- <div class='col-sm-3' style='text-align:right;'><h2>House Number</h2></div>
- <div class='col-sm-7' style='text-align:left;'><input class="form-control input-lg" name='web_house_number' type='number'> </div>
- </div>
-
+ <div class='col-sm-3' style='text-align:right; background-color:lightyellow;'><h3>Phone Format</h3></div>
+ <div class='col-sm-6' style='text-align:left; background-color:lightyellow;'><h3>443-123-4567</h3></div>
+ <div class='col-sm-1' style='text-align:center;'></div>
+ </div>
+ <div class='row'>
+ <div class='col-sm-3' style='text-align:right;'><h2>Building Number</h2></div>
+ <div class='col-sm-6' style='text-align:left;'><input class="form-control input-lg" name='web_house_number' type='number' required oninvalid="this.setCustomValidity('Please enter your house number without street name')" oninput="this.setCustomValidity('')"> </div>
+ <div class='col-sm-1' style='text-align:center;'><button type="submit" class="btn btn-success btn-lg btn-block">↴</button></div>
+ </div>
+ <div class='row'>
+ <div class='col-sm-3' style='text-align:right; background-color:lightyellow;'><h3>House: 321 Here St.</h3></div>
+ <div class='col-sm-6' style='text-align:left; background-color:lightyellow;'><h3>Use: 321</h3></div>
+ <div class='col-sm-1' style='text-align:center;'></div>
+ </div>
+ <div class='row'>
+ <div class='col-sm-3' style='text-align:right; background-color:lightyellow;'><h3>Apartment: 21 Here St. Apt 1323</h3></div>
+ <div class='col-sm-6' style='text-align:left; background-color:lightyellow;'><h3>Use: 21</h3></div>
+ <div class='col-sm-1' style='text-align:center;'></div>
+ </div>