<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">MService Booking Online</h1> <div class="col-lg-12 well"> <div class="row"> <form> <div class="col-sm-12"> <div class="row"> <div class="col-sm-6 form-group"> <label>Nama Depan</label> <input type="text" placeholder="Ketik nama depan Anda.." class="form-control" required=""> </div> <div class="col-sm-6 form-group"> <label>Nama Belakang</label> <input type="text" placeholder="Ketik nama belakang Anda.." class="form-control"> </div> </div> <div class="form-group"> <label>Alamat</label> <textarea placeholder="Ketik alamat tinggal Anda.." rows="3" class="form-control" required=""></textarea> </div> <div class="row"> <div class="col-sm-4 form-group"> <label>Kecamatan</label> <input type="text" placeholder="Kecamatan Anda.." class="form-control" required=""> </div> <div class="col-sm-4 form-group"> <label>Kota</label> <input type="text" placeholder="Kota Anda.." class="form-control" required=""> </div> <div class="col-sm-4 form-group"> <label>Kode Pos</label> <input type="number" placeholder="Kode Pos Anda.." class="form-control" required=""> </div> </div> <div class="row"> <div class="col-sm-6 form-group"> <label>Jenis Identitas</label> <select type="text" placeholder="" class="form-control" required=""> <option>KTP</option> <option>Kartu Pelajar/Mahasiswa</option> <option>SIM</option> </select> </div> <div class="col-sm-6 form-group"> <label>No. Identitas</label> <input type="text" placeholder="No. KTP / SIM.." class="form-control" required=""> </div> </div> <div class="form-group"> <label>No. Telp</label> <input type="number" placeholder="No. Telp Aktif.." class="form-control" required=""> </div> <div class="form-group"> <label>Email Anda</label> <input type="email" placeholder="Email Aktif Anda.." class="form-control" required=""> </div> <div class="form-group"> <label>Jenis Kendaraan</label> <select type="text" placeholder="" class="form-control" required=""> <option>MOGE > 500 CC</option> <option>SPORT</option> <option>BEBEK</option> <option>MATIC</option> </select> </div> <div class="form-group"> <label>Merk Kendaraan</label> <input type="text" placeholder="Merk Kendaraan Anda.." class="form-control" required=""> </div> <div class="form-group"> <label>tahun Kendaraan</label> <input type="number" placeholder="Tahun Kendaraan Anda.." class="form-control"> </div> <div class="form-group"> <label>No. Polisi Kendaraan</label> <input type="text" placeholder="No. Polisi Kendaraan Anda.." class="form-control" required=""> </div> <div class="form-group"> <label>KM Kendaraan</label> <input type="text" placeholder="KM Kendaraan Anda.." class="form-control"> </div> <div class="form-group"> <label>Tanggal Booking Service Kendaraan</label> <input type="date" placeholder="" class="form-control" required=""> </div> <div class="form-group"> <label>Lokasi Service Kendaraan</label> <select type="text" placeholder="" class="form-control" required=""> <option>SENAYAN</option> <option>GEDUNG 2</option> <option>GEDUNG 3</option> <option>GEDUNG 4</option> </select> </div> <div class="form-group"> <label>Tipe Service Kendaraan</label> <select type="select" placeholder="" class="form-control"> <option>Service Ringan</option> <option>Ganti Oli</option> <option>Ganti Suku Cadang</option> <option>Cek Kelistrikan</option> <option>Accessories</option> </select> </div> <div class="form-group"> <label>Keluhan</label> <textarea placeholder="Keluhan motor Anda.." rows="3" class="form-control"></textarea> </div> <button type="button" class="btn btn-lg btn-info">Booking</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; } }