<?php $__env->startSection('title'); ?>
    Compuscan Report
<?php $__env->stopSection(); ?>

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

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

<?php $__env->startSection('content'); ?>
<h1>Possible Company Search</h1>

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


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

    </div>
</div>

<div class="row">
    <label>Reg Number</label>
    <div class="large-4 columns">
        <?php echo Form::text('RegNum1'); ?>

    </div>
    <div class="large-4 columns">
        <?php echo Form::text('RegNum2'); ?>

    </div>
    <div class="large-4 columns">
        <?php echo Form::text('RegNum3'); ?>

    </div>
</div>

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

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

    </div>
</div>

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

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

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