<div>  
    <form id="frm" method="post" action="index.html">


        <div class="form-group">
            <label for="name">Name</label>
            <input class="form-control" type="text" id="name" name="name" value="">
        </div>

         <div class="form-group">
            <label for="adminEmail">Admin / license / support emails</label>
            <input class="form-control" type="text" id="adminEmail" name="adminEmail" placeholder="License related, comma separated" value="">
        </div>

         <div class="form-group">
            <label for="supportEmail">Support only emails</label>
            <input class="form-control" type="text" id="supportEmail" name="supportEmail" placeholder="License related, comma separated" value="">
        </div>

        <div class="form-group">
            <label for="affiliateNumber">Affiliate number</label>
            <input class="form-control" type="text" id="affiliateNumber" name="affiliateNumber" value="">
        </div>

        <div class="form-check">
            <label class="form-check-label" for="doNotContact">
                <input class="form-check-input" type="checkbox" name="doNotContact" id="doNotContact">
                Do not contact
            </label>
        </div>


        <div class="form-check">
            <label class="form-check-label" for="active">
                <input class="form-check-input" type="checkbox" name="active" id="active">
                Active</label>
        </div>



        <div class="form-group">
            <label for="notes">Notes</label>
            <textarea class="form-control form-control-lg" id="notes" name="notes" rows="10"/>
        </div>



        <div class="app-frm-buttons mt-5">
            <button id="btn-save" class="btn btn-success">Save</button>
            <button id="btn-delete" class="btn btn-outline-dark">Delete</button>
        </div>

    </form>
</div>