<?php $__env->startSection('title'); ?>
     Compuscan Principal Express Bank Code
<?php $__env->stopSection(); ?>

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

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

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

<?php echo $__env->make('partials.compuscan-nav', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>
<h1> Principal Bank Code Express (4 Hour Delivery)</h1>


<hr style="margin-top: 10px;">

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


<div class="row">
    <div class="large-6 columns">
        <label>Account Holder <small class="red"><?php echo $errors->first('accountHolder'); ?></small></label>
        <?php echo Form::text('accountHolder'); ?>

    </div>
    <div class="large-6 columns">
        <label>ID Number <small class="red"><?php echo $errors->first('idNumber'); ?></small></label>
        <?php echo Form::text('idNumber'); ?>

    </div>
</div>

<div class="row">
    <div class="large-6 columns">
        <label>Bank <small class="red"><?php echo $errors->first('bank'); ?></small></label>
        <?php echo Form::select('bank', [
             '' => 'Please Select',
             'ASBA' => 'ASBA',
             'NEDBANK' => 'NEDBANK',
             'STANDARD' => 'STANDARD BANK',
             'FNB' => 'FNB',
             'MERCANTILE' => 'MERCANTILE',
             'BANK OF ATHENS' => 'BANK OF ATHENS',
             'CITI BANK' => 'CITI BANK',
             'HSBC' => 'HSBC',
             'HBZ' => 'HBZ',
             'HABIB BANK' => 'HABIB BANK',
             'INVESTEC' => 'INVESTEC']
                                            ); ?>

    </div>
    <div class="large-6 columns">
        <label>Country <small class="red"><?php echo $errors->first('country'); ?></small></label>
        <select id="country" name="country" >
            <option value ="ZAF" >South Africa</option>
            <option value ="BWA" >Botswana</option>
            <option value ="LSO" >Lesotho</option>
            <option value ="MWI" >Malawi</option>
            <option value ="NAM" >Namibia</option>
            <option value ="SWZ" >Swaziland</option>
            <option value ="ZWE" >Zimbabwe</option>
        </select>
    </div>
</div>

<div class="row">
    <div class="large-6 columns">
        <label>Branch Name <small class="red"><?php echo $errors->first('branchName'); ?></small></label>
        <?php echo Form::text('branchName'); ?>

    </div>
    <div class="large-6 columns">
        <label>Branch Code <small class="red"><?php echo $errors->first('branchCode'); ?></small></label>
        <?php echo Form::text('branchCode'); ?>

    </div>
</div>

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

    </div>
    <div class="large-6 columns">
        <label>Account Type <small class="red"><?php echo $errors->first('accountType'); ?></small></label>
        <select id="accountType" name="accountType" >
            <option value ="CUR" >Savings</option>
            <option value ="CUR" >Check</option>
            <option value ="CUR" >Transmission</option>
            <option value ="BON" >Bond</option>
            <option value ="SUB" >Subscription Share acc</option>
        </select>
    </div>
</div>

<div class="row">
    <div class="large-6 columns">
        <label>Amount <small class="red"><?php echo $errors->first('amount'); ?></small></label>
        <?php echo Form::text('amount'); ?>

    </div>
    <div class="large-6 columns">
        <label>Terms <small class="red"><?php echo $errors->first('terms'); ?></small></label>
        <select id="terms" name="terms" >
            <option value ="30" >30 Days</option>
            <option value ="60" >60 Days</option>
            <option value ="90" >90 Days</option>
            <option value ="120" >120 Days</option>
            <option value ="COD" >Cash On Delivery</option>
            <option value ="12" >12 Months</option>
            <option value ="24" >24 Months</option>
            <option value ="36" >36 Months</option>
        </select>
    </div>
</div>

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

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

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