"Sign Up"
Bootstrap 3.0.0 Snippet by asasar

<link href="//netdna.bootstrapcdn.com/bootstrap/3.0.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//netdna.bootstrapcdn.com/bootstrap/3.0.0/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"> <div class="col-xs-12 col-sm-12 col-md-6 well well-sm"> <legend> <a href="http://www.jquery2dotnet.com"> <i class="glyphicon glyphicon-globe"></i> </a> Registro </legend> <form action="#" method="post" class="form" role="form"> <label class="radio-inline"> <input type="radio" name="typeperson" id="typepersonperson" value="Persona" checked /> Persona </label> <label class="radio-inline"> <input type="radio" name="typeperson" id="typepersonempresa" value="Empresa" /> Empresa </label> <br /> <div class="row"> <div class="col-xs-6 col-md-6"> <input class="form-control" name="rutnumber" type="text" required autofocus /> </div> <div class="col-xs-2 col-md-2"> <input class="form-control" name="rutdig" type="text" required /> </div> </div> <input class="form-control" name="password" placeholder="Clave de Acceso" type="email" /> <input class="form-control" name="passwordvalid" placeholder="Confirme Clave" type="email" /> <div class="row"> <div class="col-xs-6 col-md-6"> <input class="form-control" name="firstname" placeholder="Nombre" type="text" required autofocus /> </div> <div class="col-xs-3 col-md-3"> <input class="form-control" name="lastname" placeholder="Apellido Paterno" type="text" required /> </div> <div class="col-xs-3 col-md-3"> <input class="form-control" name="lastname" placeholder="Apellido Materno" type="text" required /> </div> </div> <input class="form-control" name="youremail" placeholder="Email" type="email" /> <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 /> <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> <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; }

Related: See More


Questions / Comments: