resources/views/contact/shared-fields.blade.php
    			
			<div class="mdl-textfield mdl-js-textfield is-upgraded is-focused mdl-textfield--floating-label @if ($errors->has('country')) is-invalid is-dirty @endif"" data-upgraded="eP">
         		{!!Form::text('country', $contact->country, ['id' => 'country', 'class' => 'mdl-textfield__input immybox immybox_witharrow', 'autocomplete' => 'off'])!!}
                {!!Form::label('country', Lang::get('general.country'), ['class' => 'mdl-color-text--primary-contrast mdl-textfield__label is-dirty'])!!}
                <span class="mdl-textfield__error">{{ $errors->first('country') }}</span>
			</div>
			
			<div class="mdl-textfield mdl-js-textfield is-upgraded is-focused mdl-textfield--floating-label @if ($errors->has('state')) is-invalid is-dirty @endif"" data-upgraded="eP">
         		{!!Form::text('state', $contact->state, ['id' => 'state', 'class' => 'mdl-textfield__input immybox immybox_witharrow', 'autocomplete' => 'off'])!!}
                {!!Form::label('state', Lang::get('general.state'), ['class' => 'mdl-color-text--primary-contrast mdl-textfield__label is-dirty'])!!}
				<span class="mdl-textfield__error">{{ $errors->first('state') }}</span>
			</div>
			
			<div class="mdl-textfield mdl-js-textfield is-upgraded is-focused mdl-textfield--floating-label @if ($errors->has('city')) is-invalid is-dirty @endif"" data-upgraded="eP">
         		{!!Form::text('city', $contact->city, ['id' => 'city', 'class' => 'mdl-textfield__input immybox immybox_witharrow', 'autocomplete' => 'off'])!!}
				{!!Form::label('city', Lang::get('general.city'), ['class' => 'mdl-color-text--primary-contrast mdl-textfield__label is-dirty'])!!}
				<span class="mdl-textfield__error">{{ $errors->first('city') }}</span>
			</div>
			
			<div class="mdl-textfield mdl-js-textfield is-upgraded is-focused mdl-textfield--floating-label @if ($errors->has('address')) is-invalid is-dirty @endif"" data-upgraded="eP">
         		{!!Form::text('address', $contact->address, ['class' => 'mdl-textfield__input'])!!}
				{!!Form::label('address', Lang::get('general.address'), ['class' => 'mdl-color-text--primary-contrast mdl-textfield__label is-dirty'])!!}
				<span class="mdl-textfield__error">{{ $errors->first('address') }}</span>
			</div>
			
			<div class="mdl-textfield mdl-js-textfield is-upgraded is-focused mdl-textfield--floating-label @if ($errors->has('phone')) is-invalid is-dirty @endif"" data-upgraded="eP">
         		{!!Form::tel('phone', $contact->phone, ['class' => 'mdl-textfield__input'])!!}
				{!!Form::label('phone', Lang::get('general.phone'), ['class' => 'mdl-color-text--primary-contrast mdl-textfield__label is-dirty'])!!}
				<span class="mdl-textfield__error">{{ $errors->first('phone') }}</span>
			</div>
			
			<div class="mdl-textfield mdl-js-textfield is-upgraded is-focused mdl-textfield--floating-label @if ($errors->has('license_no')) is-invalid is-dirty @endif"" data-upgraded="eP">
         		{!!Form::number('license_no', $contact->license_no, ['class' => 'mdl-textfield__input'])!!}
				{!!Form::label('license_no', Lang::get('general.license_no'), ['class' => 'mdl-color-text--primary-contrast mdl-textfield__label is-dirty'])!!}
				<span class="mdl-textfield__error">{{ $errors->first('license_no') }}</span>
			</div>

