Help block with success</span>

								</div>

							</div>

						</div>

						<div class="row" id="alternate_emailblock">

							<div class="addedemail">
								
								<div class="col-md-6 pull-right">
									
									<div class="form-group">
										
										<label class="control-label" for="inputSuccess"> Alternate Email Id</label>

										<div class="input-group">
										
											<input type="text" class="form-control cemail" name="company_email" id="alternate_cemail">
										
											<span class="input-group-addon" id="remobealternate_emailspan"><i class="fa fa-minus-circle" id="remobealternate_email"></i></span>

										</div>
										
										<span class="help-block hide" id="alternate_cemailblock">Help block with success</span>
									
									</div>
								
								</div>
							
							</div>

						</div>

						<div class="box box-primary">

							<div class="box-body">

								<div class="row">

									<div class="col-md-12">

										<label class="control-label" for="inputSuccess"> Bill To Address</label>
								
									</div>

								</div>

								<div class="row">

									<div class="col-md-4">
									
										<div class="form-group">

											<label class="control-label" for="Street">Address Line:1 <sup><i class="fa fa-asterisk" style="font-size: 8px;" data-toggle="tooltip" data-placement="right" title="" data-original-title="THIS FIELD IS REQUIRED"></i></sup></label>

											<input type="text" name="street" class="form-control billaddl1" id="billaddline1" maxlength="50"/>

											<span class="help-block hide" id="bill_aadline1block">Help block with success</span>

										</div>

									</div>

									<div class="col-md-4">
									
										<div class="form-group">

											<label class="control-label" for="Street">Address Line:2 <sup><i class="fa fa-asterisk" style="font-size: 8px;" data-toggle="tooltip" data-placement="right" title="" data-original-title="THIS FIELD IS REQUIRED"></i></sup></label>

											<input type="text" name="street" class="form-control billaddl2" id="billaddline2" maxlength="50"/>

											<span class="help-block hide" id="bill_aadline2block">Help block with success</span>

										</div>

									</div>

									<div class="col-md-4">
									
										<div class="form-group">

											<label class="control-label" for="Street">Address Line:3</label>

											<input type="text" name="street" class="form-control billaddl3" id="billaddline3" maxlength="50"/>

											<span class="help-block hide" id="bill_aadline3block">Help block with success</span>

										</div>

									</div>

								</div>

								

								<div class="row">

									<div class="col-md-6">
										<div class="form-group">

											<label>Country <sup><i class="fa fa-asterisk" style="font-size: 8px;" data-toggle="tooltip" data-placement="right" title="" data-original-title="THIS FIELD IS REQUIRED"></i></sup></label>
	
