@extends('main') @section('css') @endsection @section('content')

{{ucwords($page['page_title'])}}

@if (Session::has('message'))

{{ Session::get('message') }}

@endif @if (Session::get('error_msg'))

{{Session::get('error_msg')}}

@endif @if (Session::get('succ_msg'))

{{Session::get('succ_msg')}}

@endif

First Name*

Last Name*

Email*

Phone*

Company*

State/Province*

@endsection @section('js') @endsection