"Institutions"
Bootstrap 3.2.0 Snippet by smpdevelopments

<link href="//netdna.bootstrapcdn.com/bootstrap/3.2.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//netdna.bootstrapcdn.com/bootstrap/3.2.0/js/bootstrap.min.js"></script> <script src="//code.jquery.com/jquery-1.11.1.min.js"></script> <!------ Include the above in your HEAD tag ----------> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Instituions</legend> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="Institution">Institution</label> <div class="col-md-4"> <select id="Institution" name="Institution" class="form-control"> <option value="1">ANZ</option> <option value="2">ASB</option> <option value="">BankDirect</option> <option value="">BNZ</option> <option value="">Kiwibank</option> <option value="">TSB</option> <option value="">Westpac</option> </select> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="Type">Type</label> <div class="col-md-4"> <select id="Type" name="Type" class="form-control"> <option value="1">Bank</option> <option value="2">Broker</option> <option value="">Credit Union</option> <option value="">Non-Bank Lender</option> <option value="">Building Society</option> </select> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="Phone">Phone</label> <div class="col-md-4"> <input id="Phone" name="Phone" type="text" placeholder="04 1234 5678" class="form-control input-md" required=""> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="Website">Website</label> <div class="col-md-4"> <input id="Website" name="Website" type="text" placeholder="www.example.co.nz" class="form-control input-md" required=""> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="HOStreet">Street</label> <div class="col-md-4"> <input id="HOStreet" name="HOStreet" type="text" placeholder="123 Jones St" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="HOCity">City</label> <div class="col-md-4"> <input id="HOCity" name="HOCity" type="text" placeholder="Wellington" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="HOPostcode">Postcode</label> <div class="col-md-4"> <input id="HOPostcode" name="HOPostcode" type="text" placeholder="5000" class="form-control input-md"> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="HOCountry">Country</label> <div class="col-md-4"> <select id="HOCountry" name="HOCountry" class="form-control"> <option value="1">Australia</option> <option value="2">New Zealand</option> </select> </div> </div> <!-- File Button --> <div class="form-group"> <label class="col-md-4 control-label" for="HOPostcode">Landscape</label> <div class="col-md-4"> <input id="Landscape" name="Landscape" type="text" placeholder="paste wordpress Url" class="form-control input-md"> </div> </div> <!-- File Button --> <div class="form-group"> <label class="col-md-4 control-label" for="HOPostcode">Portrait Image</label> <div class="col-md-4"> <input id="portrait" name="portrait" type="text" placeholder="paste wordpress Url" class="form-control input-md"> </div> </div> </fieldset> </form>

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