"Sign Up"
Bootstrap 3.0.0 Snippet by BhaumikPatel

<div class="container"> <div class="row"> <div class="col-xs-12 col-sm-12 col-md-4 well well-sm"> <legend><a href="http://www.jquery2dotnet.com"><i class="glyphicon glyphicon-globe"></i></a> Sign up!</legend> <form action="#" method="post" class="form" role="form"> <div class="row"> <div class="col-xs-6 col-md-6"> <input class="form-control" name="firstname" placeholder="First Name" type="text" required autofocus /> </div> <div class="col-xs-6 col-md-6"> <input class="form-control" name="lastname" placeholder="Last Name" type="text" required /> </div> </div> <input class="form-control" name="youremail" placeholder="Your Email" type="email" /> <input class="form-control" name="reenteremail" placeholder="Re-enter Email" type="email" /> <input class="form-control" name="password" placeholder="New Password" type="password" /> <label for=""> Birth Date</label> <div class="row"> <div class="col-xs-4 col-md-4"> <select class="form-control"> <option value="Month">Month</option> </select> </div> <div class="col-xs-4 col-md-4"> <select class="form-control"> <option value="Day">Day</option> </select> </div> <div class="col-xs-4 col-md-4"> <select class="form-control"> <option value="Year">Year</option> </select> </div> </div> <label class="radio-inline"> <input type="radio" name="sex" id="inlineCheckbox1" value="male" /> Male </label> <label class="radio-inline"> <input type="radio" name="sex" id="inlineCheckbox2" value="female" /> Female </label> <br /> <br /> <button class="btn btn-lg btn-primary btn-block" type="submit"> Sign up</button> </form> </div> </div> </div>
body { padding-top:30px; } .form-control { margin-bottom: 10px; }

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