<div class="field-group">
<input type="hidden" name="id">
<div class="field-wrapper">
<label>Name</label>
<input type="text" name="name">
</div>
<div class="field-wrapper">
<label>Type</label>
<select name="type">
<option value="1">Checking</option>
<option value="2">Savings</option>
</select>
</div>
<div class="field-wrapper">
<label>Balance</label>
<input type="text" name="balance" placeholder="$">
</div>
<button class="field-group-button">Submit</button>
</div>