input type="text" class="form-control" id="country"
                                            placeholder="Country Name" 
                                            name="country" value="United States" required>
                                    </div>
                                </div>
                                <div class="form-row">
                                    <div class="col-md-6 mb-3">
                                        <label for="credit_card_number">Credit Card Number</labe