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<div class="form-group row align-items-center">
<label class="col-sm-4 text-muted mb-2">Bill Address :
</label>
<div class="col-sm-8">
<div class="form-group">
<select class="form-control">
<option value="Default" Selected>Default</option>
<option value="Template01">Template01</option>
<option value="Template01">Template01</option>
<option value="Template01">Template01</option>
</select>
</div>
</div>
<div class="col-sm-6">
<div class="form-group">
<label for="BillName">Name
</label>
<input type="text" class="form-control" id="BillName" value="">
</div>
</div>
<div class="col-sm-6">
<div class="form-group">
<label for="BillDistrict">District
</label>
<select class="form-control" id="BillDistrict">
<option value=""></option>
<option value="Template01">Hong Kong</option>
</select>
</div>
</div>
<div class="col-sm-12">
<div class="form-group">
<label for="BillAddress">Address
</label>
<textarea class="form-control" id="BillAddress" rows="4"></textarea>
</div>
</div>
<div class="col-sm-6">
<div class="form-group">
<label for="BillAttention">Attention
</label>
<input type="text" class="form-control" id="BillAttention" value="">
</div>
<div class="form-group">
<label for="BillEmail">Email
</label>
<input type="email" class="form-control" id="BillEmail" value="">
</div>
</div>
<div class="col-sm-6">
<div class="form-group">
<label for="BillTel">Tel
</label>
<input type="text" class="form-control" id="BillTel" value="">
</div>
<div class="form-group">
<label for="BillFax">Fax
</label>
<input type="text" class="form-control" id="BillFax" value="">
</div>
</div>
</div>
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