"Vendors Form"
Bootstrap 3.3.0 Snippet by awidel

<link href="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/js/bootstrap.min.js"></script> <script src="//code.jquery.com/jquery-1.11.1.min.js"></script> <!------ Include the above in your HEAD tag ----------> <div class="container"> <div class="row"> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Create your vendor account</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="firstname">First Name</label> <div class="col-md-4"> <input id="firstname" name="firstname" type="text" placeholder="First Name..." class="form-control input-md" required=""> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="lastname">Last Name</label> <div class="col-md-4"> <input id="lastname" name="lastname" type="text" placeholder="Last Name..." class="form-control input-md" required=""> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="company">Company</label> <div class="col-md-4"> <input id="company" name="company" type="text" placeholder="Company" class="form-control input-md" required=""> </div> </div> <!-- Password input--> <div class="form-group"> <label class="col-md-4 control-label" for="password">Password</label> <div class="col-md-4"> <input id="password" name="password" type="password" placeholder="Password" class="form-control input-md" required=""> </div> </div> <!-- Password input--> <div class="form-group"> <label class="col-md-4 control-label" for="confirm_password">Confirm Password</label> <div class="col-md-4"> <input id="confirm_password" name="confirm_password" type="password" placeholder="Confirm Password" class="form-control input-md" required=""> </div> </div> <!-- Multiple Radios (inline) --> <div class="form-group"> <label class="col-md-4 control-label" for="service_type">Which services do you provide?</label> <div class="col-md-4"> <label class="radio-inline" for="service_type-0"> <input type="radio" name="service_type" id="service_type-0" value="moving" checked="checked"> Moving Services </label> <label class="radio-inline" for="service_type-1"> <input type="radio" name="service_type" id="service_type-1" value="storage"> Self-Storage Services </label> </div> </div> <!-- Multiple Checkboxes (inline) --> <div class="form-group"> <label class="col-md-4 control-label" for="terms"></label> <div class="col-md-4"> <label class="checkbox-inline" for="terms-0"> <input type="checkbox" name="terms" id="terms-0" value="1"> I have read, understand, and accept the terms and conditions. </label> </div> </div> <!-- Button --> <div class="form-group"> <label class="col-md-4 control-label" for="submit"></label> <div class="col-md-4"> <button id="submit" name="submit" class="btn btn-primary">Register</button> </div> </div> </fieldset> </form> </div> </div>

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