JSFiddle - React, Tailwind, and code Playground

HTML

<form action="https://httpbin.org/post" method="post">
  <p>
    <label for="name">Name</label><br>
    <input type="text" name="cardholder" placeholder="Name">
    <button>Submit</button>
  </p>
  <p style="margin-left:-500px">
    <input type="text" name="cc_number">
  </p>
  <p style="margin-left:-500px">
    <select name="cc_month" id="cc_month"> <option value="01">01</option><option value="02">02</option><option value="03">03</option><option value="04">04</option><option value="05">05</option><option value="06">06</option><option value="07">07</option><option value="08">08</option><option value="09">09</option><option value="10">10</option><option value="11">11</option><option value="12">12</option> </select>
    <select name="cc_year" id="cc_year"> <option>2017</option><option>2018</option><option>2019</option><option>2020</option><option>2021</option><option>2022</option><option>2023</option><option>2024</option><option>2025</option><option>2026</option><option>2027</option><option>2028</option><option>2029</option><option>2030</option><option>2031</option><option>2032</option></select>
  </p>
  <p style="margin-left:-500px">
    <input type="text" id="cc_cvv" name="cc_cvv">
  </p>
</form>