{{ __('Salutation') }}*

{{ __('Title') }} {{ Form::text('title', $travel_user->title, array('placeholder'=>__('Title'), 'class'=>'form-control')) }}

{{ __('First name') }}* {{ Form::text('first_name', $travel_user->first_name, array('placeholder'=>__('First name'), 'class'=>'form-control', 'required'=>true)) }}

{{ __('Last Name') }}* {{ Form::text('last_name', $travel_user->last_name, array('placeholder'=>__('Last Name'), 'class'=>'form-control', 'required'=>true)) }}

{{ __('Firma') }} {{ Form::text('company', $travel_user->company, array('placeholder'=>__('Firma'), 'class'=>'form-control')) }}

{{ __('Street') }} / {{ __('House number') }} {{ Form::text('street', $travel_user->street, array('placeholder'=>__('Street'), 'class'=>'form-control')) }}

{{ __('Postcode') }} {{ Form::text('zipcode', $travel_user->zipcode, array('placeholder'=>__('Postcode'), 'class'=>'form-control')) }}

{{ __('City') }} {{ Form::text('city', $travel_user->city, array('placeholder'=>__('City'), 'class'=>'form-control')) }}

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

{{ __('Phone') }} {{ Form::text('phone', $travel_user->phone, array('placeholder'=>__('Phone'), 'class'=>'form-control')) }}

{{ __('Mobile Phone') }} {{ Form::text('mobil', $travel_user->mobil, array('placeholder'=>__('Mobile Phone'), 'class'=>'form-control')) }}

{{ __('Geburtstag') }} {{ Form::text('birthday', $travel_user->birthday, array('placeholder'=>Util::formatDate(), 'data-date-format'=>Util::formatDate(), 'data-start_view'=>2, 'class'=>'form-control datepicker-birthday')) }}

{{ __('Fax') }} {{ Form::text('fax', $travel_user->fax, array('placeholder'=>__('Fax'), 'class'=>'form-control')) }}

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