"Address Details Modal Form"
Bootstrap 3.0.0 Snippet by darrennolan

<div class="row"> <div class="col-md-4 col-md-offset-4"> <form class="form-horizontal" role="form"> <fieldset> <!-- Form Name --> <legend>Address Details</legend> <!-- Text input--> <div class="form-group"> <label class="col-sm-2 control-label" for="textinput">Line 1</label> <div class="col-sm-10"> <input type="text" placeholder="Address Line 1" class="form-control"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-sm-2 control-label" for="textinput">Line 2</label> <div class="col-sm-10"> <input type="text" placeholder="Address Line 2" class="form-control"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-sm-2 control-label" for="textinput">City</label> <div class="col-sm-10"> <input type="text" placeholder="City" class="form-control"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-sm-2 control-label" for="textinput">State</label> <div class="col-sm-4"> <input type="text" placeholder="State" class="form-control"> </div> <label class="col-sm-2 control-label" for="textinput">Postcode</label> <div class="col-sm-4"> <input type="text" placeholder="Post Code" class="form-control"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-sm-2 control-label" for="textinput">Country</label> <div class="col-sm-10"> <input type="text" placeholder="Country" class="form-control"> </div> </div> <div class="form-group"> <div class="col-sm-offset-2 col-sm-10"> <div class="pull-right"> <button type="submit" class="btn btn-default">Cancel</button> <button type="submit" class="btn btn-primary">Save</button> </div> </div> </div> </fieldset> </form> </div><!-- /.col-lg-12 --> </div><!-- /.row -->

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