vertical-cooperative/easy_my_coop_loan_website/template/loan_issue_template.xml

<?xml version="1.0" encoding="utf-8"?>
<odoo>
	<template id="assets_frontend" inherit_id="web.assets_frontend" name="Coop">
	 	<xpath expr="." position="inside">
			<script type="text/javascript" src="/easy_my_coop_loan_website/static/src/js/loan_issue.js"></script>
		</xpath>
	</template>

	<template id="loanissuesubscription" name="Loan Issue Subscription">
		<t t-call="website.layout">
	    	<div id="wrap">
	        	<div class="oe_structure"/>
		        <div class="container oe_easymy_coop_loan">
		            <h2 class="energie">Subscribe to Loan Issue</h2><br/>
		            <div class="row">
		                <div class="col-md-8">
							<form action="/subscription/subscribe_loan_issue" method="post" class="form-horizontal mt32" enctype="multipart/form-data">
								<p style="color:red;"><t t-esc="error_msg"/></p>
					        	<input type="hidden" name="csrf_token" t-att-value="request.csrf_token()"/>

								<div t-attf-class="form-group #{error and 'loan_issue_id' in error and 'has-error' or ''}">
		                        	<label class="col-md-3 col-sm-4 control-label" style="width:25%" for="share_product_id">Loan issue</label>
			                        <select id="loan_issue" name="loan_issue_id" class="col-md-7 col-sm-8 form-control" style="width:54%;margin-left:15px">
			                        	<t t-foreach="loan_issues or []" t-as="loan_issue">
			                            	<option t-att-value="loan_issue.id" t-att-selected="loan_issue.id == int(loan_issue_id)"><t t-esc="loan_issue.name"/></option>
			                        	</t>
			                        </select>
		                    	</div>
		                        <div t-attf-class="form-group #{error and 'subscription_amount' in error and 'has-error' or ''}">
		                        	<label class="col-md-3 col-sm-4 control-label" style="width:25%" for="subscription_amount">Amount</label>
				                    <input id="subscription_amount" type="number" class="col-md-7 col-sm-8 form-control total" name="subscription_amount" min="0" step="100" max="5000"/>
				                </div>
				                <table style="margin-left:195px">
								<tr>
									<!--<td width="80%">
										<div class="g-recaptcha" t-att-data-sitekey="website.recaptcha_key_site" data-theme="green"/><br/>
									</td>-->
									<td>
				 						<div class="form-group">
							                <div class="col-md-offset-3 col-sm-offset-4 col-sm-8 col-md-7">
							                    <button class="btn btn-primary btn-lg">Send</button>
							                </div>
							            </div>
									</td>
								</tr>
							</table>
							</form>
						</div>
					</div>
				</div>
			</div>
		</t>
	</template>
</odoo>