{{ __('Rechnungsdaten') }} * {{trans('register.required_fields')}}

{{ __('Company name') }} (optional) {{ Form::text('company', $user->account->company, array('placeholder'=>__('Company name'), 'class'=>'form-control', 'id'=>'company', 'tabindex' => 1)) }}

{{ __('Salutation') }}* @if ($errors->has('salutation')) {{ $errors->first('salutation') }} @endif

{{ __('First name') }}* {{ Form::text('first_name', $user->account->first_name, array('placeholder'=>__('First name'), 'class'=>'form-control', 'id'=>'first_name', 'required'=>true, 'tabindex' => 4)) }} @if ($errors->has('first_name')) {{ $errors->first('first_name') }} @endif

{{ __('Last name') }}* {{ Form::text('last_name', $user->account->last_name, array('placeholder'=>__('Last name'), 'class'=>'form-control', 'id'=>'last_name', 'required'=>true, 'tabindex' => 5)) }} @if ($errors->has('last_name')) {{ $errors->first('last_name') }} @endif

{{ __('Street') }} / {{ __('House number') }} {{ Form::text('address', $user->account->address, array('placeholder'=>__('Street'), 'class'=>'form-control', 'id'=>'address', 'tabindex' => 6)) }} @if ($errors->has('address')) {{ $errors->first('address') }} @endif

{{ __('Wohnung / Gebäude (optional)') }} {{ Form::text('address_2', $user->account->address_2, array('placeholder'=>__('Wohnung / Gebäude (optional)'), 'class'=>'form-control', 'id'=>'address_2', 'tabindex' => 6)) }}

{{ __('Postcode') }} {{ Form::text('zipcode', $user->account->zipcode, array('placeholder'=>__('Postcode'), 'class'=>'form-control', 'id'=>'zipcode', 'tabindex' => 7)) }} @if ($errors->has('zipcode')) {{ $errors->first('zipcode') }} @endif

{{ __('City') }} {{ Form::text('city', $user->account->city, array('placeholder'=>__('City'), 'class'=>'form-control', 'id'=>'city', 'tabindex' => 8)) }} @if ($errors->has('city')) {{ $errors->first('city') }} @endif

{{ __('Country') }}* @if ($errors->has('country_id')) {{ $errors->first('country_id') }} @endif

{{ __('Phone') }} {{ Form::text('phone', $user->account->phone, array('placeholder'=>__('Phone'), 'class'=>'form-control', 'id'=>'phone', 'tabindex' => 11)) }}

{{ __('Mobile Phone') }} {{ Form::text('mobil', $user->account->mobil, array('placeholder'=>__('Mobile Phone'), 'class'=>'form-control', 'id'=>'mobil', 'tabindex' => 13)) }}

{{ __('E-Mail Address') }}* {{ Form::text('email', $user->email, array('placeholder'=>'E-Mail', 'class'=>'form-control', 'required'=>true, 'id'=>'email', 'tabindex' => 14)) }}

{{ __('Confirm E-Mail') }}* {{ Form::text('email-confirm', $user->email, array('placeholder'=>__('Confirm E-Mail'), 'class'=>'form-control', 'required'=>true, 'id'=>'email-confirm', 'tabindex' => 15)) }}