<div class='well'>
  <h3>Referências Pessoais</h3>
  <div class='row'>
    <div class='span4'>
      <label>Referência</label>
      <input class="span4 required" id="user_personal_references_attributes_0_name" name="user[personal_references_attributes][0][name]" placeholder="Nome" size="30" type="text" value="4" />
    </div>
    <div class='span2'>
      <label></label>
      <br>
      <input class="span2 phone required" id="user_personal_references_attributes_0_phone" name="user[personal_references_attributes][0][phone]" placeholder="(__) ____-____" size="30" type="text" value="(1" />
    </div>
    <div class='span4'>
      <label>Referência</label>
      <input class="span4 required" id="user_personal_references_attributes_1_name" name="user[personal_references_attributes][1][name]" placeholder="Nome" size="30" type="text" value="2" />
    </div>
    <div class='span2'>
      <label></label>
      <br>
      <input class="span2 phone required" id="user_personal_references_attributes_1_phone" name="user[personal_references_attributes][1][phone]" placeholder="(__) ____-____" size="30" type="text" value="(3" />
    </div>
  </div>
</div>