"Payment Form"
Bootstrap 3.2.0 Snippet by vish448

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<link href="//netdna.bootstrapcdn.com/bootstrap/3.2.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//netdna.bootstrapcdn.com/bootstrap/3.2.0/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 class="row">
<img class="spi-header" src="" >SPI Header
<hr/>
<h1>Smart Property Investment Magazine</h1>
<hr/>
<p>If you are having any problems subscribing, please email subscriptions@spionline.com.au or phone Lauren Donnelly on 02 8045 2047.</p>
<p>Order before 21 November 2014 to receive the January issue, delivered early December.</p>
<p>Your bonus pack will be sent via email to the email address you provide.</p>
<strong>Purchase Summary:</strong>
<h2 class="bg-success">Today's Total: $74.95 AUD</h2>
<div class="form-group col-md-12 bg-primary">
<label class="control-label" for="billinginformation">Shipping Information</label>
</div>
<div class="shipping-info">
<div class="form-group col-md-6">
<span class="required-lbl">* </span><label class="control-label" for="firstname">First Name</label>
<div class="controls">
<input id="firstname" name="firstname" type="text" placeholder="" class="form-control" required="">
</div>
</div>
<div class="form-group col-md-6">
<span class="required-lbl">* </span><label class="control-label" for="lastname">Last Name</label>
<div class="controls">
<input id="lastname" name="lastname" type="text" placeholder="" class="form-control" required="">
</div>
</div>
<div class="form-group col-md-6">
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h2.bg-success{
padding: 15px;
}
.required-lbl{
color: red;
}
label[for="billinginformation"]{
display: inline;
float: left;
margin:0px 45px 0px 0px;
}
.card-expiry{
padding-left: 0px;
}
.confirm-btn{
float:right;
}
.bg-primary{
padding: 10px;
}
label{
margin-bottom :0px;
}
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