{!! Form::checkbox('same_billing',null,false, ['class' => 'same_billing']) !!} Same as Billing Address *

Block No *

{!! Form::text('block',null , ['class' => 'form-control', 'id' => 's_block_1']) !!}

Street Name *

{!! Form::text('street',null, ['class' => 'form-control', 'id' => 's_street_1']) !!}

Unit No *

{!! Form::text('unit',null , ['class' => 'form-control', 'id' => 's_unit_1']) !!}

Building Name

{!! Form::text('building',null, ['class' => 'form-control', 'id' => 's_building_1']) !!}

Postal Code*

{!! Form::text('postal',null, ['class' => 'form-control', 'id' => 's_postal_1']) !!}

Country* {{-- billing country --}}

{!! Form::select('country', $countries,193, ['class' => 'chosen-select selectcategory form-control', 'id' => 's_country_1', 'data-placeholder' => 'Choose a Country...']) !!}

State *

{!! Form::text('state',null, ['class' => 'form-control', 'id' => 's_state_1']) !!}

City *

{!! Form::text('city',null , ['class' => 'form-control', 'id' => 's_city_1']) !!}

Delivery Contact Name *

{!! Form::text('delivery_name',null, ['class' => 'form-control', 'id' => 's_delivery_name_1']) !!}

Delivery Contact No

{!! Form::text('delivery_contact',null, ['class' => 'form-control', 'id' => 's_delivery_contact_1']) !!}

Delivery Address