ress</label>
                    <input class="form-control" type="text" value="Bld Mihail Kogalniceanu, nr. 8 Bl 1, Sc 1, Ap 09">
                  </div>
                </div>
                <div class="col-md-4">
                  <div class="form-group">
                    <label for="example-text-input" class="form-control-label">City</label>
                    <input class="form-control" type="text" value="New York">
                  </div>
                </div>
                <div class="col-m