											<select class="form-control" id="country_select" name="country" style="width: 100%;">
														<option>Select country</option>
														<option value="Afghanistan">Afghanistan</option>
														<option value="Aland Islands">Åland Islands</option>
														<option value="Albania">Albania</option>
														<option value="Algeria">Algeria</option>
														<option value="American Samoa">American Samoa</option>
														<option value="Andorra">Andorra</option>
														<option value="Angola">Angola</option>
														<option value="Anguilla">Anguilla</option>
														<option value="Antarctica">Antarctica</option>
														<option value="Antigua and Barbuda">Antigua & Barbuda</option>
														<option value="Argentina">Argentina</option>
														<option value="Armenia">Armenia</option>
														<option value="Aruba">Aruba</option>
														<option value="Australia">Australia</option>
														<option value="Austria">Austria</option>
														<option value="Azerbaijan">Azerbaijan</option>
														<option value="Bahamas">Bahamas</option>
														<option value="Bahrain">Bahrain</option>
														<option value="Bangladesh">Bangladesh</option>
														<option value="Barbados">Barbados</option>
														<option value="Belarus">Belarus</option>
														<option value="Belgium">Belgium</option>
														<option value="Belize">Belize</option>
														<option value="Benin">Benin</option>
														<option value="Bermuda">Bermuda</option>
														<option value="Bhutan">Bhutan</option>
														<option value="Bolivia">Bolivia</option>
														<option value="Bonaire, Sint Eustatius and Saba">Caribbean Netherlands</option>
														<option value="Bosnia and Herzegovina">Bosnia & Herzegovina</option>
														<option value="Botswana">Botswana</option>
														<option value="Bouvet Island">Bouvet Island</option>
														<option value="Brazil">Brazil</option>
														<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
														<option value="Brunei Darussalam">Brunei</option>
														<option value="Bulgaria">Bulgaria</option>
														<option value="Burkina Faso">Burkina Faso</option>
														<option value="Burundi">Burundi</option>
														<option value="Cambodia">Cambodia</option>
														<option value="Cameroon">Cameroon</option>
														<option value="Canada">Canada</option>
														<option value="Cape Verde">Cape Verde</option>
														<option value="Cayman Islands">Cayman Islands</option>
														<option value="Central African Republic">Central African Republic</option>
														<option value="Chad">Chad</option>
														<option value="Chile">Chile</option>
														<option value="China">China</option>
														<option value="Christmas Island">Christmas Island</option>
														<option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
														<option value="Colombia">Colombia</option>
														<option value="Comoros">Comoros</option>
														<option value="Congo">Congo - Brazzaville</option>
														<option value="Congo, Democratic Republic of the Congo">Congo - Kinshasa</option>
														<option value="Cook Islands">Cook Islands</option>
														<option value="Costa Rica">Costa Rica</option>
														<option value="Cote D'Ivoire">Côte d’Ivoire</option>
														<option value="Croatia">Croatia</option>
														<option value="Cuba">Cuba</option>
														<option value="Curacao">Curaçao</option>
														<option value="Cyprus">Cyprus</option>
														<option value="Czech Republic">Czechia</option>
														<option value="Denmark">Denmark</option>
														<option value="Djibouti">Djibouti</option>
														<option value="Dominica">Dominica</option>
														<option value="Dominican Republic">Dominican Republic</option>
														<option value="Ecuador">Ecuador</option>
														<option value="Egypt">Egypt</option>
														<option value="El Salvador">El Salvador</option>
														<option value="Equatorial Guinea">Equatorial Guinea</option>
														<option value="Eritrea">Eritrea</option>
														<option value="Estonia">Estonia</option>
														<option value="Ethiopia">Ethiopia</option>
														<option value="Falkland Islands (Malvinas)">Falkland Islands (Islas Malvinas)</option>
														<option value="Faroe Islands">Faroe Islands</option>
														<option value="Fiji">Fiji</option>
														<option value="Finland">Finland</option>
														<option value="France">France</option>
														<option value="French Guiana">French Guiana</option>
														<option value="French Polynesia">French Polynesia</option>
														<option value="French Southern Territories">French Southern Territories</option>
														<option value="Gabon">Gabon</option>
														<option value="Gambia">Gambia</option>
														<option value="Georgia">Georgia</option>
														<option value="Germany">Germany</option>
														<option value="Ghana">Ghana</option>
														<option value="Gibraltar">Gibraltar</option>
														<option value="Greece">Greece</option>
														<option value="Greenland">Greenland</option>
														<option value="Grenada">Grenada</option>
														<option value="Guadeloupe">Guadeloupe</option>
														<option value="Guam">Guam</option>
														<option value="Guatemala">Guatemala</option>
														<option value="Guernsey">Guernsey</option>
														<option value="Guinea">Guinea</option>
														<option value="Guinea-Bissau">Guinea-Bissau</option>
														<option value="Guyana">Guyana</option>
														<option value="Haiti">Haiti</option>
														<option value="Heard Island and Mcdonald Islands">Heard & McDonald Islands</option>
														<option value="Holy See (Vatican City State)">Vatican City</option>
														<option value="Honduras">Honduras</option>
														<option value="Hong Kong">Hong Kong</option>
														<option value="Hungary">Hungary</option>
														<option value="Iceland">Iceland</option>
														<option value="India">India</option>
														<option value="Indonesia">Indonesia</option>
														<option value="Iran, Islamic Republic of">Iran</option>
														<option value="Iraq">Iraq</option>
														<option value="Ireland">Ireland</option>
														<option value="Isle of Man">Isle of Man</option>
														<option value="Israel">Israel</option>
														<option value="Italy">Italy</option>
														<option value="Jamaica">Jamaica</option>
														<option value="Japan">Japan</option>
														<option value="Jersey">Jersey</option>
														<option value="Jordan">Jordan</option>
														<option value="Kazakhstan">Kazakhstan</option>
														<option value="Kenya">Kenya</option>
														<option value="Kiribati">Kiribati</option>
														<option value="Korea, Democratic People's Republic of">North Korea</option>
														<option value="Korea, Republic of">South Korea</option>
														<option value="Kosovo">Kosovo</option>
														<option value="Kuwait">Kuwait</option>
														<option value="Kyrgyzstan">Kyrgyzstan</option>
														<option value="Lao People's Democratic Republic">Laos</option>
														<option value="Latvia">Latvia</option>
														<option value="Lebanon">Lebanon</option>
														<option value="Lesotho">Lesotho</option>
														<option value="Liberia">Liberia</option>
														<option value="Libyan Arab Jamahiriya">Libya</option>
