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<div class="form-group row align-items-center">
<label class="col-sm-4 text-muted mb-2">Delivery 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="DeliveryName">Name
</label>
<input type="text" class="form-control" id="DeliveryName" value="">
</div>
</div>
<div class="col-sm-6">
<div class="form-group">
<label for="DeliveryDistrict">District
</label>
<select class="form-control" id="DeliveryDistrict">
<option value=""></option>
<option value="Template01">Hong Kong</option>
</select>
</div>
</div>
<div class="col-sm-12">
<div class="form-group">
<label for="DeliveryAddress">Address
</label>
<textarea class="form-control" id="DeliveryAddress" rows="4"></textarea>
</div>
</div>
<div class="col-sm-6">
<div class="form-group">
<label for="DeliveryAttention">Attention
</label>
<input type="text" class="form-control" id="DeliveryAttention" value="">
</div>
<div class="form-group">
<label for="DeliveryEmail">Email
</label>
<input type="email" class="form-control" id="DeliveryEmail" value="">
</div>
</div>
<div class="col-sm-6">
<div class="form-group">
<label for="DeliveryTel">Tel
</label>
<input type="text" class="form-control" id="DeliveryTel" value="">
</div>
<div class="form-group">
<label for="DeliveryFax">Fax
</label>
<input type="text" class="form-control" id="DeliveryFax" value="">
</div>
</div>
</div>
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