Zip Code * {{ Form::text('ZipCode', '', array('class' => 'form-control', 'placeholder' => 'Zip Code', 'required')) }}

Type {{ Form::text('Type', '', array('class' => 'form-control', 'placeholder' => 'Type')) }}

Primary City {{ Form::text('PrimaryCity', '', array('class' => 'form-control', 'placeholder' => 'PrimaryCity')) }}

County {{ Form::text('County', '', array('class' => 'form-control', 'placeholder' => 'County')) }}

State* {{ Form::text('State', '', array('class' => 'form-control', 'placeholder' => 'State', 'required')) }}

Area Code {{ Form::text('AreaCode', '', array('class' => 'form-control', 'placeholder' => 'Area Code')) }}

Timezone {{ Form::text('Timezone', '', array('class' => 'form-control', 'placeholder' => 'Timezone')) }}

Country* {{ Form::text('Country', '', array('class' => 'form-control', 'placeholder' => 'Country', 'required')) }}

Latitude {{ Form::text('Latitude', '', array('class' => 'form-control', 'placeholder' => 'Latitude')) }}

Longitude {{ Form::text('Longitude', '', array('class' => 'form-control', 'placeholder' => 'Longitude')) }}