														<option value="Liechtenstein">Liechtenstein</option>
														<option value="Lithuania">Lithuania</option>
														<option value="Luxembourg">Luxembourg</option>
														<option value="Macao">Macao</option>
														<option value="Macedonia, the Former Yugoslav Republic of">North Macedonia</option>
														<option value="Madagascar">Madagascar</option>
														<option value="Malawi">Malawi</option>
														<option value="Malaysia">Malaysia</option>
														<option value="Maldives">Maldives</option>
														<option value="Mali">Mali</option>
														<option value="Malta">Malta</option>
														<option value="Marshall Islands">Marshall Islands</option>
														<option value="Martinique">Martinique</option>
														<option value="Mauritania">Mauritania</option>
														<option value="Mauritius">Mauritius</option>
														<option value="Mayotte">Mayotte</option>
														<option value="Mexico">Mexico</option>
														<option value="Micronesia, Federated States of">Micronesia</option>
														<option value="Moldova, Republic of">Moldova</option>
														<option value="Monaco">Monaco</option>
														<option value="Mongolia">Mongolia</option>
														<option value="Montenegro">Montenegro</option>
														<option value="Montserrat">Montserrat</option>
														<option value="Morocco">Morocco</option>
														<option value="Mozambique">Mozambique</option>
														<option value="Myanmar">Myanmar (Burma)</option>
														<option value="Namibia">Namibia</option>
														<option value="Nauru">Nauru</option>
														<option value="Nepal">Nepal</option>
														<option value="Netherlands">Netherlands</option>
														<option value="Netherlands Antilles">Curaçao</option>
														<option value="New Caledonia">New Caledonia</option>
														<option value="New Zealand">New Zealand</option>
														<option value="Nicaragua">Nicaragua</option>
														<option value="Niger">Niger</option>
														<option value="Nigeria">Nigeria</option>
														<option value="Niue">Niue</option>
														<option value="Norfolk Island">Norfolk Island</option>
														<option value="Northern Mariana Islands">Northern Mariana Islands</option>
														<option value="Norway">Norway</option>
														<option value="Oman">Oman</option>
														<option value="Pakistan">Pakistan</option>
														<option value="Palau">Palau</option>
														<option value="Palestinian Territory, Occupied">Palestine</option>
														<option value="Panama">Panama</option>
														<option value="Papua New Guinea">Papua New Guinea</option>
														<option value="Paraguay">Paraguay</option>
														<option value="Peru">Peru</option>
														<option value="Philippines">Philippines</option>
														<option value="Pitcairn">Pitcairn Islands</option>
														<option value="Poland">Poland</option>
														<option value="Portugal">Portugal</option>
														<option value="Puerto Rico">Puerto Rico</option>
														<option value="Qatar">Qatar</option>
														<option value="Reunion">Réunion</option>
														<option value="Romania">Romania</option>
														<option value="Russian Federation">Russia</option>
														<option value="Rwanda">Rwanda</option>
														<option value="Saint Barthelemy">St. Barthélemy</option>
														<option value="Saint Helena">St. Helena</option>
														<option value="Saint Kitts and Nevis">St. Kitts & Nevis</option>
														<option value="Saint Lucia">St. Lucia</option>
														<option value="Saint Martin">St. Martin</option>
														<option value="Saint Pierre and Miquelon">St. Pierre & Miquelon</option>
														<option value="Saint Vincent and the Grenadines">St. Vincent & Grenadines</option>
														<option value="Samoa">Samoa</option>
														<option value="San Marino">San Marino</option>
														<option value="Sao Tome and Principe">São Tomé & Príncipe</option>
														<option value="Saudi Arabia">Saudi Arabia</option>
														<option value="Senegal">Senegal</option>
														<option value="Serbia">Serbia</option>
														<option value="Serbia and Montenegro">Serbia</option>
														<option value="Seychelles">Seychelles</option>
														<option value="Sierra Leone">Sierra Leone</option>
														<option value="Singapore">Singapore</option>
														<option value="Sint Maarten">Sint Maarten</option>
														<option value="Slovakia">Slovakia</option>
														<option value="Slovenia">Slovenia</option>
														<option value="Solomon Islands">Solomon Islands</option>
														<option value="Somalia">Somalia</option>
														<option value="South Africa">South Africa</option>
														<option value="South Georgia and the South Sandwich Islands">South Georgia & South Sandwich Islands</option>
														<option value="South Sudan">South Sudan</option>
														<option value="Spain">Spain</option>
														<option value="Sri Lanka">Sri Lanka</option>
														<option value="Sudan">Sudan</option>
														<option value="Suriname">Suriname</option>
														<option value="Svalbard and Jan Mayen">Svalbard & Jan Mayen</option>
														<option value="Swaziland">Eswatini</option>
														<option value="Sweden">Sweden</option>
														<option value="Switzerland">Switzerland</option>
														<option value="Syrian Arab Republic">Syria</option>
														<option value="Taiwan, Province of China">Taiwan</option>
														<option value="Tajikistan">Tajikistan</option>
														<option value="Tanzania, United Republic of">Tanzania</option>
														<option value="Thailand">Thailand</option>
														<option value="Timor-Leste">Timor-Leste</option>
														<option value="Togo">Togo</option>
														<option value="Tokelau">Tokelau</option>
														<option value="Tonga">Tonga</option>
														<option value="Trinidad and Tobago">Trinidad & Tobago</option>
														<option value="Tunisia">Tunisia</option>
														<option value="Turkey">Turkey</option>
														<option value="Turkmenistan">Turkmenistan</option>
														<option value="Turks and Caicos Islands">Turks & Caicos Islands</option>
														<option value="Tuvalu">Tuvalu</option>
														<option value="Uganda">Uganda</option>
														<option value="Ukraine">Ukraine</option>
														<option value="United Arab Emirates">United Arab Emirates</option>
														<option value="United Kingdom">United Kingdom</option>
														<option value="United States">United States</option>
														<option value="United States Minor Outlying Islands">U.S. Outlying Islands</option>
														<option value="Uruguay">Uruguay</option>
														<option value="Uzbekistan">Uzbekistan</option>
														<option value="Vanuatu">Vanuatu</option>
														<option value="Venezuela">Venezuela</option>
														<option value="Viet Nam">Vietnam</option>
														<option value="Virgin Islands, British">British Virgin Islands</option>
														<option value="Virgin Islands, U.s.">U.S. Virgin Islands</option>
														<option value="Wallis and Futuna">Wallis & Futuna</option>
														<option value="Western Sahara">Western Sahara</option>
														<option value="Yemen">Yemen</option>
														<option value="Zambia">Zambia</option>
														<option value="Zimbabwe">Zimbabwe</option>
													</select>
																		
