<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 ----------> <div class="row" style="background-image: url(http://i.imgur.com/dtaHtds.jpg)"> </div> <div class="row"> <div class="col-md-4 col-md-offset-1"> <fieldset> <!-- Form Name --> <legend>Billing Details</legend> <!-- Text input--> <div class="form-group"> <label class="col-sm-2 control-label" for="textinput">Line 1</label> <div class="col-sm-10"> <input type="text" placeholder="Address Line 1" class="form-control"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-sm-2 control-label" for="textinput">Line 2</label> <div class="col-sm-10"> <input type="text" placeholder="Address Line 2" class="form-control"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-sm-2 control-label" for="textinput">City</label> <div class="col-sm-10"> <input type="text" placeholder="City" class="form-control"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-sm-2 control-label" for="textinput">State</label> <div class="col-sm-4"> <input type="text" placeholder="State" class="form-control"> </div> <label class="col-sm-2 control-label" for="textinput">Postcode</label> <div class="col-sm-4"> <input type="text" placeholder="Post Code" class="form-control"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-sm-2 control-label" for="textinput">Country</label> <div class="col-sm-10"> <input type="text" placeholder="Country" class="form-control"> </div> </div> </fieldset> </div> <div class="col-md-4"> <table class="table table-hover"> <thead> <tr> <th>101 Trandafiri Rosii</th> <th>Price</th> <th class="text-center">TVA</th> <th class="text-center">Total</th> <th> </th> </tr> </thead> <tbody> <tr> <td class="col-sm-4 col-md-4"> <div class="media"> <a class="thumbnail pull-left" href="#"> <img class="media-object" src="http://fs65.trilulilu.ro/imgs/GYNNY/trandafiri-32_4d11248ca662fd.jpg?size=original" style="width: 72px; height: 72px;"> </a> </div></td> <td class="col-sm-1 col-md-1 text-center"><strong>$4.87</strong></td> <td class="col-sm-1 col-md-1 text-center"><strong>$4.87</strong></td> <td class="col-sm-1 col-md-1 text-center"><strong>$14.61</strong></td> <td class="col-sm-1 col-md-1"> </tr> </tbody> </table> </div> </div> <div class="row"> <div class="col-md-4 col-md-offset-1"> <a class="btn" data-toggle="collapse" data-target="#viewdetails">Show Shipment Details»</a> </div> </div> <div class="row collapse" id="viewdetails"> <div class="col-md-4 col-md-offset-1"> <fieldset> <!-- Form Name --> <legend>Shipment Details</legend> <!-- Text input--> <div class="form-group"> <label class="col-sm-2 control-label" for="textinput">Line 1</label> <div class="col-sm-10"> <input type="text" placeholder="Address Line 1" class="form-control"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-sm-2 control-label" for="textinput">Line 2</label> <div class="col-sm-10"> <input type="text" placeholder="Address Line 2" class="form-control"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-sm-2 control-label" for="textinput">City</label> <div class="col-sm-10"> <input type="text" placeholder="City" class="form-control"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-sm-2 control-label" for="textinput">State</label> <div class="col-sm-4"> <input type="text" placeholder="State" class="form-control"> </div> <label class="col-sm-2 control-label" for="textinput">Postcode</label> <div class="col-sm-4"> <input type="text" placeholder="Post Code" class="form-control"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-sm-2 control-label" for="textinput">Country</label> <div class="col-sm-10"> <input type="text" placeholder="Country" class="form-control"> </div> </div> </fieldset> </div> </div><!-- /.row --> <div class="form-group"> <div class="col-sm-offset-2 col-sm-10"> <div class="pull-right"> <button type="submit" class="btn btn-default">Cancel</button> <button type="submit" class="btn btn-primary">Save</button> </div> </div> </div>