"Order Form"
Bootstrap 3.1.0 Snippet by sourabhkadam

<link href="//netdna.bootstrapcdn.com/bootstrap/3.1.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//netdna.bootstrapcdn.com/bootstrap/3.1.0/js/bootstrap.min.js"></script> <script src="//code.jquery.com/jquery-1.11.1.min.js"></script> <!------ Include the above in your HEAD tag ----------> <div class="container"> <div class="row"> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Order</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinputname">Full Name</label> <div class="col-md-4"> <input id="textinputname" name="textinputname" type="text" placeholder="Full Name" class="form-control input-md" required=""> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinputmobile">Mobile</label> <div class="col-md-4"> <input id="textinputmobile" name="textinputmobile" type="text" placeholder="Mobile No" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinputmobilealt">Alternate Mobile</label> <div class="col-md-4"> <input id="textinputmobilealt" name="textinputmobilealt" type="text" placeholder="alternate mobile no." class="form-control input-md"> </div> </div> <!-- Button --> <div class="form-group"> <label class="col-md-4 control-label" for="singlebuttonsubmit"></label> <div class="col-md-4"> <button id="singlebuttonsubmit" name="singlebuttonsubmit" class="btn btn-primary">Submit</button> </div> </div> </fieldset> </form> </div> </div>

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