<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>