<?xml version="1.0" encoding="utf-8"?>
<form name="userdata">
    <fieldset name="userdata_withname">
        <field name="firstname"
               type="html5text"
               inputtype="text"
               id="userdata_firstname"
               label="COM_EVENTGALLERY_CHECKOUT_BILLINGFORM_FIRSTNAME_LABEL"
               labelclass="control-label col-form-label col-sm-3"
               description="COM_EVENTGALLERY_CHECKOUT_BILLINGFORM_FIRSTNAME_DESCRIPTION"
               placeholder="COM_EVENTGALLERY_CHECKOUT_BILLINGFORM_FIRSTNAME_PLACEHOLDER"
               required="true"
               validate=""
               class="input-xlarge form-control"
        />
        <field name="lastname"
               type="html5text"
               inputtype="text"
               id="userdata_lastname"
               label="COM_EVENTGALLERY_CHECKOUT_BILLINGFORM_LASTNAME_LABEL"
               labelclass="control-label col-form-label col-sm-3"
               description="COM_EVENTGALLERY_CHECKOUT_BILLINGFORM_LASTNAME_DESCRIPTION"
               placeholder="COM_EVENTGALLERY_CHECKOUT_BILLINGFORM_LASTNAME_PLACEHOLDER"
               required="true"
               validate=""
               class="input-xlarge form-control"
        />
        <field name="email"
               type="html5text"
               inputtype="email"
               id="userdata_email"
               label="COM_EVENTGALLERY_CHECKOUT_USERDATA_EMAIL_LABEL"
               labelclass="control-label col-form-label col-sm-3"
               description="COM_EVENTGALLERY_CHECKOUT_USERDATA_EMAIL_DESCRIPTION"
               placeholder="COM_EVENTGALLERY_CHECKOUT_USERDATA_EMAIL_PLACEHOLDER"
               required="true"
               validate=""
               class="input-xlarge validate-email form-control"
                />
        <field name="phone"
               type="html5text"
               id="userdata_phone"
               label="COM_EVENTGALLERY_CHECKOUT_USERDATA_PHONE_LABEL"
               labelclass="control-label col-form-label col-sm-3"
               description="COM_EVENTGALLERY_CHECKOUT_USERDATA_PHONE_DESCRIPTION"
               placeholder="COM_EVENTGALLERY_CHECKOUT_USERDATA_PHONE_PLACEHOLDER"
               required="false"
               class="input-xlarge form-control"/>
        <field name="message"
               type="textarea"
               inputtype="text"
               id="userdata_message"
               label="COM_EVENTGALLERY_CHECKOUT_USERDATA_MESSAGE_LABEL"
               labelclass="control-label col-form-label col-sm-3"
               description="COM_EVENTGALLERY_CHECKOUT_USERDATA_MESSAGE_DESCRIPTION"
               placeholder="COM_EVENTGALLERY_CHECKOUT_USERDATA_MESSAGE_PLACEHOLDER"
               required="false"
               validate=""
               class="input-xlarge form-control"
               rows="5"
                />

    </fieldset>
</form>