<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>
<a data-toggle="modal" href="#rating-modal">Write a Review</a>
<div class="hide fade modal" id="rating-modal">
<div class="modal-header">
<button type="button" class="close" data-dismiss="modal">×</button>
<h2>Your Review</h2>
</div>
<div class="modal-body">
<form class="form-horizontal well" data-async data-target="#rating-modal" action="" method="POST">
<fieldset>
<table>
<tr>
<td>Name:</td>
<td><input name="name" type="text"></input></td>
</tr>
<tr>
<td>Email:</td>
<td><input name="email" type="text"></input></td>
</tr>
<tr>
<td>Phone:</td>
<td><input name="phone" type="text"></input></td>
</tr>
<tr>
<td></td>
<td><input type="submit" value="Submit"></input></td>
</tr>