{{ HTML::style('WebPro/bootstrap/css/bootstrap.min.css') }} {{-- HTML::style('WebPro/css/font-awesome.min.css') --}} {{ HTML::style('WebPro/css/style.css') }} {{ HTML::style('WebPro/css/style-responsive.css') }} {{ HTML::style('PNotify/pnotify.custom.min.css') }} {{ HTML::style('bootstrap-select/css/bootstrap-select.min.css') }} {{ HTML::style('Intl-Tel-Input/17.0.3/css/intlTelInput.min.css') }} @yield('CSS')
Sume Clientes

Formulario de registro

{{ Form::open(array('route' => 'SysWebRegustroTarjetas', 'method' => 'post', 'class' => 'form-horizontal', 'style' => 'margin-bottom: 0px !important;', 'id' => 'frmRegistro' )) }}
{{ Form::text('nombre', '', array('class' => 'form-control', 'placeholder' => 'Nombre')) }}
{{ $errors->first('nombre') }}
{{ Form::text('apellido', '', array('class' => 'form-control', 'placeholder' => 'Apellido')) }}
{{ $errors->first('apellido') }}
{{ Form::text('correo_electronico', '', array('class' => 'form-control', 'placeholder' => 'Correo electronico')) }}
{{ $errors->first('correo_electronico') }}
{{ Form::text('direccion', '', array('class' => 'form-control', 'placeholder' => 'Dirección')) }}
{{ $errors->first('direccion') }}
{{ $errors->first('pais') }}
{{ $errors->first('estado') }}
{{ Form::text('telefono', '', array('class' => 'form-control', 'placeholder' => '', 'style' => 'padding-left: 52px !important;')) }}
{{ $errors->first('telefono') }}
{{ Form::text('empresa', '', array('class' => 'form-control', 'placeholder' => 'Empresa')) }}
{{ $errors->first('empresa') }}
{{ Form::text('numero_tarjeta', '', array('class' => 'form-control', 'placeholder' => 'Número de tarjeta')) }}
{{ $errors->first('numero_tarjeta') }}
{{ Form::text('fecha_expiracion', '', array('class' => 'form-control', 'placeholder' => 'Fecha de expiración (mm/yy)')) }} {{ $errors->first('fecha_expiracion') }}
{{ Form::text('cvv', '', array('class' => 'form-control', 'placeholder' => 'Código CVV')) }} {{ $errors->first('cvv') }}
{{ Form::text('titular_tarjeta', '', array('class' => 'form-control', 'placeholder' => 'Titular de tarjeta')) }} {{ $errors->first('titular_tarjeta') }}
{{ $errors->first('terminos') }}
{{ HTML::decode(HTML::linkRoute('SysWebRegustroTarjetas', '', array(), array())) }}
{{ Form::close() }}
{{ HTML::script('WebPro/js/jquery-2.0.2.min.js') }} {{ HTML::script('WebPro/bootstrap/js/bootstrap.min.js') }} {{ HTML::script('WebPro/js/accordion.js') }} {{ HTML::script('WebPro/js/common-script.js') }} {{ HTML::script('WebPro/js/jquery.nicescroll.js') }} {{ HTML::script('PNotify/pnotify.custom.min.js') }} {{ HTML::script('bootstrap-select/js/bootstrap-select.min.js') }} {{ HTML::script('Intl-Tel-Input/17.0.3/js/intlTelInput-jquery17-0-16.min.js') }} {{ HTML::script('country-region-selector/crs.min.js') }} {{ HTML::script('jQueryCreditCardValidator/jquery.creditCardValidator.js') }} @include('Externos')