

    <div class="callout callout-warning">
        <div class="form-group row">
            <div class='col-md-8'>
                {!! html()->label( 'Adresse','adresse') !!}
                {!! html()->textarea('adresse', null)
                    ->placeholder('ADRESSE')
                    ->attributes([($mode=="show"?'disabled':''), 'class' => 'form-control', 'rows'=>'2']) !!}
            </div>
        </div>

        <div class="form-group row">
            <div class='col-md-2'>
                {!! html()->label( 'Code postal','code_postal') !!}
                {!! html()->text('code_postal', null)->placeholder("CODE POSTAL")->attributes([($mode=="show"?'disabled':''), 'class' => 'form-control']) !!}
            </div>

            <div class='col-md-3'>
                {!! html()->label( 'District - Zone','district') !!}
                <br/>
                {!! html()->select('district',App\Models\MyApp::DISTRICTS2,null)
                        ->placeholder('A définir')
                        ->attributes([($mode=="show"?'disabled':''),'class' => 'form-control'])  !!}
            </div>

            <div class='col-md-3'>
                {!! html()->label( 'Ile/Région','ile') !!}
                <br/>
                {!! html()->select('ile',App\Models\MyApp::ILES2,null)
                        ->placeholder('A définir')
                        ->attributes([($mode=="show"?'disabled':''),'class' => 'form-control'])  !!}
            </div>
        </div>

        <div class="form-group row">
            <div class="col-md-6">
                {!! html()->label( 'Email','email') !!}
                {!! html()->email('email', null)->attributes([($mode=="show"?'disabled':''), 'class' => 'form-control']) !!}
            </div>
        </div>

        <div class="form-group row">
            <div class='col-md-3'>
                {!! html()->label( 'Téléphone','tel') !!}
                {!! html()->text('tel', null)->placeholder("TELEPHONE")->attributes([($mode=="show"?'disabled':''), 'class' => 'form-control']) !!}
            </div>

            <div class='col-md-3'>
                {!! html()->label( 'Fax','fax') !!}
                {!! html()->text('fax', null)->placeholder("FAX")->attributes([($mode=="show"?'disabled':''), 'class' => 'form-control']) !!}
            </div>
        </div>
    </div>


