{{-- Header with Gradient --}}

Add New Agency Lead

Record a new agency inquiry for outreach

{{-- Form --}}

@csrf {{-- Agency Information Section --}}

Agency Information

{{-- Agency Name --}}

Agency Name * @error('agency_name')

{{ $message }}

@enderror

{{-- Contact Person --}}

Contact Person @error('contact_person')

{{ $message }}

@enderror

{{-- IATA Code --}}

IATA Code @error('iata_code')

{{ $message }}

@enderror

{{-- Contact Information Section --}}

Contact Information

{{-- Primary Phone --}}

Primary Phone * @error('phone')

{{ $message }}

@enderror

{{-- Secondary Phone --}}

Secondary Phone @error('secondary_phone')

{{ $message }}

@enderror

{{-- Email --}}

Email Address @error('email')

{{ $message }}

@enderror

{{-- County --}}

County @error('county')

{{ $message }}

@enderror

{{-- Location --}}

Physical Location @error('location')

{{ $message }}

@enderror

{{-- Lead Management Section --}}

Lead Management

{{-- Status --}}

Status * @error('status')

{{ $message }}

@enderror

{{-- Priority --}}

Priority * @error('priority')

{{ $message }}

@enderror

{{-- Assigned Agent --}}

Assign to Agent @error('assigned_agent_id')

{{ $message }}

@enderror

{{-- Follow-up Date --}}

Follow-up Date @error('follow_up_date')

{{ $message }}

@enderror

{{-- Flynas Registered --}}

Already registered with Flynas

{{-- Notes Section --}}

Notes @error('notes')

{{ $message }}

@enderror

{{-- Action Buttons --}}

Cancel