<div class="modal-header">
	<button type="button" class="close" data-ng-click="cancel()">×</button>
	<h3 class="modal-title"><i class="fa fa-globe"></i> Change address details</h3>
</div>
<form class="form-horizontal" data-ng-submit="submit()">
	<div class="modal-body">
		<div class="form-group">
			<label class="col-sm-3 control-label" for="inputStart">Address Line 1</label>
			<div class="col-sm-9">
				<input type="text" class="form-control" name="address" ng-model="data.address">
			</div>
		</div>
		<div class="form-group">
			<label class="col-sm-3 control-label" for="inputStart">Address Line 2</label>
			<div class="col-sm-9">
				<input type="text" class="form-control" name="address2" ng-model="data.address2">
			</div>
		</div>
		<div class="form-group">
			<label class="col-sm-3 control-label" for="inputStart">Postcode</label>
			<div class="col-sm-9">
				<input type="text" class="form-control" name="postcode" ng-model="data.postcode">
			</div>
		</div>
	</div>
	<div class="modal-footer">
		<button class="btn btn-default" data-ng-click="cancel()" eat-click>Close</button>
		<button class="btn btn-primary">Save changes</button>
	</div>
</form>