@section('content')

    
<div class="row margin-top-55">
    <div class="col-md-2">
        @include('account.left_nav')
    </div>
    <div class="col-md-10">
        <div class="gray_container standart-15">
            {{ Form::open(array('method' => 'put')) }}
            <div class="row">
                <div class="col-md-10 col-md-offset-1">
                    <h4 class="head_h4">ACCOUNT APPLICATION</h4>
                    <p>Since this is your first investment through Banq, you will need to setup your account at TriPoint Global Securities, LLC. Please complete the following form.</p><br><br>
                    @if($errors->has())
                        <div class="alert alert-danger">
                        @foreach ($errors->all() as $row)
                          <div>{{ $row }}</div>
                        @endforeach
                        </div>
                    @endif
                    <div class="account_application">
                        <ul>
                            <li> 
                                 {{ Form::text('email1', $folio->email1, array('class' => 'form-control tooltip-info', 'data-toggle' => 'tooltip', 'data-trigger' => 'focus', 'data-placement' => 'right', 'data-original-title' => 'This field must be a well-formed email address. (i.e. example@example.com)', 'placeholder' => 'E-mail')) }}
                            </li>
                            <li>                                
                                {{ Form::text('line1', $folio->homeAddress->line1, array('maxlength' => '35', 'class' => 'form-control tooltip-info', 'data-toggle' => 'tooltip', 'data-trigger' => 'focus', 'data-placement' => 'right', 'data-original-title' => 'The length must be between 1 and 35.', 'placeholder' => 'Home Street Address')) }}
                                
                                {{ Form::text('line2', !empty($folio->homeAddress->line2)?$folio->homeAddress->line2:'', array('maxlength' => '35', 'class' => 'form-control tooltip-info', 'data-toggle' => 'tooltip', 'data-trigger' => 'focus', 'data-placement' => 'right', 'data-original-title' => 'The length must be between 1 and 35.', 'placeholder' => 'Address Line 2')) }}
                                
                                {{ Form::text('city', $folio->homeAddress->city, array('class' => 'form-control tooltip-info', 'data-toggle' => 'tooltip', 'data-trigger' => 'focus', 'data-placement' => 'right', 'data-original-title' => 'The length must be between 1 and 25.', 'placeholder' => 'City')) }}
                                
                                <div class="btn-group">  
                               		{{ Form::select('state', $states, $folio->homeAddress->state, array('class' => 'form-control width2 tooltip-info', 'data-toggle' => 'tooltip', 'data-placement' => 'left', 'data-original-title' => 'lorem ipsum')) }}	
                                    
                                    {{ Form::text('zipcode', $folio->homeAddress->zipcode, array('class' => 'form-control width2 tooltip-info', 'data-toggle' => 'tooltip', 'data-trigger' => 'focus', 'data-placement' => 'right', 'data-original-title' => 'The length must be either 5 or 9.', 'placeholder' => 'Zip Code')) }}
                                </div>
                              		{{ Form::select('country', array('' => 'Country', 'US' => 'United States'), $folio->homeAddress->country, array('class' => 'form-control tooltip-info', 'data-toggle' => 'tooltip', 'data-placement' => 'right', 'data-original-title' => 'lorem ipsum')) }} 
                            </li>
                            <li>
                                {{ Form::text('eveningTelephone', $folio->eveningTelephone, array('class' => 'form-control tooltip-info', 'data-toggle' => 'tooltip', 'data-trigger' => 'focus', 'data-placement' => 'right', 'data-original-title' => 'The length should be between 1 and 14 digits.', 'placeholder' => 'Evening Telephone Number')) }}
                                
                                {{ Form::text('dayTelephone', $folio->dayTelephone, array('class' => 'form-control tooltip-info', 'data-toggle' => 'tooltip', 'data-trigger' => 'focus', 'data-placement' => 'right', 'data-original-title' => 'The length should be between 1 and 14 digits.', 'placeholder' => 'Daytime Telephone Number')) }}
                            </li>
                            <li>
                            	@if(!empty($folio->employmentStatus))
                            		{{ Form::select('employmentStatus', array('' => 'Employment Status', 'Employed' => 'Employed', 'Self-Employed' => 'Self-Employed', 'Retired' => 'Retired', 'Student' => 'Student', 'Unemployed' => 'Unemployed', 'Other' => 'Other'), $folio->employmentStatus, array('class' => 'form-control tooltip-info', 'data-toggle' => 'tooltip', 'data-placement' => 'right', 'data-original-title' => 'lorem ipsum')) }}
                                @else
                                	{{ Form::select('employmentStatus', array('' => 'Employment Status', 'Employed' => 'Employed', 'Self-Employed' => 'Self-Employed', 'Retired' => 'Retired', 'Student' => 'Student', 'Unemployed' => 'Unemployed', 'Other' => 'Other'), null, array('class' => 'form-control tooltip-info', 'data-toggle' => 'tooltip', 'data-placement' => 'right', 'data-original-title' => 'lorem ipsum')) }}
                              	@endif	
                                
