<form> <div class="row"> <div class="large-8 small-centered columns"> <fieldset> <legend>Shipping address</legend> <div class="row"> <div class="small-12 columns"> <input type="text" id="first_name" placeholder="First name"></input> </div> </div> <div class="row"> <div class="small-12 columns"> <input type="text" id="last_name" placeholder="Last name"></input> </div> </div> <div class="row"> <div class="small-12 columns"> <input type="text" id="address_1" placeholder="Address 1"></input> </div> </div> <div class="row"> <div class="small-12 columns"> <input type="text" id="address_2" placeholder="Address 2"></input> </div> </div> <div class="row"> <div class="small-12 columns"> <input type="text" id="town_city" placeholder="Town/city"></input> </div> </div> <div class="row"> <div class="small-8 columns"> <input type="text" id="state_province" placeholder="State/province"></input> </div> <div class="small-4 columns"> <input type="text" id="postcode_zip" placeholder="Postcode/zip"></input> </div> </div> <div class="row"> <div class="small-12 columns"> <input type="tel" id="phone" placeholder="Phone"></input> </div> </div> </fieldset> </div> </div> </form>