							  <input type="text" name="customer_order_id" value="" placeholder="Order ID" id="input-order-id" class="form-control" required>
											</div>
										  </div>
										  </div>
										 <div class="col-md-6">									  
										   <div class="row mb-3">
											<label for="input-date-ordered" class="col-sm-4 col-form-label">Order Date</label>
											<div class="col-sm-8">
												<input type="date" name="date_ordered" value="" placeholder="Order Date" id="input-date-ord