
                                    for="email_id">Email address</label>
                                </h3>
                            </div>
                        </div>
                        <div class="row">
                            <div class="col-md-1 col-sm-2 col-xs-2">
                            </div>
                            <div class="col-md-6 col-xs-8 col-sm-8">
                                <input class="form-control input-lg 
                                    space" type="e