<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>
<div id="fullscreen_bg" class="fullscreen_bg"/>
<form class="form-signin">
<div class="container">
<div class="row">
<div class="col-md-4 col-md-offset-4">
<div class="panel panel-default">
<div class="panel panel-primary">
<h3 class="text-center">
Update my information</h3>
<div class="panel-body">
<div class="form-group">
<div class="input-group">
<span class="input-group-addon"><span class="glyphicon glyphicon-user"></span>
</span>
<input type="text" class="form-control" placeholder="First Name" />
</div>
</div>
<div class="form-group">
<div class="input-group">
<span class="input-group-addon"><span class="glyphicon glyphicon-user"></span></span>
<input type="text" class="form-control" placeholder="Last Name" />
</div>
</div>
<div class="form-group">
<div class="input-group">
<span class="input-group-addon"><span class="glyphicon glyphicon-envelope"></span></span>
<input type="text" class="form-control" placeholder="Email" />
</div>