-left input_mask">

										<div class="col-md-6 col-sm-6  form-group has-feedback">
											<input type="text" class="form-control has-feedback-left" id="inputSuccess2" placeholder="First Name">
											<span class="fa fa-user form-control-feedback left" aria-hidden="true"></span>
										</div>

										<div class="col-md-6 col-sm-6  form-group has-feedback">
											<input type="text" class="form-control" id="inputSuccess3" placeholder="Last Name">
											<span class="fa fa-user form-c