<div class="form-row">
<div class="col-sm-6">
<div class="form-group">
- <input type="text" class="form-control" id="exampleFormControlInput1"
+ <input type="text" class="form-control"
placeholder="{{ _("First Name" )}}" required>
</div>
</div>
<div class="col-sm-6">
<div class="form-group">
- <input type="text" class="form-control" id="exampleFormControlInput1"
+ <input type="text" class="form-control"
placeholder="{{ _("Last Name" )}}" required>
</div>
</div>
</div>
<div class="form-group">
- <input type="email" class="form-control" id="exampleFormControlInput1"
+ <input type="email" class="form-control"
placeholder="{{ _("Email Address") }}" required>
</div>
<div class="form-group">
- <input type="text" class="form-control" id="exampleFormControlInput1"
+ <input type="text" class="form-control"
placeholder="{{ _("Company Name (optional)") }}">
</div>
<div class="form-group">
- <input type="text" class="form-control" id="exampleFormControlInput1"
+ <input type="text" class="form-control"
placeholder="{{ _("Address Line 1") }}" required>
</div>
<div class="form-group">
- <input type="text" class="form-control" id="exampleFormControlInput1"
+ <input type="text" class="form-control"
placeholder="{{ _("Address Line 2") }}">
</div>
<div class="form-row">
<div class="col-sm-6">
<div class="form-group">
- <input type="text" class="form-control" id="exampleFormControlInput1"
+ <input type="text" class="form-control"
placeholder="{{ _("City") }}" required>
</div>
</div>
<div class="col-sm-6">
<div class="form-group">
- <input type="text" class="form-control" id="exampleFormControlInput1"
+ <input type="text" class="form-control"
placeholder="{{ _("Post Code") }}" required>
</div>
</div>
<div class="form-row">
<div class="col-sm-6">
<div class="form-group">
- <select class="form-control" id="exampleFormControlSelect1" required>
+ <select class="form-control" required>
<option value="">- {{ _("Country") }} -</option>
<option>2</option>
<option>3</option>
<div class="col-sm-6">
<div class="form-group">
- <input type="text" class="form-control" id="exampleFormControlInput1"
+ <input type="text" class="form-control"
placeholder="{{ _("State (optional)") }}">
</div>
</div>