<div class="form-group gcore-form-row" id="form-row-item"><label for="item" class="control-label gcore-label-left">Item's name:</label>
<div class="gcore-input gcore-display-table" id="fin-item"><input name="item" id="item" value="" placeholder="" class="validate[&#039;required&#039;] form-control A" title="" style="" data-inputmask="" data-load-state="" data-tooltip="" type="text" /><span class="help-block">What would you like to buy ?</span></div></div><div class="form-group gcore-form-row" id="form-row-total"><label for="total" class="control-label gcore-label-left">Total amount:</label>
<div class="gcore-input gcore-display-table" id="fin-total"><input name="total" id="total" value="" placeholder="" class="validate[&#039;required&#039;] form-control A" title="" style="" data-inputmask="" data-load-state="" data-tooltip="" type="text" /></div></div><div class="form-group gcore-form-row" id="form-row-button3"><div class="gcore-input gcore-display-table" id="fin-button3"><input name="button3" id="button3" type="submit" value="Pay NOW" class="form-control A" style="" data-load-state="" /></div></div>