Company name:

{{input id='company_name' placeholder='Company name' value=model.company_name class="form-control" required="required"}}

Address:

{{input id='address1' placeholder='Address' value=model.address1 class="form-control" required="required"}} {{input id='address2' placeholder='Address' value=model.address2 class="form-control" }} {{input id='address3' placeholder='Address' value=model.address3 class="form-control" }}

Town:

{{input id='town' placeholder='Town' value=model.town class="form-control" required="required"}}

County:

{{input id='county' placeholder='County' value=model.county class="form-control" }}

Postcode:

{{input id='postcode' placeholder='Postcode' value=model.postcode class="form-control" required="required"}}

Primary Contact:

{{input id='pcontact' placeholder='Primary contact number' value=model.pcontact class="form-control" required="required"}}

Other Contact:

{{input id='ocontact' placeholder='Other contact phone number' value=model.ocontact class="form-control" }}

Mobile:

{{input id='mobile' placeholder='Mobile phone' value=model.mobile class="form-control" }}

Email:

{{input id='email' placeholder='Contact email address' value=model.email class="form-control" required="required"}}