"Newsletter Subscribe"
Bootstrap 3.3.0 Snippet by MTaqi

<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"> <div class="row"> <div class="col-md-4"> <div class="center well well-small"> <legend>Subscribe to Our Newsletter</legend> <form id="employmentForm" method="post" class="form-horizontal"> <div class="form-group"> <label class=" control-label">Subscribe for</label> <select name="position" class="col-xs-4 form-control"> <option value=""></option> <option value="0">daily</option> <option value="1" selected>weekly</option> <option value="2">monthly</option> </select> </div> <div class="form-group"> <label class="control-label">Email address</label> <input class="form-control" name="email" /> </div> <div class="form-group"> <div class="text-center"> <button type="submit" id="validateButton" class="btn btn-default">Subscribe Now!</button> </div> </div> </form> </div> </div> </div> </div>
.well{ background-color:#fff; color:black; }

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