Bootstrap Billing address form


	<div class="container">
	<div class="row">
        <div class="span8">
    		<form action="billing" method="post" class="form-horizontal" id="billingform" accept-charset="utf-8">
    			<div class="control-group">
    				<label for="email" class="control-label">	
    					Billing E-Mail 
    				</label>
    				<div class="controls">
    					<input name="email" type="email" value="" id="email">
    					<span class="help-inline">  Where should we send invoices?</span>
    				</div>
    			</div>
     
    			<div class="control-group">
    				<label for="address" class="control-label">	
    					Street Address
    				</label>
    				<div class="controls"><input name="address" placeholder="W 123 Street" type="text" value="" id="address"><span class="help-inline">  Street Name and/or apartment number</span>
    				</div>
    			</div>
     
    			<div class="control-group">
    				<label for="zip" class="control-label">	
    					Zip Code
    				</label>
    				<div class="controls"><input name="zip" type="text" value="" id="zip">
    				</div>
    			</div>
     
    			<div class="control-group">
    				<label for="city" class="control-label">	
    					City
    				</label>
    				<div class="controls"><input name="city" type="text" value="" id="city">
    				</div>
    			</div>
    			
    			<div class="control-group">
    				<label for="country" class="control-label">	
    					Country
    				</label>
    				<div class="controls">
    					<select name="country" id="country">
    						<option value="">
    						<option value="AR">Argentina
    						<option value="AU">Australia
    						<option value="AT">Austria
    						<option value="BY">Belarus
    						<option value="BE">Belgium
    						<option value="BA">Bosnia and Herzegovina
    						<option value="BR">Brazil
    						<option value="BG">Bulgaria
    						<option value="CA">Canada
    						<option value="CL">Chile
    						<option value="CN">China
    						<option value="CO">Colombia
    						<option value="CR">Costa Rica
    						<option value="HR">Croatia
    						<option value="CU">Cuba
    						<option value="CY">Cyprus
    						<option value="CZ">Czech Republic
    						<option value="DK">Denmark
    						<option value="DO">Dominican Republic
    						<option value="EG">Egypt
    						<option value="EE">Estonia
    						<option value="FI">Finland
    						<option value="FR">France
    						<option value="GE">Georgia
    						<option value="DE">Germany
    						<option value="GI">Gibraltar
    						<option value="GR">Greece
    						<option value="HK">Hong Kong S.A.R., China
    						<option value="HU">Hungary
    						<option value="IS">Iceland
    						<option value="IN">India
    						<option value="ID">Indonesia
    						<option value="IR">Iran
    						<option value="IQ">Iraq
    						<option value="IE">Ireland
    						<option value="IL">Israel
    						<option value="IT">Italy
    						<option value="JM">Jamaica
    						<option value="JP">Japan
    						<option value="KZ">Kazakhstan
    						<option value="KW">Kuwait
    						<option value="KG">Kyrgyzstan
    						<option value="LA">Laos
    						<option value="LV">Latvia
    						<option value="LB">Lebanon
    						<option value="LT">Lithuania
    						<option value="LU">Luxembourg
    						<option value="MK">Macedonia
    						<option value="MY">Malaysia
    						<option value="MT">Malta
    						<option value="MX">Mexico
    						<option value="MD">Moldova
    						<option value="MC">Monaco
    						<option value="ME">Montenegro
    						<option value="MA">Morocco
    						<option value="NL">Netherlands
    						<option value="NZ">New Zealand
    						<option value="NI">Nicaragua
    						<option value="KP">North Korea
    						<option value="NO">Norway
    						<option value="PK">Pakistan
    						<option value="PS">Palestinian Territory
    						<option value="PE">Peru
    						<option value="PH">Philippines
    						<option value="PL">Poland
    						<option value="PT">Portugal
    						<option value="PR">Puerto Rico
    						<option value="QA">Qatar
    						<option value="RO">Romania
    						<option value="RU">Russia
    						<option value="SA">Saudi Arabia
    						<option value="RS">Serbia
    						<option value="SG">Singapore
    						<option value="SK">Slovakia
    						<option value="SI">Slovenia
    						<option value="ZA">South Africa
    						<option value="KR">South Korea
    						<option value="ES">Spain
    						<option value="LK">Sri Lanka
    						<option value="SE">Sweden
    						<option value="CH">Switzerland
    						<option value="TW">Taiwan
    						<option value="TH">Thailand
    						<option value="TN">Tunisia
    						<option value="TR">Turkey
    						<option value="UA">Ukraine
    						<option value="AE">United Arab Emirates
    						<option value="GB">United Kingdom
    						<option value="US">USA
    						<option value="UZ">Uzbekistan
    						<option value="VN">Vietnam
    					</select>
    				</div>
    			</div>
     
    			<div class="form-actions">
    				<button type="submit" class="btn btn-large btn-primary">Save Billing Address</button>
    			</div>
    		</form>
    	</div> <!-- .span8 -->
	</div>
</div>
	<script type="text/javascript">
	
	</script>