<div class="form-group row"> <label class="col-md-3 form-control-label"> Equivalence surcharge </label> <div class="col-md-6"> <select class="form-control form-control-select" name="equivalencesurcharge" required=""> <option value="0" selected="selected">No</option> <option value="1" >Yes</option> </select> <small>Do you need to apply the equivalent surcharge?</small> </div> </div>