diff --git a/src/routes/open/components/SafeOwnersForm/index.jsx b/src/routes/open/components/SafeOwnersForm/index.jsx
new file mode 100644
index 00000000..83f4247a
--- /dev/null
+++ b/src/routes/open/components/SafeOwnersForm/index.jsx
@@ -0,0 +1,77 @@
+// @flow
+import * as React from 'react'
+import { withStyles } from '@material-ui/core/styles'
+import Field from '~/components/forms/Field'
+import TextField from '~/components/forms/TextField'
+import { required } from '~/components/forms/validator'
+import Block from '~/components/layout/Block'
+import Row from '~/components/layout/Row'
+import Col from '~/components/layout/Col'
+import { FIELD_NAME } from '~/routes/open/components/fields'
+import Paragraph from '~/components/layout/Paragraph'
+import OpenPaper from '~/components/Stepper/OpenPaper'
+import { getAccountsFrom } from '~/routes/open/utils/safeDataExtractor'
+import Hairline from '~/components/layout/Hairline'
+import { lg } from '~/theme/variables'
+
+type Props = {
+  classes: Object,
+}
+
+const styles = () => ({
+  root: {
+    display: 'flex',
+  },
+  padding: {
+    padding: lg,
+  },
+})
+
+const SafeOwners = ({ classes }: Props) => (
+  <React.Fragment>
+    <Block className={classes.padding}>
+      <Paragraph noMargin size="md" color="primary" weight="light">
+        Specify the owners of the Safe.
+      </Paragraph>
+    </Block>
+    <Block margin="md">
+      <Hairline margin="sm" />
+      <Row className={classes.padding}>
+        <Col xs={4}>
+          NAME
+        </Col>
+        <Col xs={8}>
+          ADDRESS
+        </Col>
+      </Row>
+      <Hairline margin="sm" />
+    </Block>
+    <Block margin="md">
+      <Paragraph size="md" color="primary" weight="bolder">
+        &#9679; My Safe is a smart contract on the Ethereum blockchain.
+      </Paragraph>
+    </Block>
+    <Block margin="lg" className={classes.root}>
+      <Field
+        name={FIELD_NAME}
+        component={TextField}
+        type="text"
+        validate={required}
+        placeholder="Name of the new Safe"
+        text="Safe name"
+      />
+    </Block>
+  </React.Fragment>
+)
+
+const SafeOwnersForm = withStyles(styles)(SafeOwners)
+
+const SafeOwnersPage = () => (controls: React$Node, { values }: Object) => (
+  <React.Fragment>
+    <OpenPaper controls={controls} padding={false}>
+      <SafeOwnersForm numOwners={values.owners} otherAccounts={getAccountsFrom(values)} />
+    </OpenPaper>
+  </React.Fragment>
+)
+
+export default SafeOwnersPage