<form>
<div class="field-address">
<fieldset>
<legend>What is the address of your project?</legend>
<div class="form-group">
<label for="project_address_line1">Address Line 1</label>
<input type="text" id="project_address_line1" required="required">
<p class="help-block with-errors with-errors-inline"></p>
</div>
<div class="form-group">
<label for="project_address_line2">Address Line 2 <span class="optional">(optional)</span></label>
<input type="text" id="project_address_line2">
<p class="help-block with-errors with-errors-inline"></p>
</div>
<div class="form-group">
<label for="project_address_city">City</label>
<input type="text" id="project_address-city" required="required" data-error="Please enter a city.">
<p class="help-block with-errors with-errors-inline"></p>
</div>
<div class="field-address-state form-group">
<label for="project_address_state">State</label>
<select id="project_address_state" required="required" data-error="Please choose a state.">
<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>
<div class="field-address-zip form-group">
<label for="project_address_zip" required="required" data-error="Please enter a ZIP code.">ZIP code</label>
<input type="number" id="project_address_zip" maxlength="5" class="length-5">
<p class="help-block with-errors with-errors-inline"></p>
</div>
</fieldset>
</div>
</form>
<form>
<div class="field-address">
<fieldset>
<legend>{{ title }}</legend>
<div class="form-group">
<label for="{{ id}}_line1">Address Line 1</label>
<input type="text" id="{{ id}}_line1" required="required">
<p class="help-block with-errors with-errors-inline"></p>
</div>
<div class="form-group">
<label for="{{ id}}_line2">Address Line 2 <span class="optional">(optional)</span></label>
<input type="text" id="{{ id }}_line2">
<p class="help-block with-errors with-errors-inline"></p>
</div>
<div class="form-group">
<label for="{{ id}}_city">City</label>
<input type="text" id="{{ id}}-city" required="required" data-error="Please enter a city.">
<p class="help-block with-errors with-errors-inline"></p>
</div>
<div class="field-address-state form-group">
<label for="{{ id }}_state">State</label>
<select id="{{ id }}_state" required="required" data-error="Please choose a state.">
<option value="">Choose a state</option>
{% for state in states %}
<option value="{{ state.value }}">{{ state.name }}</option>
{% endfor %}
</select>
<p class="help-block with-errors with-errors-inline"></p>
</div>
<div class="field-address-zip form-group">
<label for="{{ id }}_zip" required="required" data-error="Please enter a ZIP code.">ZIP code</label>
<input type="number" id="{{ id}}_zip" maxlength="5" class="length-5">
<p class="help-block with-errors with-errors-inline"></p>
</div>
</fieldset>
</div>
</form>
{
"title": "What is the address of your project?",
"id": "project_address",
"states": [
{
"value": "AL",
"name": "Alabama"
},
{
"value": "AK",
"name": "Alaska"
},
{
"value": "AZ",
"name": "Arizona"
},
{
"value": "AR",
"name": "Arkansas"
},
{
"value": "CA",
"name": "California"
},
{
"value": "CO",
"name": "Colorado"
},
{
"value": "CT",
"name": "Connecticut"
},
{
"value": "DE",
"name": "Delaware"
},
{
"value": "DC",
"name": "District Of Columbia"
},
{
"value": "FL",
"name": "Florida"
},
{
"value": "GA",
"name": "Georgia"
},
{
"value": "HI",
"name": "Hawaii"
},
{
"value": "ID",
"name": "Idaho"
},
{
"value": "IL",
"name": "Illinois"
},
{
"value": "IN",
"name": "Indiana"
},
{
"value": "IA",
"name": "Iowa"
},
{
"value": "KS",
"name": "Kansas"
},
{
"value": "KY",
"name": "Kentucky"
},
{
"value": "LA",
"name": "Louisiana"
},
{
"value": "ME",
"name": "Maine"
},
{
"value": "MD",
"name": "Maryland"
},
{
"value": "MA",
"name": "Massachusetts"
},
{
"value": "MI",
"name": "Michigan"
},
{
"value": "MN",
"name": "Minnesota"
},
{
"value": "MS",
"name": "Mississippi"
},
{
"value": "MO",
"name": "Missouri"
},
{
"value": "MT",
"name": "Montana"
},
{
"value": "NE",
"name": "Nebraska"
},
{
"value": "NV",
"name": "Nevada"
},
{
"value": "NH",
"name": "New Hampshire"
},
{
"value": "NJ",
"name": "New Jersey"
},
{
"value": "NM",
"name": "New Mexico"
},
{
"value": "NY",
"name": "New York"
},
{
"value": "NC",
"name": "North Carolina"
},
{
"value": "ND",
"name": "North Dakota"
},
{
"value": "OH",
"name": "Ohio"
},
{
"value": "OK",
"name": "Oklahoma"
},
{
"value": "OR",
"name": "Oregon"
},
{
"value": "PA",
"name": "Pennsylvania"
},
{
"value": "RI",
"name": "Rhode Island"
},
{
"value": "SC",
"name": "South Carolina"
},
{
"value": "SD",
"name": "South Dakota"
},
{
"value": "TN",
"name": "Tennessee"
},
{
"value": "TX",
"name": "Texas"
},
{
"value": "UT",
"name": "Utah"
},
{
"value": "VT",
"name": "Vermont"
},
{
"value": "VA",
"name": "Virginia"
},
{
"value": "WA",
"name": "Washington"
},
{
"value": "WV",
"name": "West Virginia"
},
{
"value": "WI",
"name": "Wisconsin"
},
{
"value": "WY",
"name": "Wyoming"
}
]
}
There are no notes for this item.