<div class="login-form">
    <div class="form-group">
       <span>Nome: </span> [reg-name class="form-control login-field" id="reg-name" placeholder="Digite o seu nome completo"]
    </div>

    <div class="form-group">
       <span>Username: </span> [reg-username class="form-control login-field" id="reg-username" placeholder=""]
    </div>

    <div class="form-group">
       <span>E-mail: </span> [reg-email id="reg-email" placeholder="Ex.: joao@gmail.com" class="form-control login-field"]
    </div>

    <div class="form-group">
       <span>Senha: </span> [reg-password id="reg-password" placeholder="" class="form-control login-field"]
    </div>

    <div class="form-group">
       <span>Telefone: </span> [reg-phone id="reg-phone" placeholder="Ex.: (xx) xxxx-xxxx" class="form-control login-field"]
    </div>

    <div class="form-group">
       <span>CNPJ: </span> [reg-cnpj id="reg-cnpj" placeholder="Ex.: 12345.678/1234-56" class="form-control login-field"]
    </div>

    <div class="form-group">
       <span>Razão Social: </span> [reg-razao-social id="reg-razao-social" placeholder="" class="form-control login-field"]
    </div>

    <div class="form-group">
       <span class="big-span">Nome do Responsável: </span> [reg-nome-resp id="reg-nome-resp" placeholder="" class="form-control login-field"]
    </div>

    <div class="form-group">
       <span class="big-span">Informações Tributárias: </span> [reg-info id="reg-info" placeholder="" class="form-control login-field"]
    </div>

    <div class="form-group">
       <span class="big-span">Inscrição Estadual: </span> [reg-inscricao-est id="reg-inscricao-est" placeholder="" class="form-control login-field"]
    </div>

    <div class="form-group">
       <span>CEP: </span> [reg-cep id="reg-cep" placeholder="" class="form-control login-field"]
    </div>

    <div class="form-group">
       <span class="big-span">Endereço Completo: </span> [reg-address id="reg-address" placeholder="" class="form-control login-field"]
    </div>

    <div class="form-group">
       <span>Bairro: </span> [reg-neighborhood id="reg-neighborhood" placeholder="" class="form-control login-field"]
    </div>

    <div class="form-group">
       <span>Cidade: </span> [reg-city id="reg-city" placeholder="" class="form-control login-field"]
    </div>

    <div class="form-group">
       <span>Estado: </span> [reg-state id="reg-state" placeholder="" class="form-control login-field"]
    </div>



    
    
    <div class="form-group" style="margin-top: 55px;">
      [reg-submit value="Cadastrar" class="btn-register" id="submit-button"]
    </div>

    
    </div>
