<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 ----------> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Form Print Dialog</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">Document</label> <div class="col-md-4"> <input id="textinput" name="textinput" type="text" placeholder="Quotation" class="form-control input-md"> </div> </div> <!-- Multiple Checkboxes (inline) --> <div class="form-group"> <label class="col-md-4 control-label" for="checkboxes">Send email to contact</label> <div class="col-md-4"> <input type="checkbox" name="checkboxes" id="checkboxes-0" value="1"> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="selectbasic">Contact</label> <div class="col-md-4"> <select id="selectbasic" name="selectbasic" class="form-control"> <option value="1">Stephen Curry</option> <option value="2">Jeremy Lin</option> </select> </div> </div> <!-- Appended Input--> <div class="form-group"> <label class="col-md-4 control-label" for="appendedtext">New contact</label> <div class="col-md-4"> <div class="input-group"> <input id="appendedtext" name="appendedtext" class="form-control" placeholder="contact email address" type="text"> <span class="input-group-addon">Append</span> </div> <p class="help-block">If contact not in list, you can direct input here</p> </div> </div> <!-- Select Multiple --> <div class="form-group"> <label class="col-md-4 control-label" for="selectmultiple">Print Layout</label> <div class="col-md-4"> <select id="selectmultiple" name="selectmultiple" class="form-control" multiple="multiple"> <option value="1">Line Totals</option> <option value="2">Group Total</option> <option value="">Total only</option> <option value="">Group Description</option> <option value="">Group Description and spec</option> <option value="">Group Description and detail spec</option> </select> </div> </div> <!-- Button --> <div class="form-group"> <label class="col-md-4 control-label" for="singlebutton"></label> <div class="col-md-4"> <button id="singlebutton" name="singlebutton" class="btn btn-primary">OK</button> </div> </div> </fieldset> </form>