										</div>
	
										<!--div class="form-group">

											<label class="control-label" for="Country"> Country <sup><i class="fa fa-asterisk" style="font-size: 8px;" data-toggle="tooltip" data-placement="right" title="" data-original-title="THIS FIELD IS REQUIRED"></i></sup></label>

											<input type="text" class="form-control billcountry" id="Country" name="country" readonly>

											<span class="help-block hide">Help block with success</span>

										</div-->
								
									</div>
									
									<div class="col-md-6">

										<div class="form-group">

											<label class="control-label" for="Pincode"> Pincode <sup><i class="fa fa-asterisk" style="font-size: 8px;" data-toggle="tooltip" data-placement="right" title="" data-original-title="THIS FIELD IS REQUIRED"></i></sup></label>

											<input type="text" class="form-control billpincode" maxlength="6" minlength="6" name="pincode" id="Pincode"  data-id="">

											<span class="help-block hide" id="bill_pincodeblock">Help block with success</span>

										</div>

									</div>
								
								</div>

								<div class="row">

									<div class="col-md-6">

										<div class="form-group">

											<label>City <sup><i class="fa fa-asterisk" style="font-size: 8px;" data-toggle="tooltip" data-placement="right" title="" data-original-title="THIS FIELD IS REQUIRED"></i></sup></label>
											<div class="input-group">
	
											<select class="form-control citybill billcity" id="CreateCity" name="Createcity" style="width: 100%;">

												<option value='0' >- Search city -</option>
	
											</select>
										    <span class="input-group-addon newCityAddon"><i class="fa fa-plus-circle" id="new_city" data-toggle="tooltip" data-placement="right" title="" data-original-title="Add New City"></i></span>

											</div>
											<input type="text" class="form-control billCityManual hide" id="billCityManual" name="city">

											<span class="help-block hide" id="bill_cityblock">Help block with success</span>

										</div>

									</div>
									
									<div class="col-md-6">
									
										{!! Form::hidden('data', null, array('id' => 'States')) !!}
									
											<div class="form-group">
		
												<label class="control-label" for="State"> State <sup><i class="fa fa-asterisk" style="font-size: 8px;" data-toggle="tooltip" data-placement="right" title="" data-original-title="THIS FIELD IS REQUIRED"></i></sup></label>
	
												<input type="text" class="form-control billstate" id="State" name="state" readonly data-state-id="">
	
												<span class="help-block hide">Help block with success</span>
	
											</div>

									</div>
								
								</div>
								<div class="row">
								
									<div class="col-md-6">

										<div class="form-group ">

											<label class="control-label" for="Mobile no"> Mobile No <sup><i class="fa fa-asterisk" style="font-size: 8px;" data-toggle="tooltip" data-placement="right" title="" data-original-title="THIS FIELD IS REQUIRED"></i></sup></label>

											<!-- <div class="input-group"> -->
												
												<!-- <span class="input-group-addon"><i class="fa fa-ambulance"></i></span>
											</div> -->
											<input type="text" class="form-control billmobile" maxlength="15" minlength="10" name="mobile" id="billmobile">
											
											<span class="help-block hide billmobileblock" id="billmobileblock"></span>

										</div>

									</div>

								</div>

							</div>

						</div>	
						
						<div class="box box-primary">

							<div class="box-body" id="shippingaddresssection">

								<div class="row">
						
									<div class="col-md-12">

										<label class="control-label" for="inputSuccess"> Ship To Address</label>

										<div class="checkbox">

											<label id="shipaddcheckbox">

												<input type="checkbox" class="same-as-shipping-address" name="sameAsShippingAddress" id="sameAsShippingAddress"/> Same as Billing Address

											</label>

											<label class="pull-right control-label">

												<button type="button" id="addshippingaddresscreate" class="btn btn-primary pull-right">add Address</button>

											</label>

										</div>

									</div>

								</div>

								<div class="addressblockcreate" id="defultaddress">
	
									<label class="control-label" for="Street">Address 1</label>
									
									&nbsp&nbsp<i class="fa fa-chevron-down"></i>	

									<div class="row">
											
										<div class="col-md-6">

											<div class="form-group">
												
												<label class="control-label" for="Street" >Set Address Name</label>
											
												<input type="text" class="form-control address_name" value="Address 1" autocomplete="off" />

