<% field_name_prefix = subject.present? ? "#{subject}_" : "" %>
<% required = required || false %>
<% data = data || nil %>
<%= form.text_field "#{field_name_prefix}address_street1", required: required, wrapper_class: "col-sm-6", data: data %>
<%= form.text_field "#{field_name_prefix}address_street2", wrapper_class: "col-sm-6" %>
<%= form.text_field "#{field_name_prefix}address_city", required: required, wrapper_class: "col-sm-6", data: data %>
<%= form.text_field "#{field_name_prefix}address_state", required: required, wrapper_class: "col-sm-3", data: data %>
<%= form.text_field "#{field_name_prefix}address_zip", required: required, wrapper_class: "col-sm-3", data: data %>
<%= form.form_group "#{field_name_prefix}address_country" do %>
<%= form.label "#{field_name_prefix}address_country" %>
<%= form.country_select "#{field_name_prefix}address_country", { selected: 'US', priority: %w(US CA), prompt: true }, class: "form-control custom-select" %>
<% end %>