<div class="p-4">
<div class="row">

<div class="col-xl-12">
  <fieldset><label class="text-uppercase">Destination</label>
     <div class="input-group mt-1">[select lieu-destination class:swisscare-style class:w-100 "ALLEMAGNE" "AUTRICHE" "BELGIQUE" "DANEMARK" "ESPAGNE" "ESTONIE" "FINLANDE" "FRANCE" "GRÈCE" "HONGRIE" "IRLANDE" "ISLANDE" "ITALIE" "LA REUNION" "LETTONIE (République)" "LITUANIE" "LUXEMBOURG" "MALTE" "NORVEGE" "PAYS-BAS" "POLOGNE" "PORTUGAL" "REPUBLIQUE TCHEQUE" "SLOVAQUIE" "ST MARTIN" "SUEDE" "SUISSE"]
    </div>
  </fieldset>
</div>

    <div class="col-xl-6 col-lg-7 col-md-12 col-sm-12 col-12 pl-0 pl-lg-4 mt-4 mt-lg-0">
        <div class="row mt-4">
            <div class="col-12 mt-2 d-flex justify-content-start mb-3"><input type="button" id="prevBtn" style="margin-rigth: 15px;" class="wpcf7-form-control wpcf7-submit button prevBtn btn-radius button-secondary" value="Retour"/>[submit id:nextBtn class:nextBtn class:ml-5 class:w-100 class:btn-radius "Next"]
            </div>
        </div>
    </div>

</div>
</div>