											</div>

										</div>

									</div>

									<div class="addressblockdetails">
									
										<div class="row">

											<div class="col-md-4">
									
												<div class="form-group">

													<label class="control-label" for="Street">Address Line:1 <sup><i class="fa fa-asterisk" style="font-size: 8px;" data-toggle="tooltip" data-placement="right" title="" data-original-title="THIS FIELD IS REQUIRED"></i></sup></label>

													<input type="text" name="street" class="form-control shipaddl1" id="shipaddline1" maxlength="50">

													<span class="help-block hide" id="ship_add1block">Help block with success</span>

												</div>

											</div>

											<div class="col-md-4">
									
												<div class="form-group">

													<label class="control-label" for="Street">Address Line:2 <sup><i class="fa fa-asterisk" style="font-size: 8px;" data-toggle="tooltip" data-placement="right" title="" data-original-title="THIS FIELD IS REQUIRED"></i></sup></label>

													<input type="text" name="street" class="form-control shipaddl2" id="shipaddline2" maxlength="50">

													<span class="help-block hide" id="ship_add2block">Help block with success</span>

												</div>

											</div>

											<div class="col-md-4">
									
												<div class="form-group">

													<label class="control-label" for="Street">Address Line:3</label>

													<input type="text" name="street" class="form-control shipaddl3" id="shipaddline3" maxlength="50">

													<span class="help-block hide" id="bill_streetblock">Help block with success</span>

												</div>

											</div>

										</div>
		
									

									<div class="row">

										<div class="col-md-6">

											<div class="form-group">

												<label class="control-label" for="ShipToCountry"> Country <sup><i class="fa fa-asterisk" style="font-size: 8px;" data-toggle="tooltip" data-placement="right" title="" data-original-title="THIS FIELD IS REQUIRED"></i></sup></label>
	
