{!! Form::text('account_name' , null ,['class' => 'form-control', 'placeholder'=> __('Account name'),'required' => true]) !!}

{!! Form::select('country', [], '', ['placeholder' => __('Select') ,'class' => 'form-control smarty_ship_state']) !!}

{!! Form::text('account_number' , null ,['class' => 'form-control', 'placeholder'=> __('Account Number'),'required' => true]) !!}

{!! Form::text('routing_number' , null ,['class' => 'form-control', 'placeholder'=> __('Routing Number'),'required' => true]) !!}