@extends('master')

@section('title')
    Compuscan Report
@stop

@section('styles')

@stop

@section('content')
<h1>Possible Company Search</h1>

{{ Form::open() }}

<div class="row">
    <div class="large-12 columns">
        <label>Company Name</label>
        {{Form::text('companyName')}}
    </div>
</div>

<div class="row">
    <label>Reg Number</label>
    <div class="large-4 columns">
        {{Form::text('RegNum1')}}
    </div>
    <div class="large-4 columns">
        {{Form::text('RegNum2')}}
    </div>
    <div class="large-4 columns">
        {{Form::text('RegNum3')}}
    </div>
</div>

<div class="row">
    <div class="large-6 columns">
        <label>VAT Number</label>
        {{Form::text('vatNumber')}}
    </div>
    <div class="large-6 columns">
        <label>TAX Number</label>
        {{Form::text('taxNumber')}}
    </div>
</div>

<button style="margin-left:auto; margin-right:auto; display:block;" type="submit">Submit</button>

{{ Form::close() }}
@stop