											<select class="form-control" id="country_select_shipping" name="country" style="width: 100%;">
														<option>Select country</option>
														<option value="Afghanistan">Afghanistan</option>
														<option value="Aland Islands">Åland Islands</option>
														<option value="Albania">Albania</option>
														<option value="Algeria">Algeria</option>
														<option value="American Samoa">American Samoa</option>
														<option value="Andorra">Andorra</option>
														<option value="Angola">Angola</option>
														<option value="Anguilla">Anguilla</option>
														<option value="Antarctica">Antarctica</option>
														<option value="Antigua and Barbuda">Antigua & Barbuda</option>
														<option value="Argentina">Argentina</option>
														<option value="Armenia">Armenia</option>
														<option value="Aruba">Aruba</option>
														<option value="Australia">Australia</option>
														<option value="Austria">Austria</option>
														<option value="Azerbaijan">Azerbaijan</option>
														<option value="Bahamas">Bahamas</option>
														<option value="Bahrain">Bahrain</option>
														<option value="Bangladesh">Bangladesh</option>
														<option value="Barbados">Barbados</option>
														<option value="Belarus">Belarus</option>
														<option value="Belgium">Belgium</option>
														<option value="Belize">Belize</option>
														<option value="Benin">Benin</option>
														<option value="Bermuda">Bermuda</option>
														<option value="Bhutan">Bhutan</option>
														<option value="Bolivia">Bolivia</option>
														<option value="Bonaire, Sint Eustatius and Saba">Caribbean Netherlands</option>
														<option value="Bosnia and Herzegovina">Bosnia & Herzegovina</option>
														<option value="Botswana">Botswana</option>
														<option value="Bouvet Island">Bouvet Island</option>
														<option value="Brazil">Brazil</option>
														<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
														<option value="Brunei Darussalam">Brunei</option>
														<option value="Bulgaria">Bulgaria</option>
														<option value="Burkina Faso">Burkina Faso</option>
														<option value="Burundi">Burundi</option>
														<option value="Cambodia">Cambodia</option>
														<option value="Cameroon">Cameroon</option>
														<option value="Canada">Canada</option>
														<option value="Cape Verde">Cape Verde</option>
														<option value="Cayman Islands">Cayman Islands</option>
														<option value="Central African Republic">Central African Republic</option>
														<option value="Chad">Chad</option>
														<option value="Chile">Chile</option>
														<option value="China">China</option>
														<option value="Christmas Island">Christmas Island</option>
														<option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
														<option value="Colombia">Colombia</option>
														<option value="Comoros">Comoros</option>
														<option value="Congo">Congo - Brazzaville</option>
														<option value="Congo, Democratic Republic of the Congo">Congo - Kinshasa</option>
														<option value="Cook Islands">Cook Islands</option>
														<option value="Costa Rica">Costa Rica</option>
														<option value="Cote D'Ivoire">Côte d’Ivoire</option>
														<option value="Croatia">Croatia</option>
														<option value="Cuba">Cuba</option>
														<option value="Curacao">Curaçao</option>
														<option value="Cyprus">Cyprus</option>
														<option value="Czech Republic">Czechia</option>
														<option value="Denmark">Denmark</option>
														<option value="Djibouti">Djibouti</option>
														<option value="Dominica">Dominica</option>
														<option value="Dominican Republic">Dominican Republic</option>
														<option value="Ecuador">Ecuador</option>
														<option value="Egypt">Egypt</option>
														<option value="El Salvador">El Salvador</option>
														<option value="Equatorial Guinea">Equatorial Guinea</option>
														<option value="Eritrea">Eritrea</option>
														<option value="Estonia">Estonia</option>
														<option value="Ethiopia">Ethiopia</option>
														<option value="Falkland Islands (Malvinas)">Falkland Islands (Islas Malvinas)</option>
														<option value="Faroe Islands">Faroe Islands</option>
														<option value="Fiji">Fiji</option>
														<option value="Finland">Finland</option>
														<option value="France">France</option>
														<option value="French Guiana">French Guiana</option>
														<option value="French Polynesia">French Polynesia</option>
														<option value="French Southern Territories">French Southern Territories</option>
														<option value="Gabon">Gabon</option>
														<option value="Gambia">Gambia</option>
														<option value="Georgia">Georgia</option>
														<option value="Germany">Germany</option>
														<option value="Ghana">Ghana</option>
														<option value="Gibraltar">Gibraltar</option>
														<option value="Greece">Greece</option>
														<option value="Greenland">Greenland</option>
														<option value="Grenada">Grenada</option>
														<option value="Guadeloupe">Guadeloupe</option>
														<option value="Guam">Guam</option>
														<option value="Guatemala">Guatemala</option>
														<option value="Guernsey">Guernsey</option>
														<option value="Guinea">Guinea</option>
														<option value="Guinea-Bissau">Guinea-Bissau</option>
														<option value="Guyana">Guyana</option>
														<option value="Haiti">Haiti</option>
														<option value="Heard Island and Mcdonald Islands">Heard & McDonald Islands</option>
														<option value="Holy See (Vatican City State)">Vatican City</option>
														<option value="Honduras">Honduras</option>
														<option value="Hong Kong">Hong Kong</option>
														<option value="Hungary">Hungary</option>
														<option value="Iceland">Iceland</option>
														<option value="India">India</option>
														<option value="Indonesia">Indonesia</option>
														<option value="Iran, Islamic Republic of">Iran</option>
														<option value="Iraq">Iraq</option>
														<option value="Ireland">Ireland</option>
														<option value="Isle of Man">Isle of Man</option>
														<option value="Israel">Israel</option>
														<option value="Italy">Italy</option>
														<option value="Jamaica">Jamaica</option>
														<option value="Japan">Japan</option>
														<option value="Jersey">Jersey</option>
														<option value="Jordan">Jordan</option>
														<option value="Kazakhstan">Kazakhstan</option>
														<option value="Kenya">Kenya</option>
														<option value="Kiribati">Kiribati</option>
														<option value="Korea, Democratic People's Republic of">North Korea</option>
														<option value="Korea, Republic of">South Korea</option>
														<option value="Kosovo">Kosovo</option>
														<option value="Kuwait">Kuwait</option>
														<option value="Kyrgyzstan">Kyrgyzstan</option>
														<option value="Lao People's Democratic Republic">Laos</option>
														<option value="Latvia">Latvia</option>
														<option value="Lebanon">Lebanon</option>
														<option value="Lesotho">Lesotho</option>
														<option value="Liberia">Liberia</option>
														<option value="Libyan Arab Jamahiriya">Libya</option>
