@php
    $prefix = $prefix ?? 'eu';
@endphp
<div class="row g-3">
    <div class="col-md-6">
        <label class="form-label" for="{{ $prefix }}_company">Company</label>
        <input class="form-control" id="{{ $prefix }}_company" name="{{ $prefix }}_company" value="{{ old($prefix.'_company', $ac->{$prefix.'_company'}) }}" maxlength="50">
    </div>
    <div class="col-md-6">
        <label class="form-label" for="{{ $prefix }}_email">Email</label>
        <input class="form-control" id="{{ $prefix }}_email" name="{{ $prefix }}_email" type="email" value="{{ old($prefix.'_email', $ac->{$prefix.'_email'}) }}" maxlength="50">
    </div>
    <div class="col-md-8">
        <label class="form-label" for="{{ $prefix }}_address">Address</label>
        <input class="form-control" id="{{ $prefix }}_address" name="{{ $prefix }}_address" value="{{ old($prefix.'_address', $ac->{$prefix.'_address'}) }}" maxlength="70">
    </div>
    <div class="col-md-4">
        <label class="form-label" for="{{ $prefix }}_city">City</label>
        <input class="form-control" id="{{ $prefix }}_city" name="{{ $prefix }}_city" value="{{ old($prefix.'_city', $ac->{$prefix.'_city'}) }}" maxlength="50">
    </div>
    <div class="col-md-4">
        <label class="form-label" for="{{ $prefix }}_state">State</label>
        <input class="form-control" id="{{ $prefix }}_state" name="{{ $prefix }}_state" value="{{ old($prefix.'_state', $ac->{$prefix.'_state'}) }}" maxlength="50">
    </div>
    <div class="col-md-4">
        <label class="form-label" for="{{ $prefix }}_postal_code">Postal</label>
        <input class="form-control" id="{{ $prefix }}_postal_code" name="{{ $prefix }}_postal_code" value="{{ old($prefix.'_postal_code', $ac->{$prefix.'_postal_code'}) }}" maxlength="25">
    </div>
    <div class="col-md-4">
        <label class="form-label" for="{{ $prefix }}_country">Country</label>
        <input class="form-control" id="{{ $prefix }}_country" name="{{ $prefix }}_country" value="{{ old($prefix.'_country', $ac->{$prefix.'_country'}) }}" maxlength="50">
    </div>
    <div class="col-md-4">
        <label class="form-label" for="{{ $prefix }}_phone">Phone</label>
        <input class="form-control" id="{{ $prefix }}_phone" name="{{ $prefix }}_phone" value="{{ old($prefix.'_phone', $ac->{$prefix.'_phone'}) }}" maxlength="20">
    </div>
    <div class="col-md-4">
        <label class="form-label" for="{{ $prefix }}_fax">Fax</label>
        <input class="form-control" id="{{ $prefix }}_fax" name="{{ $prefix }}_fax" value="{{ old($prefix.'_fax', $ac->{$prefix.'_fax'}) }}" maxlength="20">
    </div>
    <div class="col-md-4">
        <label class="form-label" for="{{ $prefix }}_contact_name">Contact</label>
        <input class="form-control" id="{{ $prefix }}_contact_name" name="{{ $prefix }}_contact_name" value="{{ old($prefix.'_contact_name', $ac->{$prefix.'_contact_name'}) }}" maxlength="50">
    </div>
    <div class="col-md-4">
        <label class="form-label" for="{{ $prefix }}_contact_email">Contact email</label>
        <input class="form-control" id="{{ $prefix }}_contact_email" name="{{ $prefix }}_contact_email" type="email" value="{{ old($prefix.'_contact_email', $ac->{$prefix.'_contact_email'}) }}" maxlength="50">
    </div>
    <div class="col-md-4">
        <label class="form-label" for="{{ $prefix }}_website">Website</label>
        <input class="form-control" id="{{ $prefix }}_website" name="{{ $prefix }}_website" value="{{ old($prefix.'_website', $ac->{$prefix.'_website'}) }}" maxlength="50">
    </div>
</div>