r="123 Street">
                        </div>
                        <div class="col-md-6 form-group">
                            <label>Country</label>
                            <select class="custom-select">
                                <option selected>United States</option>
                                <option>Afghanistan</option>
                                <option>Albania</option>
                                <option>Algeria</option>
                            </select>
            