														<option value="Liechtenstein">Liechtenstein</option>
														<option value="Lithuania">Lithuania</option>
														<option value="Luxembourg">Luxembourg</option>
														<option value="Macao">Macao</option>
														<option value="Macedonia, the Former Yugoslav Republic of">North Macedonia</option>
														<option value="Madagascar">Madagascar</option>
														<option value="Malawi">Malawi</option>
														<option value="Malaysia">Malaysia</option>
														<option value="Maldives">Maldives</option>
														<option value="Mali">Mali</option>
														<option value="Malta">Malta</option>
														<option value="Marshall Islands">Marshall Islands</option>
														<option value="Martinique">Martinique</option>
														<option value="Mauritania">Mauritania</option>
														<option value="Mauritius">Mauritius</option>
														<option value="Mayotte">Mayotte</option>
														<option value="Mexico">Mexico</option>
														<option value="Micronesia, Federated States of">Micronesia</option>
														<option value="Moldova, Republic of">Moldova</option>
														<option value="Monaco">Monaco</option>
														<option value="Mongolia">Mongolia</option>
														<option value="Montenegro">Montenegro</option>
														<option value="Montserrat">Montserrat</option>
														<option value="Morocco">Morocco</option>
														<option value="Mozambique">Mozambique</option>
														<option value="Myanmar">Myanmar (Burma)</option>
														<option value="Namibia">Namibia</option>
														<option value="Nauru">Nauru</option>
														<option value="Nepal">Nepal</option>
														<option value="Netherlands">Netherlands</option>
														<option value="Netherlands Antilles">Curaçao</option>
														<option value="New Caledonia">New Caledonia</option>
														<option value="New Zealand">New Zealand</option>
														<option value="Nicaragua">Nicaragua</option>
														<option value="Niger">Niger</option>
														<option value="Nigeria">Nigeria</option>
														<option value="Niue">Niue</option>
														<option value="Norfolk Island">Norfolk Island</option>
														<option value="Northern Mariana Islands">Northern Mariana Islands</option>
														<option value="Norway">Norway</option>
														<option value="Oman">Oman</option>
														<option value="Pakistan">Pakistan</option>
														<option value="Palau">Palau</option>
														<option value="Palestinian Territory, Occupied">Palestine</option>
														<option value="Panama">Panama</option>
														<option value="Papua New Guinea">Papua New Guinea</option>
														<option value="Paraguay">Paraguay</option>
														<option value="Peru">Peru</option>
														<option value="Philippines">Philippines</option>
														<option value="Pitcairn">Pitcairn Islands</option>
														<option value="Poland">Poland</option>
														<option value="Portugal">Portugal</option>
														<option value="Puerto Rico">Puerto Rico</option>
														<option value="Qatar">Qatar</option>
														<option value="Reunion">Réunion</option>
														<option value="Romania">Romania</option>
														<option value="Russian Federation">Russia</option>
														<option value="Rwanda">Rwanda</option>
														<option value="Saint Barthelemy">St. Barthélemy</option>
														<option value="Saint Helena">St. Helena</option>
														<option value="Saint Kitts and Nevis">St. Kitts & Nevis</option>
														<option value="Saint Lucia">St. Lucia</option>
														<option value="Saint Martin">St. Martin</option>
														<option value="Saint Pierre and Miquelon">St. Pierre & Miquelon</option>
														<option value="Saint Vincent and the Grenadines">St. Vincent & Grenadines</option>
														<option value="Samoa">Samoa</option>
														<option value="San Marino">San Marino</option>
														<option value="Sao Tome and Principe">São Tomé & Príncipe</option>
														<option value="Saudi Arabia">Saudi Arabia</option>
														<option value="Senegal">Senegal</option>
														<option value="Serbia">Serbia</option>
														<option value="Serbia and Montenegro">Serbia</option>
														<option value="Seychelles">Seychelles</option>
														<option value="Sierra Leone">Sierra Leone</option>
														<option value="Singapore">Singapore</option>
														<option value="Sint Maarten">Sint Maarten</option>
														<option value="Slovakia">Slovakia</option>
														<option value="Slovenia">Slovenia</option>
														<option value="Solomon Islands">Solomon Islands</option>
														<option value="Somalia">Somalia</option>
														<option value="South Africa">South Africa</option>
														<option value="South Georgia and the South Sandwich Islands">South Georgia & South Sandwich Islands</option>
														<option value="South Sudan">South Sudan</option>
														<option value="Spain">Spain</option>
														<option value="Sri Lanka">Sri Lanka</option>
														<option value="Sudan">Sudan</option>
														<option value="Suriname">Suriname</option>
														<option value="Svalbard and Jan Mayen">Svalbard & Jan Mayen</option>
														<option value="Swaziland">Eswatini</option>
														<option value="Sweden">Sweden</option>
														<option value="Switzerland">Switzerland</option>
														<option value="Syrian Arab Republic">Syria</option>
														<option value="Taiwan, Province of China">Taiwan</option>
														<option value="Tajikistan">Tajikistan</option>
														<option value="Tanzania, United Republic of">Tanzania</option>
														<option value="Thailand">Thailand</option>
														<option value="Timor-Leste">Timor-Leste</option>
														<option value="Togo">Togo</option>
														<option value="Tokelau">Tokelau</option>
														<option value="Tonga">Tonga</option>
														<option value="Trinidad and Tobago">Trinidad & Tobago</option>
														<option value="Tunisia">Tunisia</option>
														<option value="Turkey">Turkey</option>
														<option value="Turkmenistan">Turkmenistan</option>
														<option value="Turks and Caicos Islands">Turks & Caicos Islands</option>
														<option value="Tuvalu">Tuvalu</option>
														<option value="Uganda">Uganda</option>
														<option value="Ukraine">Ukraine</option>
														<option value="United Arab Emirates">United Arab Emirates</option>
														<option value="United Kingdom">United Kingdom</option>
														<option value="United States">United States</option>
														<option value="United States Minor Outlying Islands">U.S. Outlying Islands</option>
														<option value="Uruguay">Uruguay</option>
														<option value="Uzbekistan">Uzbekistan</option>
														<option value="Vanuatu">Vanuatu</option>
														<option value="Venezuela">Venezuela</option>
														<option value="Viet Nam">Vietnam</option>
														<option value="Virgin Islands, British">British Virgin Islands</option>
														<option value="Virgin Islands, U.s.">U.S. Virgin Islands</option>
														<option value="Wallis and Futuna">Wallis & Futuna</option>
														<option value="Western Sahara">Western Sahara</option>
														<option value="Yemen">Yemen</option>
														<option value="Zambia">Zambia</option>
														<option value="Zimbabwe">Zimbabwe</option>
													</select>
												<!--input type="text" class="form-control shipcountry" id="ShipToCountry" name="ShipToCountry" readonly-->

