- <label class="" for="address_line1">Address: </label>
- <input type="text" id="address_line1" name="address_line1" value="{{ address_line1 }}" maxlength="40" class="form-control">
- </div>
- <div class="form-group">
- <label class="" for="address_line2">Address (2): </label>
- <input type="text" id="address_line2" name="address_line2" value="{{ address_line2 }}" maxlength="40" class="form-control">
- </div>
- <div class="form-group">
- <label class="" for="address_line3">Address (3): </label>
- <input type="text" id="address_line3" name="address_line3" value="{{ address_line3 }}" maxlength="40" class="form-control">
- </div>
- <div class="form-group">
- <label class="" for="address_city">City: </label>
- <input type="text" id="address_city" name="address_city" value="{{ address_city }}" maxlength="20" class="form-control">
- </div>
- <div class="form-group">
- <label class="" for="address_postalcode">Postal Code: </label>
- <input type="text" id="address_postalcode" name="address_postalcode" value="{{ address_postalcode }}" size="10" maxlength="10" class="form-control">
- </div>
- <div class="form-group">
- <label class="" for="address_state">State: </label>
- <input type="text" id="address_state" name="address_state" value="{{ address_state }}" maxlength="20" class="form-control">
- </div>
- <div class="form-group">
- <label class="" for="address_country">Country: </label>
- <input type="text" id="address_country" name="address_country" value="{{ address_country }}" maxlength="20" class="form-control">
- </div>
-
- </div>
-</div>
-
-<div class="row">
-
- <div class="col-md-6">
-
- <h3>Principal Investigator Information</h3>
-
- <div class="form-group">
- <label for="pi_first_name">PI First Name</label>
- <input type="text" id="pi_first_name" name="pi_first_name" value="{{ pi_first_name }}" maxlength="20" class="form-control" required>