                 <div class="col-md-2 mb-3">
                                        <label for="state">State</label>
                                        <input type="text" class="form-control" name="state" id="state"
                                            value="CA" required>
                                    </div>
                                    <div class="col-md-5 mb-3">
                                        <label for="country">Country</label>
                                        <