<?php $__env->startSection('title'); ?>
    BCS Request
<?php $__env->stopSection(); ?>

<?php $__env->startSection('styles'); ?>

<?php $__env->stopSection(); ?>

<?php $__env->startSection('content'); ?>

<h1>OFS Request</h1>

        <?php echo Form::open(); ?>


            <div class="row">
                <div class="large-6 columns">
                    <label>Id Number</label>
                    <?php echo Form::text('idNumber'); ?>

                </div>
                <div class="large-6 columns">
                <label>Account Number</label>
                	<?php echo Form::text('accountNumber'); ?>

                </div>
            </div>
			<div class="row">
			    <div class="large-12 columns">
			    <label>Email</label>
                     <?php echo Form::text('email'); ?>

                </div>
			</div>

		<button class="myButton" type="submit">Submit</button>

		<?php echo Form::close(); ?>

	</div>


<?php $__env->stopSection(); ?>

<?php $__env->startSection('scripts'); ?>

<?php $__env->stopSection(); ?>


<?php echo $__env->make('master', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>