<fieldset>
<legend>{% include elements/label.html %}</legend> {% if address-fields contains 'street' or address-fields == 'full' %} <div class="form-group"> <label for="{{ name}}-line1">Address Line 1</label> <input type="text" id="{{ name}}-line1" {% unless optional %}required="required"{% endunless %}> <p class="help-block with-errors with-errors-inline"></p> </div> <div class="form-group"> <label for="{{ name}}-line2">Address Line 2 {% unless optional %}<span class="optional">(optional)</span>{% endunless %}</label> <input type="text" id="{{ name }}-line2"> <p class="help-block with-errors with-errors-inline"></p> </div> {% endif %} {% if address-fields contains 'city' or address-fields == 'full' %} <div class="form-group"> <label for="{{ name}}-city">City</label> <input type="text" id="{{ name}}-city" {% unless optional %}required="required" data-error="Please enter a city."{% endunless %}> <p class="help-block with-errors with-errors-inline"></p> </div> {% endif %} {% if address-fields contains 'state' or address-fields == 'full' %} <div class="field-address-state form-group"> <label for="{{ name}}-state">State</label> <select id="{{ name}}-state" {% unless optional %}required="required" data-error="Please choose a state."{% endunless %}> <option value="">Choose a state</option> <option value="AL">Alabama</option> <option value="AK">Alaska</option> <option value="AZ">Arizona</option> <option value="AR">Arkansas</option> <option value="CA">California</option> <option value="CO">Colorado</option> <option value="CT">Connecticut</option> <option value="DE">Delaware</option> <option value="DC">District Of Columbia</option> <option value="FL">Florida</option> <option value="GA">Georgia</option> <option value="HI">Hawaii</option> <option value="ID">Idaho</option> <option value="IL">Illinois</option> <option value="IN">Indiana</option> <option value="IA">Iowa</option> <option value="KS">Kansas</option> <option value="KY">Kentucky</option> <option value="LA">Louisiana</option> <option value="ME">Maine</option> <option value="MD">Maryland</option> <option value="MA">Massachusetts</option> <option value="MI">Michigan</option> <option value="MN">Minnesota</option> <option value="MS">Mississippi</option> <option value="MO">Missouri</option> <option value="MT">Montana</option> <option value="NE">Nebraska</option> <option value="NV">Nevada</option> <option value="NH">New Hampshire</option> <option value="NJ">New Jersey</option> <option value="NM">New Mexico</option> <option value="NY">New York</option> <option value="NC">North Carolina</option> <option value="ND">North Dakota</option> <option value="OH">Ohio</option> <option value="OK">Oklahoma</option> <option value="OR">Oregon</option> <option value="PA">Pennsylvania</option> <option value="RI">Rhode Island</option> <option value="SC">South Carolina</option> <option value="SD">South Dakota</option> <option value="TN">Tennessee</option> <option value="TX">Texas</option> <option value="UT">Utah</option> <option value="VT">Vermont</option> <option value="VA">Virginia</option> <option value="WA">Washington</option> <option value="WV">West Virginia</option> <option value="WI">Wisconsin</option> <option value="WY">Wyoming</option> </select> <p class="help-block with-errors with-errors-inline"></p> </div> {% endif %} {% if address-fields contains 'zip' or address-fields == 'full' %} <div class="field-address-zip form-group"> <label for="{{ name}}-zip" {% unless optional %}required="required" data-error="Please enter a ZIP code."{% endunless %}>ZIP code</label> <input type="number" id="{{ name}}-zip" maxlength="5" class="length-5"> <p class="help-block with-errors with-errors-inline"></p> </div> {% endif %} {% include elements/helptext.html %}
</fieldset>