<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 ----------> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Product - Credit Card</legend> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="Institution">Institution</label> <div class="col-md-4"> <select id="Institution" name="Institution" class="form-control"> <option value="1">ANZ</option> <option value="2">ASB</option> <option value="">BankDirect</option> <option value="">BNZ</option> <option value="">Kiwibank</option> <option value="">TSB</option> <option value="">Westpac</option> </select> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="ProductType">Product Type</label> <div class="col-md-4"> <select id="ProductType" name="ProductType" class="form-control"> <option value="1">Credit Card</option> <option value="2">Home Loan</option> <option value="">Personal Loan</option> <option value="">Savings Account</option> <option value="">Term Deposit</option> </select> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="ProductName">Product Name</label> <div class="col-md-4"> <input id="ProductName" name="ProductName" type="text" placeholder="Rewards Card Visa" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="FeaturesOne">Features #1</label> <div class="col-md-4"> <input id="FeaturesTwo" name="FeaturesTwo" type="text" placeholder="Extra points on purchases" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="FeaturesOne">Features #2</label> <div class="col-md-4"> <input id="FeaturesTwo" name="FeaturesTwo" type="text" placeholder="Extra points on purchases" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="FeaturesThree">Features #2</label> <div class="col-md-4"> <input id="FeaturesThree" name="FeaturesThree" type="text" placeholder="Extra points on purchases" class="form-control input-md"> </div> </div><!-- Select Multiple --> <div class="form-group"> <label class="col-md-4 control-label" for="cardtype">Card Type</label> <div class="col-md-4"> <select id="cardtype" name="cardtype" class="form-control" multiple="multiple"> <option value="1">Amex</option> <option value="2">Mastercard</option> <option value="">Visa</option> </select> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="AnnualFee">Annual Fee</label> <div class="col-md-4"> <input id="AnnualFee" name="AnnualFee" type="text" placeholder="$99" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="AnnualFeeFirst">Annual Fee First Year</label> <div class="col-md-4"> <input id="AnnualFeeFirst" name="AnnualFeeFirst" type="text" placeholder="$0" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="freedays">Free Days</label> <div class="col-md-4"> <input id="freedays" name="freedays" type="text" placeholder="55" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="balanceTransferRate">Balance Transfer Rate</label> <div class="col-md-4"> <input id="balanceTransferRate" name="balanceTransferRate" type="text" placeholder="0%" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="balanceTransferPeriod">Balance Transfer Period</label> <div class="col-md-4"> <input id="balanceTransferPeriod" name="balanceTransferPeriod" type="text" placeholder="9 Months" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="purchaseRate">Purchase Rate</label> <div class="col-md-4"> <input id="purchaseRate" name="purchaseRate" type="text" placeholder="10.99%" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="freedays">Cash Rate</label> <div class="col-md-4"> <input id="CashRate" name="CashRate" type="text" placeholder="19.99%" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="visitSitebutton">Visit Site Button URL</label> <div class="col-md-4"> <input id="visitSitebutton" name="visitSitebutton" type="text" placeholder="Enter Url" class="form-control input-md"> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="Features">Features</label> <div class="col-md-4"> <textarea class="form-control" id="textarea" name="textarea">Enter Text</textarea> </div> </div> </fieldset> </form>