<link href="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
<div class="col-md-6 col-md-offset-3 col-sm-6 col-sm-offset-3 backsecond">
<div class="backcolor">
<div class="row text-center">
<h1 Style="color:#4DC9FF;">Sign Up</h1>
</div>
<form>
<div class="col-md-6 col-sm-6 textup">
<input type="text" class="form-control-signup" placeholder="First Name">
</div>
<div class="col-md-6 col-sm-6 textup">
<input type="text" class="form-control-signup" placeholder="Last Name">
</div>
<div class="col-md-12 col-sm-12 textup">
<input type="text" class="form-control-signup" placeholder="Username">
</div>
<div class="col-md-12 col-sm-12 textup">
<input type="email" class="form-control-signup" placeholder="Email">
</div>
<div class="col-md-12 col-sm-12 textup">
<input type="text" class="form-control-signup" placeholder="Phone Number">
</div>
<div class="col-md-12 textup">
<p style="font-size:10px"><span style="color:white;">By submitting this form, you agree to </span><a href="" style="color:#4DC9FF">WaLia Terms and Conditions</a><span style="color:white;"> and </span><a href="" style="color:#4DC9FF">Privacy Policy</a><span style="color:white;"> and allow us to contact you by email and SMS for transtactions and notifications.</span></p>
</div>
![Sign up form [Validations NOT ACHIEVED]](http://d2d3qesrx8xj6s.cloudfront.net/img/screenshots/085267fd2b785be54d5d05937defdd27ccc633ab.jpg)