{{ Form::open(array('url' => url('/account/setup-bia-account'), 'method' => 'post', 'id' => 'bia_form')) }} {{ Form::hidden('redirect', '/account#tabs-new') }}
BIA Assessor Account Information

Use this form to setup your BIA Assessor Account by entering in your mailing address and contact phone number. All fields are required. Click Go when ready.


Name
{{ Auth::user()->getDisplayFullName() }}
E-Mail Address
{{ Auth::user()->email }}


{{ Form::label('line_1', 'Mailing Address', array('style' => 'font-weight: bold;')) }}
{{ Form::text('line_1', null, array('style' => 'width: 95%;', 'autofocus' => 'true', 'data-placeholder' => 'Address Line 1', 'data-required' => 'true')) }}
{{ Form::text('line_2', null, array('style' => 'width: 95%; margin-top: 0.5em;', 'data-placeholder' => 'Address Line 2')) }}
{{ Form::text('city', null, array('style' => 'width: 171px; margin-top: 0.5em;', 'data-placeholder' => 'City', 'data-required' => 'true')) }}