<form id="crepair-form" action="crepair/{{$contact_id}}" method="post" > <h4>{{$contact_name}}</h4> <label id="crepair-name-label" class="crepair-label" for="crepair-name">{{$label_name}}</label> <input type="text" id="crepair-name" class="crepair-input" name="name" value="{{$contact_name}}" /> <div class="clear"></div> <label id="crepair-nick-label" class="crepair-label" for="crepair-nick">{{$label_nick}}</label> <input type="text" id="crepair-nick" class="crepair-input" name="nick" value="{{$contact_nick}}" /> <div class="clear"></div> <label id="crepair-attag-label" class="crepair-label" for="crepair-attag">{{$label_attag}}</label> <input type="text" id="crepair-attag" class="crepair-input" name="attag" value="{{$contact_attag}}" /> <div class="clear"></div> <label id="crepair-url-label" class="crepair-label" for="crepair-url">{{$label_url}}</label> <input type="text" id="crepair-url" class="crepair-input" name="url" value="{{$contact_url}}" /> <div class="clear"></div> <label id="crepair-request-label" class="crepair-label" for="crepair-request">{{$label_request}}</label> <input type="text" id="crepair-request" class="crepair-input" name="request" value="{{$request}}" /> <div class="clear"></div> <label id="crepair-confirm-label" class="crepair-label" for="crepair-confirm">{{$label_confirm}}</label> <input type="text" id="crepair-confirm" class="crepair-input" name="confirm" value="{{$confirm}}" /> <div class="clear"></div> <label id="crepair-notify-label" class="crepair-label" for="crepair-notify">{{$label_notify}}</label> <input type="text" id="crepair-notify" class="crepair-input" name="notify" value="{{$notify}}" /> <div class="clear"></div> <label id="crepair-poll-label" class="crepair-label" for="crepair-poll">{{$label_poll}}</label> <input type="text" id="crepair-poll" class="crepair-input" name="poll" value="{{$poll}}" /> <div class="clear"></div> <label id="crepair-photo-label" class="crepair-label" for="crepair-photo">{{$label_photo}}</label> <input type="text" id="crepair-photo" class="crepair-input" name="photo" value="" /> <div class="clear"></div> <input type="submit" name="submit" value="{{$lbl_submit}}" /> </form>