<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"> <h1 class="well">Registration Form</h1> <div class="col-lg-12 well"> <div class="row"> <form> <div class="col-sm-12"> <div class="row"> <div class="col-sm-9 form-group"> <label>Datos Del Solicitante (Persona Juridica)</label> <input type="text" placeholder="Datos Del Solicitante" class="form-control"> </div> <div class="col-sm-3 form-group"> <label>RUC</label> <input type="text" placeholder="RUC" class="form-control"></p></br> </div> <div class="col-sm-4 form-group"> <label>Apellido Paterno</label> <input type="text" placeholder="Apellido Paterno" class="form-control"> </div> <div class="col-sm-4 form-group"> <label>Apellido Materno</label> <input type="text" placeholder="Apellido Materno" class="form-control"> </div> <div class="col-sm-4 form-group"> <label>Nombres</label> <input type="text" placeholder="Nombres" class="form-control"> </div> </div> <div class="form-group"> <label>Address</label> <textarea placeholder="Enter Address Here.." rows="3" class="form-control"></textarea> </div> <div class="row"> <div class="col-sm-4 form-group"> <label>City</label> <input type="text" placeholder="Enter City Name Here.." class="form-control"> </div> <div class="col-sm-4 form-group"> <label>State</label> <input type="text" placeholder="Enter State Name Here.." class="form-control"> </div> <div class="col-sm-4 form-group"> <label>Zip</label> <input type="text" placeholder="Enter Zip Code Here.." class="form-control"> </div> </div> <div class="row"> <div class="col-sm-6 form-group"> <label>Title</label> <input type="text" placeholder="Enter Designation Here.." class="form-control"> </div> <div class="col-sm-6 form-group"> <label>Company</label> <input type="text" placeholder="Enter Company Name Here.." class="form-control"> </div> </div> <div class="form-group"> <label>Phone Number</label> <input type="text" placeholder="Enter Phone Number Here.." class="form-control"> </div> <div class="form-group"> <label>Email Address</label> <input type="text" placeholder="Enter Email Address Here.." class="form-control"> </div> <div class="form-group"> <label>Website</label> <input type="text" placeholder="Enter Website Name Here.." class="form-control"> </div> <button type="button" class="btn btn-lg btn-info">Submit</button> </div> </form> </div> </div> </div>

@import "font-awesome.min.css"; @import "font-awesome-ie7.min.css"; /* Space out content a bit */ body { padding-top: 20px; padding-bottom: 20px; } /* Everything but the jumbotron gets side spacing for mobile first views */ .header, .marketing, .footer { padding-right: 15px; padding-left: 15px; } /* Custom page header */ .header { border-bottom: 1px solid #e5e5e5; } /* Make the masthead heading the same height as the navigation */ .header h3 { padding-bottom: 19px; margin-top: 0; margin-bottom: 0; line-height: 40px; } /* Custom page footer */ .footer { padding-top: 19px; color: #777; border-top: 1px solid #e5e5e5; } /* Customize container */ @media (min-width: 768px) { .container { max-width: 730px; } } .container-narrow > hr { margin: 30px 0; } /* Main marketing message and sign up button */ .jumbotron { text-align: center; border-bottom: 1px solid #e5e5e5; } .jumbotron .btn { padding: 14px 24px; font-size: 21px; } /* Supporting marketing content */ .marketing { margin: 40px 0; } .marketing p + h4 { margin-top: 28px; } /* Responsive: Portrait tablets and up */ @media screen and (min-width: 768px) { /* Remove the padding we set earlier */ .header, .marketing, .footer { padding-right: 0; padding-left: 0; } /* Space out the masthead */ .header { margin-bottom: 30px; } /* Remove the bottom border on the jumbotron for visual effect */ .jumbotron { border-bottom: 0; } }