raven/views/license/create.erb

<div class="row">
  <div class="twelve columns">
    <h1>Create new license</h1>
  </div>
</div>

<div class="row">
  <div class="twelve columns">
    <form action="/license/create" method="POST" class="u-full-width">
      <div class="row">
        <div class="columns twelve">
          <label for="license_name">Item name:</label>
          <input class="u-full-width" type="text" placeholder="My new license" id="license_name" name="license_name" required>
        </div>
      </div>

      <div class="row">
        <div class="six columns">
          <label for="license_key">License key:</label>
          <input class="u-full-width" type="text" placeholder="acbd1234efgh5678" id="license_key" required name="license_key">
        </div>

        <div class="six columns">
          <label for="license_manufacturer">Manufacturer:</label>
          <input class="u-full-width" type="text" placeholder="Manufacturer" id="license_manufacturer" name="license_manufacturer">
        </div>
      </div>

      <div class="row">
        <div class="six columns">
          <label for="license_seats_used">Seats used on license:</label>
          <input class="u-full-width" type="number" placeholder="0" id="license_seats_used" name="license_seats_used">
        </div>

        <div class="six columns">
          <label for="license_seats_total">Total seats on license:</label>
          <input class="u-full-width" type="number" placeholder="1" id="license_seats_total" name="license_seats_total">
        </div>
      </div>

      <div class="row">
        <div class="six columns">
          <label for="license_purchase_from">Purchased from:</label>
          <input class="u-full-width" type="text" placeholder="Newegg" id="license_purchase_from" name="license_purchase_from">
        </div>

        <div class="six columns">
          <label for="license_purchase_date">Purchased at:</label>
          <input class="u-full-width" type="datetime-local" id="license_purchase_date" name="license_purchase_date">
        </div>
      </div>

      <input class="button-primary u-full-width" type="submit" value="Submit">
    </form>
  </div>
</div>