@if(Session::has('success'))
                    
                        
                        Success
                        
                        {{Session::get('success')}}
                    
                    @endif
                    
                    @if(Session::has('fails'))
                    
                        
                        Fail!
                        
                        {{Session::get('fails')}}
                    
                    @endif
        
		
			{!! Form::label('first_name',Lang::get('lang.first_name')) !!}
			{!! $errors->first('first_name', ':message') !!}
			{!! Form::text('first_name',null,['class' => 'form-control']) !!}
		
		
		
			{!! Form::label('last_name',Lang::get('lang.last_name')) !!}
			{!! $errors->first('last_name', ':message') !!}
			{!! Form::text('last_name',null,['class' => 'form-control']) !!}
		
		
		
		
		
		
			{!! Form::label('company',Lang::get('lang.company')) !!}
			{!! $errors->first('company', ':message') !!}
			{!! Form::text('company',null,['class' => 'form-control']) !!}
		
		
			
			
				{!! Form::label('ext',Lang::get('lang.ext')) !!}
				{!! $errors->first('ext', ':message') !!}
				{!! Form::text('ext',null,['class' => 'form-control']) !!}
			
			
			
				{!! Form::label('phone_number',Lang::get('lang.phone')) !!}
				{!! $errors->first('phone_number', ':message') !!}
				{!! Form::text('phone_number',null,['class' => 'form-control']) !!}
			
		 
			
			
				{!! Form::label('mobile',Lang::get('lang.mobile_number')) !!}
				{!! $errors->first('mobile', ':message') !!}
				{!! Form::text('mobile',null,['class' => 'form-control']) !!}
			
			
				{!! Form::label('agent_sign',Lang::get('lang.agent_sign')) !!}
				{!! $errors->first('agent_sign', ':message') !!}
				{!! Form::textarea('agent_sign',null,['class' => 'form-control']) !!}
			
	
	{!! Form::token() !!}
	{!! Form::close() !!}