"Credit Card Form (Bootstrap 3)"
Bootstrap 3.0.0 Snippet by deniswsrosa

<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 ----------> <table class="table"> <caption>Optional table caption.</caption> <thead> <tr> <th>Cartão</th> <th></th> </tr> </thead> <tbody> <tr> <td>XXXX-XXXX-XXXX-123</td> <td><button type="button" class="btn btn-default pull-right text-center" onClick=""><span class="glyphicon glyphicon-refresh" aria-hidden="true"></span></button></td> </tr> <tr> <td>XXXX-XXXX-XXXX-123</td> <td>Thornton</td> </tr> <tr> <td>XXXX-XXXX-XXXX-123</td> <td>the Bird</td> </tr> </tbody> </table> <br><br> <div class="panel-group" id="accordion" role="tablist" aria-multiselectable="true"> <div class="panel panel-default"> <div class="panel-heading" role="tab" id="headingOne"> <h4 class="panel-title"> <a role="button" data-toggle="collapse" data-parent="#accordion" href="#collapseOne" aria-expanded="true" aria-controls="collapseOne"> Cartão Mastercard </a> </h4> </div> <div id="collapseOne" class="panel-collapse collapse in" role="tabpanel" aria-labelledby="headingOne"> <div class="panel-body"> <div class="container"> <form class="form-horizontal" role="form"> <fieldset> <div class="form-group"> <label class="col-sm-3 control-label" for="card-holder-name">Nome no Cartão</label> <div class="col-sm-9"> <input type="text" class="form-control" name="card-holder-name" id="card-holder-name" placeholder="Nome igual ao descrito no cartão"> </div> </div> <div class="form-group"> <label class="col-sm-3 control-label" for="card-number">Número do Cartão</label> <div class="col-sm-9"> <input type="text" class="form-control" name="card-number" id="card-number" placeholder="Número do Cartão de Crédito/Débito"> </div> </div> <div class="form-group"> <label class="col-sm-3 control-label" for="expiry-month">Data Expiração</label> <div class="col-sm-9"> <div class="row"> <div class="col-xs-6"> <select class="form-control col-sm-4" name="expiry-month" id="expiry-month"> <option>Mês</option> <option value="01">Jan (01)</option> <option value="02">Feb (02)</option> <option value="03">Mar (03)</option> <option value="04">Apr (04)</option> <option value="05">May (05)</option> <option value="06">June (06)</option> <option value="07">July (07)</option> <option value="08">Aug (08)</option> <option value="09">Sep (09)</option> <option value="10">Oct (10)</option> <option value="11">Nov (11)</option> <option value="12">Dec (12)</option> </select> </div> <div class="col-xs-6"> <select class="form-control" name="expiry-year"> <option value="13">2013</option> <option value="14">2014</option> <option value="15">2015</option> <option value="16">2016</option> <option value="17">2017</option> <option value="18">2018</option> <option value="19">2019</option> <option value="20">2020</option> <option value="21">2021</option> <option value="22">2022</option> <option value="23">2023</option> </select> </div> </div> </div> </div> <div class="form-group"> <label class="col-sm-3 control-label" for="cvv">CVV</label> <div class="col-sm-3"> <input type="text" class="form-control" name="cvv" id="cvv" placeholder="Código de Segurança"> </div> </div> <div class="form-group"> <div class="col-sm-offset-3 col-sm-9"> <button type="button" class="btn btn-success">Salvar</button> </div> </div> </fieldset> </form> </div> </div> </div> </div> <div class="panel panel-default"> <div class="panel-heading" role="tab" id="headingTwo"> <h4 class="panel-title"> <a class="collapsed" role="button" data-toggle="collapse" data-parent="#accordion" href="#collapseTwo" aria-expanded="false" aria-controls="collapseTwo"> Cartões de Crédito </a> </h4> </div> <div id="collapseTwo" class="panel-collapse collapse" role="tabpanel" aria-labelledby="headingTwo"> <div class="panel-body"> <div class="container"> <form class="form-horizontal" role="form"> <fieldset> <div class="form-group"> <label class="col-sm-3 control-label" for="card-holder-name">Nome do Cartão</label> <div class="col-sm-9"> <input type="text" class="form-control" name="card-holder-name" id="card-holder-name" placeholder="Nome igual ao descrito no cartão"> </div> </div> <div class="form-group"> <label class="col-sm-3 control-label" for="card-number">Número do Cartão</label> <div class="col-sm-9"> <input type="text" class="form-control" name="card-number" id="card-number" placeholder="Número do Cartão de Crédito/Débito"> </div> </div> <div class="form-group"> <label class="col-sm-3 control-label" for="expiry-month">Data de Expiração</label> <div class="col-sm-9"> <div class="row"> <div class="col-xs-6"> <select class="form-control col-sm-4" name="expiry-month" id="expiry-month"> <option>Mês</option> <option value="01">Jan (01)</option> <option value="02">Feb (02)</option> <option value="03">Mar (03)</option> <option value="04">Apr (04)</option> <option value="05">May (05)</option> <option value="06">June (06)</option> <option value="07">July (07)</option> <option value="08">Aug (08)</option> <option value="09">Sep (09)</option> <option value="10">Oct (10)</option> <option value="11">Nov (11)</option> <option value="12">Dec (12)</option> </select> </div> <div class="col-xs-6"> <select class="form-control" name="expiry-year"> <option value="13">2013</option> <option value="14">2014</option> <option value="15">2015</option> <option value="16">2016</option> <option value="17">2017</option> <option value="18">2018</option> <option value="19">2019</option> <option value="20">2020</option> <option value="21">2021</option> <option value="22">2022</option> <option value="23">2023</option> </select> </div> </div> </div> </div> <div class="form-group"> <label class="col-sm-3 control-label" for="cvv">CVV</label> <div class="col-sm-3"> <input type="text" class="form-control" name="cvv" id="cvv" placeholder="Código de Segurança"> </div> </div> <div class="form-group"> <div class="col-sm-offset-3 col-sm-9"> <button type="button" class="btn btn-success">Salvar</button> </div> </div> </fieldset> </form> </div> </div> </div> </div> </div>

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