<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 ----------> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Crear Plan</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="nbplan">Nombre del Plan</label> <div class="col-md-4"> <input id="nbplan" name="nbplan" type="text" placeholder="" class="form-control input-md" required=""> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="descplan">Descripción</label> <div class="col-md-4"> <textarea class="form-control" id="descplan" name="descplan">describa brevemente sus características y ventajas</textarea> </div> </div> <!-- Prepended text--> <div class="form-group"> <label class="col-md-4 control-label" for="pvpplan">Precio</label> <div class="col-md-4"> <div class="input-group"> <span class="input-group-addon">Bs.:</span> <input id="pvpplan" name="pvpplan" class="form-control" placeholder="" type="text" required=""> </div> </div> </div> <!-- Prepended text--> <div class="form-group"> <label class="col-md-4 control-label" for="duracionplan">Duración</label> <div class="col-md-4"> <div class="input-group"> <span class="input-group-addon">Días</span> <input id="duracionplan" name="duracionplan" class="form-control" placeholder="" type="text" required=""> </div> <p class="help-block">vigencia desde el último pago realizado</p> </div> </div> <!-- Multiple Radios --> <div class="form-group"> <label class="col-md-4 control-label" for="flactivo">Está vigente?</label> <div class="col-md-4"> <div class="radio"> <label for="flactivo-0"> <input type="radio" name="flactivo" id="flactivo-0" value="1" checked="checked"> Si </label> </div> <div class="radio"> <label for="flactivo-1"> <input type="radio" name="flactivo" id="flactivo-1" value="0"> No </label> </div> </div> </div> <!-- Button --> <div class="form-group"> <label class="col-md-4 control-label" for="singlebutton"></label> <div class="col-md-4"> <button id="singlebutton" name="singlebutton" class="btn btn-primary">Enviar</button> </div> </div> </fieldset> </form>