<div class="ecp-component ecp_CreateCustomer">
  <h2 aria-describedby="ecpi_createcustomer_info">{message:CreateCustomer/Title}</h2>
  <p id="ecpi_createcustomer_info" class="ecp-summary">{message:CreateCustomer/Summary}</p>

  <form class="ecp-form">
    <h3>{message:CreateCustomer/PersonalInfoTitle}</h3>
    <div class="ecp-form-fieldset-scrunched">
      <input type="text" name="first_name" placeholder="{message:CreateCustomer/FirstNameInput}" aria-label="{message:CreateCustomer/FirstNameInputLabel}" autocomplete="given-name" required>
      <input type="text" name="last_name" placeholder="{message:CreateCustomer/LastNameInput}" aria-label="{message:CreateCustomer/LastNameInputLabel}" autocomplete="family-name" required>
    </div>
    <div class="ecp-form-fieldset-scrunched">
      <input type="text" name="company_name" placeholder="{message:CreateCustomer/CompanyNameInput}" aria-label="{message:CreateCustomer/CompanyNameInputLabel}" autocomplete="organization">
    </div>
    <p class="ecp-form-tip">{message:CreateCustomer/BirthDateTip}</p>
    <div class="ecp-form-fieldset-scrunched">
      <input type="text" name="birth_date" placeholder="{message:CreateCustomer/BirthDateInput}" aria-label="{message:CreateCustomer/BirthDateInputLabel}" autocomplete="bday" required>
      <input type="text" name="phone_1" placeholder="{message:CreateCustomer/Phone1Input}" aria-label="{message:CreateCustomer/Phone1InputLabel}" autocomplete="home tel">
      <input type="text" name="phone_2" placeholder="{message:CreateCustomer/Phone2Input}" aria-label="{message:CreateCustomer/Phone2InputLabel}" autocomplete="work tel">
      <input type="text" name="mobile_phone" placeholder="{message:CreateCustomer/MobilePhoneInput}" aria-label="{message:CreateCustomer/MobilePhoneInputLabel}" autocomplete="mobile tel">
    </div>
    <h3>{message:CreateCustomer/LoginTitle}</h3>
    <div class="ecp-form-fieldset-scrunched">
      <input type="text" name="email_address" placeholder="{message:CreateCustomer/EmailInput}" aria-label="{message:CreateCustomer/EmailInputLabel}" autocomplete="email" required>
      <input type="password" name="password_1" placeholder="{message:CreateCustomer/PasswordInput1}" aria-label="{message:CreateCustomer/PasswordInput1Label}" autocomplete="new-password" required>
      <input type="password" name="password_2" placeholder="{message:CreateCustomer/PasswordInput2}" aria-label="{message:CreateCustomer/PasswordInput2Label}" autocomplete="new-password" required>
    </div>
    <!-- TODO_ADA: I think this is messed up in prod: consider removing it
    <p class="ecp-form-tip">{Cmessage:CreateCustomer/redentialsTip}</p>
    -->
    <ul class="ecp-form-checkboxes">
      <li><label><input type="checkbox" name="is_ok_to_email">{message:CreateCustomer/OKToEmail}</label></li>
    </ul>
    <button data-ecp-action="save" aria-label="{message:CreateCustomer/SaveButtonLabel}">{message:CreateCustomer/SaveButton}</button>
  </form>
</div>