<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>
<div class="container">
<div class="price-box">
<form class="form-horizontal form-pricing" role="form">
<div class="price-slider">
<h4 class="great">Amount</h4>
<span>Minimum $10 is required</span>
<div class="col-sm-12">
<div id="slider"></div>
</div>
</div>
<div class="price-form">
<div class="form-group">
<label for="amount" class="col-sm-6 control-label">Amount ($): </label>
<span class="help-text">Please choose your amount</span>
<div class="col-sm-6">
<input type="hidden" id="amount" class="form-control">
<p class="price lead" id="amount-label"></p>
<span class="price">.00</span>
</div>
</div>
<div class="form-group">
<label for="duration" class="col-sm-6 control-label">Duration: </label>
<span class="help-text">Choose your commitment</span>
<div class="col-sm-6">
<input type="hidden" id="duration" class="form-control">
<p class="price lead" id="duration-label"></p>