<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> <!------ Include the above in your HEAD tag ----------> <div class="container"> <div id="signupbox" style="margin-top:50px" class="mainbox col-md-6 col-md-offset-3 col-sm-8 col-sm-offset-2"> <div class="panel panel-primary"> <div class="panel-heading"> <div class="panel-title">GET FREE INFO</div> <div style="float:right; font-size: 85%; position: relative; top:-10px"><a id="signinlink" href="#" onclick="$('#signupbox').hide(); $('#loginbox').show()">Sign In</a></div> </div> <div class="panel-body" > <form id="signupform" class="form-horizontal" role="form"> <div class="form-group"> <div class="col-md-12"> <input type="text" class="form-control" name="fullname" placeholder="Full Name"> </div> </div> <div class="form-group"> <div class="col-md-12"> <input type="text" class="form-control" name="email" placeholder="Email Address"> </div> </div> <div class="form-group"> <div class="col-md-12"> <select id="affiliatio" name="affiliation" class="form-control"> <option value="">Affiliation (Pick one)</option> <option>school</option> <option>hospital</option> <option>student</option> <option>other</option> </select> </div> </div> <div class="form-group"> <div class="col-md-12"> <input type="text" class="form-control" name="company" placeholder="Company"> </div> </div> <div class="form-group"> <div class="col-md-12"> <input type="text" class="form-control" name="title" placeholder="Title"> </div> </div> <div class="form-group"> <div class="col-md-12"> <input type="tel" class="form-control" name="phone" placeholder="Phone"> </div> </div> <div class="form-group"> <div class="col-md-12"> <textarea class="form-control" name="comments" placeholder="Comments" rows="3"></textarea> </div> </div> <div class="form-group"> <!-- Button --> <div class="col-md-md-12 col-md-offset-9"> <button id="btn-signup" type="button" class="btn btn-primary"><i class="icon-hand-right"></i>   GET STARTED</button> </div> </div> </form> </div> </div> </div>