<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="row centered-form">
<div class="col-xs-12 col-sm-8 col-md-4 col-sm-offset-2 col-md-offset-4">
<div class="panel panel-default">
<div class="panel-heading">
<h3 class="panel-title">Right-Of-Way Search</h3>
</div>
<div class="panel-body">
<form role="form">
<div class="row">
<div class="col-xs-6 col-sm-6 col-md-6">
<div class="form-group">
<input type="text" name="first_name" id="first_name" class="form-control input-sm" placeholder="First Name">
</div>
</div>
<div class="col-xs-6 col-sm-6 col-md-6">
<div class="form-group">
<input type="text" name="last_name" id="last_name" class="form-control input-sm" placeholder="Last Name">
</div>
</div>
</div>
<div class="form-group">
<input type="email" name="email" id="email" class="form-control input-sm" placeholder="Email Address">
</div>
<input type="submit" value="Register" class="btn btn-info btn-block">
</form>
</div>
</div>
</div>