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- <div class="container">
- <div class="form-group col-md-6">
- <div class="panel panel-default">
- <div class="row col-xs-3">
- <label for="strategy" class="control-label">Strategy</label>
- <input type="text" class="form-control" id="strategy" placeholder="Strategy" />
- </div>
- <br/>
- <br/>
- <br/>
- <br/>
- <div class="row col-md-6">
- <label>Type of Service:</label>
- <ul>
- <li class="checkbox">
- <input type="checkbox" value="" />
- Transport
- </li>
- <li class="checkbox">
- <input type="checkbox" value="" />
- Storage
- </li>
- <li class="checkbox">
- <input type="checkbox" value="" />
- Balancing
- </li>
- <li class="checkbox">
- <input type="checkbox" value="" />
- Park/Lend
- </li>
- </ul>
- </div>
- </div>
- <div class="panel panel-default">
- <div class="row col-xs-3">
- <label for="internalBusinessUnit" class="control-label">Internal Business Unit</label>
- <input type="text" class="form-control" id="internalBusinessUnit" placeholder="Internal Business Unit" />
- </div>
- <br/>
- <br/>
- <br/>
- <div class="row col-md-6">
- <ul>
- <li class="checkbox">
- <input type="checkbox" value="" />
- Hub/Wheel
- </li>
- <li class="checkbox">
- <input type="checkbox" value="" />
- Exchange
- </li>
- <li class="checkbox">
- <input type="checkbox" value="" />
- Pooling
- </li>
- <li class="checkbox">
- Other:
- <input type="checkbox" value="" />
- <div class="col-xs-2">
- <input type="text" class="form-control" id="other" placeholder="" />
- </div>
- </li>
- </ul>
- </div>
- </div>
- </div>
- form-group
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