
<?php
// Manual input fields replacing country/state/city dropdowns
?>
<div class="form-group col-sm-4">
  <div class="form-control-wrap">
    <input type="text" class="form-control form-control-outlined" name="countryId" id="countryId" placeholder="" />
    <label class="form-label-outlined" for="countryId">Country</label>
  </div>
</div>

<div class="form-group col-sm-4">
  <div class="form-control-wrap">
    <input type="text" class="form-control form-control-outlined" name="stateId" id="stateId" placeholder="" />
    <label class="form-label-outlined" for="stateId">State</label>
  </div>
</div>

<div class="form-group col-sm-4">
  <div class="form-control-wrap">
    <input type="text" class="form-control form-control-outlined" name="cityId" id="cityId" placeholder="" />
    <label class="form-label-outlined" for="cityId">City</label>
  </div>
</div>
