 id="email" />
                        </label>
                      </div>
                      <!-- Street & City  -->
                      <div class="grid grid-cols-1 gap-5 md:grid-cols-2">
                        <label class="label" for="street-address">
                          <span class="my-1 block">Street Address</span>
                          <input
                            type="text"
                            class="input"
                            value="15205 North California,  