       </div>
                      </div>
                      <div class='control-group'>
                        <label class='control-label' for='validation_email'>E-mail</label>
                        <div class='controls'>
                          <input data-rule-email='true' data-rule-required='true' id='validation_email' name='validation_email' placeholder='E-mail' type='text'>
                        </div>
                      </div>
                      <div class='control-group'>
         