<div class="acceptblue-ach-wrap">
    <div class="ab-routing-number-wrap">
        <label for="ab-routing-num">Routing Number</label><br/>
        <input type="text" name="routing-number" placeholder="" id="ab-routing-num">
    </div>
    <div class="ab-account-number-wrap">
        <label for="ab-account-num">Account Number</label><br/>
        <input type="text" name="account-number" placeholder="" id="ab-account-num">
    </div>
</div>
<?php do_action('acceptblue_after_check_form'); ?>
