<commit_before>.container
  #quotebox{:style => "margin-top:50px;", :class => "mainbox col-md-8 col-md-offset-2 col-sm-8 col-sm-offset-2"}                    
    .panel.panel-info
      .panel-heading
        %h3{:class => "panel-title"}Syeney Testers Life Insurance
      .panel-body{:style => "padding-top:30px"}
    	
        %form{:id => "quoteform", :class => "form-horizontal", :role => "form", :action => "/quote", :method => "post", "data-bv-feedbackicons-valid" => "glyphicon glyphicon-ok", "data-bv-feedbackicons-invalid" => "glyphicon glyphicon-remove", "data-bv-feedbackicons-validating" => "glyphicon glyphicon-refresh", "data-bv-submitbuttons" => 'button[type="submit"]', "data-bv-live" => "enabled"}
		
          %fieldset
		  
          .form-group{:style => "margin-bottom: 25px"}
            %label{:class => "col-md-4 control-label", :for => "textinput"}Age  
            .col-md-4
              %input{:id => "age", :name => "age", :type => "text", :placeholder => "Enter your age", :class => "form-control input-md", "data-bv-notempty" => "", "data-bv-notempty-message" => "The age is required", "pattern" => "[1-9]+", "data-bv-regexp-message" => "The age has to be a number bigger than zero"}
        
          .form-group{:style => "margin-bottom: 25px"}
            %label{:class => "col-md-4 control-label", :for => "radios"}Gender
            .col-md-4 
              %label{:class => "radio-inline", :for => "radios-0"}Male
              %input{:type => "radio", :name => "gender", :id => "gendermale", :value => "Male", :checked => "checked"}
              %label{:class => "radio-inline", :for => "radios-1"}Female
              %input{:type => "radio", :name => "gender", :id => "genderfemale", :value => "Female"}
        
          .form-group
            %label{:class => "col-md-4 control-label", :for => "selectbasic"}Occupation Category
            .col-md-4 
              %select{:id => "selectbasic", :name => "occupation", :class => "form-control"}
                %option{:value => "risk0"}Low risk occupation
                %option{:value => "risk1"}Medium risk occupation
                %option{:value => "risk2"}High risk occupation
                %option{:value => "risk3"}Very high risk occupation
				
          .form-group
            %label{:class => "col-md-4 control-label", :for => "selectbasic"}State
            .col-md-4 
              %select{:id => "selectbasic", :name => "state", :class => "form-control"}
                %option{:value => "nsw"}New South Wales
                %option{:value => "vic"}Victoria
                %option{:value => "wa"}Western Australia
                %option{:value => "sa"}South Australia
                %option{:value => "tas"}Tasmania
                %option{:value => "qld"}Queensland
        
          .form-group
            .col-md-4
            .col-md-4
              %button{:id => "singlebutton", :type => "submit", :name => "submit", :class => "btn btn-primary btn-lg btn-block"}Get Quote<commit_msg>Validation of age<commit_after>.container
  #quotebox{:style => "margin-top:50px;", :class => "mainbox col-md-8 col-md-offset-2 col-sm-8 col-sm-offset-2"}                    
    .panel.panel-info
      .panel-heading
        %h3{:class => "panel-title"}Syeney Testers Life Insurance
      .panel-body{:style => "padding-top:30px"}
    	
        %form{:id => "quoteform", :class => "form-horizontal", :role => "form", :action => "/quote", :method => "post", "data-bv-feedbackicons-valid" => "glyphicon glyphicon-ok", "data-bv-feedbackicons-invalid" => "glyphicon glyphicon-remove", "data-bv-feedbackicons-validating" => "glyphicon glyphicon-refresh", "data-bv-submitbuttons" => 'button[type="submit"]', "data-bv-live" => "enabled"}
		
          %fieldset
		  
          .form-group{:style => "margin-bottom: 25px"}
            %label{:class => "col-md-4 control-label", :for => "textinput"}Age  
            .col-md-4
              %input{:id => "age", :name => "age", :type => "number", :placeholder => "Enter your age", :class => "form-control input-md", "data-bv-notempty" => "", "data-bv-notempty-message" => "The age is required", "data-bv-integer-message" => "The age has to be a number bigger than zero"}
        
          .form-group{:style => "margin-bottom: 25px"}
            %label{:class => "col-md-4 control-label", :for => "radios"}Gender
            .col-md-4 
              %label{:class => "radio-inline", :for => "radios-0"}Male
              %input{:type => "radio", :name => "gender", :id => "gendermale", :value => "Male", :checked => "checked"}
              %label{:class => "radio-inline", :for => "radios-1"}Female
              %input{:type => "radio", :name => "gender", :id => "genderfemale", :value => "Female"}
        
          .form-group
            %label{:class => "col-md-4 control-label", :for => "selectbasic"}Occupation Category
            .col-md-4 
              %select{:id => "selectbasic", :name => "occupation", :class => "form-control"}
                %option{:value => "risk0"}Low risk occupation
                %option{:value => "risk1"}Medium risk occupation
                %option{:value => "risk2"}High risk occupation
                %option{:value => "risk3"}Very high risk occupation
				
          .form-group
            %label{:class => "col-md-4 control-label", :for => "selectbasic"}State
            .col-md-4 
              %select{:id => "selectbasic", :name => "state", :class => "form-control"}
                %option{:value => "nsw"}New South Wales
                %option{:value => "vic"}Victoria
                %option{:value => "wa"}Western Australia
                %option{:value => "sa"}South Australia
                %option{:value => "tas"}Tasmania
                %option{:value => "qld"}Queensland
        
          .form-group
            .col-md-4
            .col-md-4
              %button{:id => "singlebutton", :type => "submit", :id => "getquote", :name => "getquote", :class => "btn btn-primary btn-lg btn-block"}Get Quote
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