<section class="delivery-info pt-5 pb-5">
<div class="container">
<form>
<div class="row">
<div class="col-md-12">
<div class="form-check form-check-inline">
<input class="form-check-input" type="radio" name="exampleRadios" id="exampleRadios1" value="option1" checked>
<label class="form-check-label" for="exampleRadios1">Delivery</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="radio" name="exampleRadios" id="exampleRadios2" value="option2">
<label class="form-check-label" for="exampleRadios2">Pickup</label>
</div>
</div>
</div>
<h4 class="form-title">Recipient's Information</h4>
<div class="row">
<div class="col-md-12">
<div class="form-group">
<label>Select past reciepient</label>
<select class="form-control">
<option selected disabled hidden>Eg: Krishan Silva, 34/A, Trans Lane, Nugegoda</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5</option>
</select>
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label>First Name</label>
<input type="text" class="form-control" placeholder="Eg: Roshan Fernando">
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label>Last Name</label>
<input type="text" class="form-control" placeholder="Eg: Roshan Fernando">
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label>Phone</label>
<input type="text" class="form-control" placeholder="Eg: 07X-XXX-XXXX">
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label>Address</label>
<input type="text" class="form-control" placeholder="Eg: No: 24/2, Fairline Rd, Dehiwala">
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label>Nearest City</label>
<select class="form-control">
<option selected disabled hidden>Eg: Kandalama</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5</option>
</select>
</div>
</div>
</div>
<h4 class="form-title">Delivery Information</h4>
<div class="row">
<div class="col-md-6">
<div class="form-group">
<label>Location Type</label>
<select class="form-control">
<option selected disabled hidden>Eg: Office</option>
<option>Office</option>
<option>House</option>
<option>Function</option>
<option>Funeral</option>
</select>
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label>Delivery Date</label>
<input type="date" class="form-control">
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label>Preferred Delivery Time</label>
<select class="form-control">
<option selected disabled hidden>Eg: Morning (7am - 10am)</option>
<option>Anytime (7am - 8pm)</option>
<option>Morning (7am - 10am)</option>
<option>Noon (12pm - 5pm)</option>
<option>Evening (5pm - 8pm)</option>
</select>
</div>
</div>
<div class="col-md-12">
<div class="form-group">
<label>Delivery Instructions</label>
<textarea class="form-control text-area" placeholder="Ex: Ring the bell once & wait"></textarea>
</div>
</div>
<div class="col-md-12">
<div class="form-group">
<label>Greeting Message</label>
<textarea class="form-control text-area" rows="3" placeholder="Ex: Wish you all the best for your success. Love you!"></textarea>
</div>
</div>
</div>
<h4 class="form-title">Sender's Information</h4>
<div class="row">
<div class="col-md-6">
<div class="form-group">
<label>Name</label>
<input type="text" class="form-control" placeholder="Eg: Kasun Silva">
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label>Phone</label>
<input type="text" class="form-control" placeholder="Eg: 07X-XXX-XXXX">
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label>Email</label>
<input type="date" class="form-control" placeholder="Eg: sasun.s@gmail.com">
</div>
</div>
<div class="col-md-12 flex space-between">
<button class="btn btn-primary btn-cart">Go Back</button>
<button class="btn btn-primary btn-cart">Next</button>
</div>
</div>
</form>
</div>
</section>