Type Domestic Overseas

Name @error('name')

{{ $message }}

@enderror

Job Title @error('job_title')

{{ $message }}

@enderror

Company Name @error('company_name')

{{ $message }}

@enderror

Business Activity {{ old('business_activity') }} @error('business_activity')

{{ $message }}

@enderror

Email @error('email')

{{ $message }}

@enderror

Phone Numbers (Separate with commas or add multiple inputs) Add Another Phone Number @error('phone_numbers')

{{ $message }}

@enderror @error('phone_numbers.*')

{{ $message }}

@enderror

Fax @error('fax')

{{ $message }}

@enderror

Website @error('website')

{{ $message }}

@enderror

Home Address {{ old('home_address') }} @error('home_address')

{{ $message }}

@enderror

Company Address {{ old('company_address') }} @error('company_address')

{{ $message }}

@enderror

Notes {{ old('notes') }} @error('notes')

{{ $message }}

@enderror