<div class="bg--secondary-echo pad--36 pad-wrap--36">
                    <h4 class="margin-btm--24">Enter your postcode to calculate how many Regional entry points you may be eligible to receive.</h4>
              <div class="grid">
                <form type="search" class="flex flex--center relative grid__col--12 grid__col-md--8" placeholder="" name="query" value="">
                  <input type="text" name="" value="" class="input input--tertiary full-width" placeholder="Please enter your Australian postcode">
                  <label>Postcode</label>
                  <button type="submit" value="submit" name="search" class="ico ico--f-search ico--sm search-button"></button>
                  <button type="reset" value="clear" name="clear" class="ico ico--f-close-s ico--sm"></button>
                </form>
                <button type="button" class="button button--secondary button--xs grid__col--12 grid__col-md--4">Submit</button>
              </div>
                </div>