												<span class="help-block hide">Help block with success</span>

											</div>

										</div>

										<div class="col-md-6">

											<div class="form-group">

												<label class="control-label" for="ShipToPincode"> Pincode <sup><i class="fa fa-asterisk" style="font-size: 8px;" data-toggle="tooltip" data-placement="right" title="" data-original-title="THIS FIELD IS REQUIRED"></i></sup></label>

												<input type="text" class="form-control shippincode" name="ShipToPincode" id="ShipToPincode"  data-id="" maxlength="6" minlength="6">

												<span class="help-block hide " id="ShipToPincodeblock">Help block with success</span>

											</div>

										</div>

									</div>

									<div class="row">

										<div class="col-md-6">

											<div class="form-group">

												<label>City <sup><i class="fa fa-asterisk" style="font-size: 8px;" data-toggle="tooltip" data-placement="right" title="" data-original-title="THIS FIELD IS REQUIRED"></i></sup></label>

												<select class="form-control  select2-cityship shipcity " id="CreateShiopToCity" name="CreateShiopToCity" style="width: 100%;">

													<option value='0'>- Search city -</option>

												</select>
												<input type="text" class="form-control shipCityManual hide" id="shipCityManual" name="city">

												<span class="help-block hide" id="ShipToCityblock">Help block with success</span>

											</div>

										</div>

										<div class="col-md-6">

											<div class="form-group">

												<label class="control-label" for="ShipToState"> State <sup><i class="fa fa-asterisk" style="font-size: 8px;" data-toggle="tooltip" data-placement="right" title="" data-original-title="THIS FIELD IS REQUIRED"></i></sup></label>

												<input type="text" class="form-control shipstate" id="ShipToState" name="ShipToState" readonly data-state-id="">

												<span class="help-block hide">Help block with success</span>

											</div>

										</div>

									</div>
									<div class="row">

										<div class="col-md-6">
							
											<div class="form-group">

												<label class="control-label" for="ShipToMobile"> Mobile No <sup><i class="fa fa-asterisk" style="font-size: 8px;" data-toggle="tooltip" data-placement="right" title="" data-original-title="THIS FIELD IS REQUIRED"></i></sup></label>

												<div class="input-group">

													<input type="text" class="form-control shipmobile mobile" id="ShipToMobile" name="ShipToMobile" maxlength="15" minlength="10">

													<span class="input-group-addon"><i class="fa fa-plus-circle" id="addalternate_mobile" data-toggle="tooltip" data-placement="right" title="" data-original-title="ADD ALTERNATE MOBILE NUMBER"></i></span>

												</div>

												<span class="help-block hide mobileblock" id="ShipToMobileblock">Help block with success</span>

											</div>
									
										</div>

										<div class="col-md-6">

											<div class="form-group">
												
												<label class="control-label" for="Street" >Receiver name <sup><i class="fa fa-asterisk" style="font-size: 8px;" data-toggle="tooltip" data-placement="right" title="" data-original-title="THIS FIELD IS REQUIRED"></i></sup></label>
											
												<input type="text" class="form-control receiver_name" id="receiver_name" autocomplete="off" maxlength="30" />

												<span class="help-block hide receiver_nameblock" id="receiver_nameblock">Help block with success</span>

											</div>

										</div>

									</div>

									<div class="row" id="alternate_mobileblock">

										<div class="addedmobile">
											
											<div class="col-md-6">
												
												<div class="form-group">
													
													<label class="control-label" for="ShipToMobile"> Alternate Mobile No</label>
													
													<div class="input-group">
													
														<input type="text" class="form-control shipmobile mobile alternate_mobile" id="alternate_mobile" name="ShipToMobile" maxlength="15" minlength="10">
													
														<span class="input-group-addon"><i class="fa fa-minus-circle" id="remobealternate_mobile"></i></span>

													</div>
													
													<span class="help-block hide " id="">Help block with success</span>
												
												</div>
											
											</div>

										</div>

										<div class="col-md-6 pull-right">

											<div class="form-group">

												<label class="control-label" for="ShipToPincode"> Ship Company Name</label>

												<input type="text" class="form-control shipTocompanyname" name="ShipTocompanyname" id="ShipTocompanyname">

												<span class="help-block hide " id="ShipTocompanynameblock">Help block with success</span>

											</div>

										</div>

									</div>
								</div>
								</div>
							
							</div>			
						
						</div>

					{!! Form::close() !!}
				
				</section>

			</div>

            <div class="modal-footer">

            	<!-- <button type="button" class="btn btn-primary pull-left" data-dismiss="modal">Close</button> -->

                <button type="submit" class="btn btn-success pull-right submit submit-company">Submit</button>

            </div>

        </div>

    </div>

</div>

