<div class="form-group"><label for="r_email">Email</label><input type="email" class="form-control" id="r_email" name="email" required></div>
<div class="form-group"><label for="r_phone">Phone</label><input type="tel" class="form-control" id="r_phone" name="phone" required></div>
<div class="form-group"><label for="r_town">Town</label><input type="text" class="form-control" id="r_town" name="town" required></div>
<div class="form-group"><label for="r_email">Email</label><input type="email" class="form-control" id="r_email" name="email" required></div>
<div class="form-group"><label for="r_phone">Phone</label><input type="tel" class="form-control" id="r_phone" name="phone" required></div>
<div class="form-group"><label for="r_town">Town</label><input type="text" class="form-control" id="r_town" name="town" required></div>