{!! Form::numeric('agent_id')
-> label(trans('listing::referral.label.agent_id'))
-> placeholder(trans('listing::referral.placeholder.agent_id'))!!}
{!! Form::numeric('referral_id')
-> label(trans('listing::referral.label.referral_id'))
-> placeholder(trans('listing::referral.placeholder.referral_id'))!!}
{!! Form::numeric('agent_percentage')
-> label(trans('listing::referral.label.agent_percentage'))
-> placeholder(trans('listing::referral.placeholder.agent_percentage'))!!}
{!! Form::numeric('buyer_percentage')
-> label(trans('listing::referral.label.buyer_percentage'))
-> placeholder(trans('listing::referral.placeholder.buyer_percentage'))!!}
{!! Form::text('establishment_name')
-> label(trans('listing::referral.label.establishment_name'))
-> placeholder(trans('listing::referral.placeholder.establishment_name'))!!}
{!! Form::text('address1')
-> label(trans('listing::referral.label.address1'))
-> placeholder(trans('listing::referral.placeholder.address1'))!!}
{!! Form::text('address2')
-> label(trans('listing::referral.label.address2'))
-> placeholder(trans('listing::referral.placeholder.address2'))!!}
{!! Form::numeric('phone')
-> label(trans('listing::referral.label.phone'))
-> placeholder(trans('listing::referral.placeholder.phone'))!!}
{!! Form::text('email')
-> label(trans('listing::referral.label.email'))
-> placeholder(trans('listing::referral.placeholder.email'))!!}
{!! Form::text('fax')
-> label(trans('listing::referral.label.fax'))
-> placeholder(trans('listing::referral.placeholder.fax'))!!}
{!! Form::text('orn')
-> label(trans('listing::referral.label.orn'))
-> placeholder(trans('listing::referral.placeholder.orn'))!!}
{!! Form::text('ded_lisc')
-> label(trans('listing::referral.label.ded_lisc'))
-> placeholder(trans('listing::referral.placeholder.ded_lisc'))!!}
{!! Form::text('po_box')
-> label(trans('listing::referral.label.po_box'))
-> placeholder(trans('listing::referral.placeholder.po_box'))!!}
{!! Form::text('buyer_agent_name')
-> label(trans('listing::referral.label.buyer_agent_name'))
-> placeholder(trans('listing::referral.placeholder.buyer_agent_name'))!!}
{!! Form::text('buyer_agent_brn')
-> label(trans('listing::referral.label.buyer_agent_brn'))
-> placeholder(trans('listing::referral.placeholder.buyer_agent_brn'))!!}
{!! Form::numeric('buyer_agent_mobile')
-> label(trans('listing::referral.label.buyer_agent_mobile'))
-> placeholder(trans('listing::referral.placeholder.buyer_agent_mobile'))!!}
{!! Form::text('buyer_agent_email')
-> label(trans('listing::referral.label.buyer_agent_email'))
-> placeholder(trans('listing::referral.placeholder.buyer_agent_email'))!!}
{!! Form::text('fee_payby')
-> label(trans('listing::referral.label.fee_payby'))
-> placeholder(trans('listing::referral.placeholder.fee_payby'))!!}
{!! Form::text('budget')
-> label(trans('listing::referral.label.budget'))
-> placeholder(trans('listing::referral.placeholder.budget'))!!}
{!! Form::text('documents')
-> label(trans('listing::referral.label.documents'))
-> placeholder(trans('listing::referral.placeholder.documents'))!!}