<div class="c-Reports-Add-Section-ReportsBlock-Inner-Block c-Reports-Stats-CaptureForm">
	<div class="c-Reports-Add-Section-ReportsBlock-Header">
		<div class="c-Reports-Add-Section-ReportsBlock-Details c-Reports-Add-Section-ReportsBlock-Details-Left"><span class="c-Reports-Add-Section-ReportsBlock-Text">SELECT CAPTURE DETAILS</span></div>
	</div>
	<div class="c-Reports-Add-Section-ReportsBlock-Content">
		<div class="c-Reports-Add-Section-ReportsBlock-Content-Block">
			<div class="c-Reports-Stats-CaptureForm-Block c-Reports-Stats-CaptureForm-Durations">
				<a class="c-Reports-Stats-CaptureForm-Duration-Slote" href="#"><span>PAST WEEK</span></a>
				<a class="c-Reports-Stats-CaptureForm-Duration-Slote" href="#"><span>PAST MONTH</span></a>
				<a class="c-Reports-Stats-CaptureForm-Duration-Slote" href="#"><span>PAST YEAR</span></a>
				<a class="c-Reports-Stats-CaptureForm-Duration-Slote" href="#"><span>ALL TIME</span></a>
			</div>
			<div class="c-Reports-Stats-CaptureForm-Block c-Reports-Stats-CaptureForm-DatRange">
				<div class="c-Reports-Stats-CaptureForm-Field-Block">
					<div class="c-Reports-Stats-CaptureForm-Field-Selection">
						<div class="c-Reports-Stats-CaptureForm-Field-Selection-Text"><span>CUSTOM DATE RANGE</span></div>
						<div class="c-Reports-Stats-CaptureForm-Field-Selection-Buttons">
							<input type="text" class="c-Reports-Stats-CaptureForm-Field-Selection-Button c-ReportsStats-Date c-Reports-Stats-StartDate" placeholder="START" />
							<input type="text" class="c-Reports-Stats-CaptureForm-Field-Selection-Button c-ReportsStats-Date c-Reports-Stats-EndDate" placeholder="END" />
						</div>
					</div>
					<!--input class="c-ReportsStats-Date c-Reports-Stats-CaptureForm-Input " placeholder="CUSTOM DATE RANGE" name="reportstats_daterange" data-daterange="" type="text" /-->
				</div>
			</div>
			<div class="c-Reports-Stats-CaptureForm-Block c-Reports-Stats-CaptureForm-Location">
				<!--div class="c-Reports-Stats-CaptureForm-Field-Block">
					<input class="c-ReportsStats-Location c-Reports-Stats-CaptureForm-Input" placeholder="LOCATION" name="reportstats_location" type="text">
				</div-->
				<a href="#" class="c-Reports-Stats-CaptureForm-Field-Button c-ReportsStats-Location">LOCATION</a>
			</div>
			<div class="c-Reports-Stats-CaptureForm-Block c-Reports-Stats-CaptureForm-Buttons">
				<a class="c-Reports-Stats-CaptureForm-Button c-Reports-Stats-CaptureForm-Button-Save" href="#">SAVE</a>
				<a class="c-Reports-Stats-CaptureForm-Button c-Reports-Stats-CaptureForm-Button-Cancel" href="#">CANCEl</a>
			</div>
		</div>
	</div>
</div>

<div class="c-Reports-Add-Section-ReportsBlock-Inner-Block c-Reports-Stats-LocationForm">
	<div class="c-Reports-Add-Section-ReportsBlock-Header">
		<div class="c-Reports-Add-Section-ReportsBlock-Details c-Reports-Add-Section-ReportsBlock-Details-Left"><span class="c-Reports-Add-Section-ReportsBlock-Text">SELECT LOCATION</span></div>
	</div>
	<div class="c-Reports-Add-Section-ReportsBlock-Content">
		<div class="c-Reports-Add-Section-ReportsBlock-Content-Block">
			<div class="c-Reports-Stats-LocationForm-Search">
				<div class="c-Reports-Stats-LocationForm-Search-Input-Box">
					<input type="text" class="c-Reports-Stats-LocationForm-Search-Input c-Reports-Stats-LocationForm-Input" placeholder="SEARCH"/>
					<a href="#" class="c-Reports-Stats-LocationForm-Search-Input-Clear icon-cross"></a>
				</div>
			</div>
			<div class="c-ScrollContent c-Reports-Stats-LocationForm-ScrollContent">
				<div class="c-Reports-Stats-LocationForm-List">
					<div class="c-Reports-Stats-LocationForm-Item"><a data-uid='1' href="#">LIVERPOOL</a></div>
					<div class="c-Reports-Stats-LocationForm-Item"><a data-uid='2' href="#">LONDON</a></div>
					<div class="c-Reports-Stats-LocationForm-Item"><a data-uid='3' href="#">MANCHESTER</a></div>
				</div>
			</div>
			<div class="c-Reports-Stats-LocationForm-Footer">
				<a class="c-Reports-Stats-LocationForm-Footer-Btn c-Reports-Stats-LocationForm-Footer-Save" title="SAVE" href="#">SAVE</a>
				<a class="c-Reports-Stats-LocationForm-Footer-Btn c-Reports-Stats-LocationForm-Footer-Previous icon-dropdown" title="Previous" href="#"></a>
				<a class="c-Reports-Stats-LocationForm-Footer-Btn c-Reports-Stats-LocationForm-Footer-Next icon-dropdown2" title="Next" href="#"></a>
				<a class="c-Reports-Stats-LocationForm-Footer-Btn c-Reports-Stats-LocationForm-Footer-Close icon-cross c-CircleIcon" title="Next" href="#"></a>
			</div>
		</div>
	</div>
</div>