<div class="form-group form-group-default required">
    <label class="muted">Address Line 1</label>
    <input class="form-control" name="street_one">
</div>
<div class="form-group form-group-default required">
    <label class="muted">Address Line 2</label>
    <input class="form-control" name="street_two">
</div>
<div class="row">
    <div class="col p-l-0">
        <div class="form-group form-group-default required">
            <label class="muted">City</label>
            <input class="form-control" name="city">
        </div>
    </div>
    <div class="col p-r-0">
        <div class="form-group form-group-default required">
            <label class="muted">State</label>
            <input class="form-control" name="state">
        </div>
    </div>
</div>
<div class="row">
    <div class="col-4 p-l-0">
        <div class="form-group form-group-default required">
            <label class="muted">Post Code</label>
            <input class="form-control" name="post_code">
        </div>
    </div>
    <div class="col p-r-0">
        <div class="form-group form-group-default form-group-default-select2 required">
            <label class="muted">Country</label>
            <select name="country" class="full-width" data-placeholder="Select Country" data-init-plugin="select2">
                <option selected disabled></option>
                @foreach($countriesList as $key => $country)
                <option value="{{$key}}">{{$country['name']['common']}}</option>
                @endforeach
            </select>
        </div>
    </div>
</div>