                                {{ Form::text('employerName', $folio->employerName, array('class' => 'form-control tooltip-info hidden', 'data-toggle' => 'tooltip', 'data-trigger' => 'focus', 'data-placement' => 'right', 'data-original-title' => 'The length should be between 1-45.', 'placeholder' => 'The name of the employer')) }}
                                
                                {{ Form::text('employer_line1', $folio->employerAddress->line1, array('maxlength' => '35', 'class' => 'form-control tooltip-info hidden', 'data-toggle' => 'tooltip', 'data-trigger' => 'focus', 'data-placement' => 'right', 'data-original-title' => 'The length must be between 1 and 35.', 'placeholder' => 'Employer Street Address')) }}
                                
                        		 {{ Form::text('employer_line2', !empty($folio->employerAddress->line2)?$folio->employerAddress->line2:'', array('maxlength' => '35', 'class' => 'form-control tooltip-info hidden', 'data-toggle' => 'tooltip', 'data-trigger' => 'focus', 'data-placement' => 'right', 'data-original-title' => 'The length must be between 1 and 35.', 'placeholder' => 'Address Line 2')) }}
                                 
                                 {{ Form::text('employer_city', $folio->employerAddress->city, array('maxlength' => '35', 'class' => 'form-control tooltip-info hidden', 'data-toggle' => 'tooltip', 'data-trigger' => 'focus', 'data-placement' => 'right', 'data-original-title' => 'The length must be between 1 and 25.', 'placeholder' => 'City')) }}
                                
                                <div id="employer_address" class="btn-group hidden">
                                	@if(!empty($folio->employerAddress->state))
                                    	{{ Form::select('employer_state', $states, $folio->employerAddress->state, array('class' => 'form-control width2 tooltip-info', 'data-toggle' => 'tooltip', 'data-placement' => 'left', 'data-original-title' => 'lorem ipsum')) }}
                                    @else
                                    	{{ Form::select('employer_state', $states, null, array('class' => 'form-control width2 tooltip-info', 'data-toggle' => 'tooltip', 'data-placement' => 'left', 'data-original-title' => 'lorem ipsum')) }}	
                                    @endif
                                    
                                     {{ Form::text('employer_zipcode', $folio->employerAddress->zipcode, array('maxlength' => '35', 'class' => 'form-control width2 tooltip-info hidden', 'data-toggle' => 'tooltip', 'data-trigger' => 'focus', 'data-placement' => 'right', 'data-original-title' => 'The length must be either 5 or 9.', 'placeholder' => 'Zip Code')) }}
                                    
                                </div>
                                @if(!empty($folio->employerAddress->country))	
                                	{{ Form::select('employer_country', array('' => 'Country', 'US' => 'United States'), $folio->employerAddress->country, array('class' => 'form-control tooltip-info hidden', 'data-toggle' => 'tooltip', 'data-placement' => 'right', 'data-original-title' => 'lorem ipsum')) }}
                            	@else
                                	{{ Form::select('employer_country', array('' => 'Country', 'US' => 'United States'), null, array('class' => 'form-control tooltip-info hidden', 'data-toggle' => 'tooltip', 'data-placement' => 'right', 'data-original-title' => 'lorem ipsum')) }}
                               	@endif
                            </li>
                            <li>
                                {{ Form::select('citizenship', array('' => 'Citizenship Status', 'C' => 'C', 'R' => 'R'), $folio->citizenship, array('class' => 'form-control tooltip-info', 'data-toggle' => 'tooltip', 'data-placement' => 'right', 'data-original-title' => 'The available values are "C" for a US citizen and "R" for a resident alien.')) }}
                            </li>
                            <li>
                                <p>Are you employed by a registered broker-dealer, a securities exchange, or the FINRA?</p>                                                                
                                <label class="btn">
                                    <span>Yes</span>{{ Form::radio('finraAffiliated', '1', (isset($folio->finraAffiliated) && $folio->finraAffiliated === true) ) }}
                                </label><br>                                                              
                                <label class="btn">
                                    <span>No</span>{{ Form::radio('finraAffiliated', '0', (isset($folio->finraAffiliated) && $folio->finraAffiliated === false) ) }}
                                </label>
                            </li>
                            <li>
                                <p>Are you an officer, director, 10% shareholder or policymaker of a publicly held company? </p>                                                                
                                <label class="btn">
                                    <span>Yes</span>{{ Form::radio('directorOrTenPercentShareholder', '1', (isset($folio->directorOrTenPercentShareholder) && $folio->directorOrTenPercentShareholder === true) ) }}
                                </label><br>                                                              
                                <label class="btn">
                                    <span>No</span>{{ Form::radio('directorOrTenPercentShareholder', '0', (isset($folio->directorOrTenPercentShareholder) && $folio->directorOrTenPercentShareholder === false) ) }}
                                </label>
                                
                                <input type="text" name="directorOrTenPercentShareholderCompany" value="