<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>CUSTOMER</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="customer_id">CUSTOMER ID</label> <div class="col-md-4"> <input id="customer_id" name="customer_id" placeholder="CUSTOMER ID" class="form-control input-md" required="" type="text"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="customer_name">CUSTOMER NAME</label> <div class="col-md-4"> <input id="customer_name" name="customer_name" placeholder="CUSTOMER NAME" class="form-control input-md" required="" type="text"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="customer_e_mail">CUSTOMER E.MAIL</label> <div class="col-md-4"> <input id="customer_e_mail" name="customer_e_mail" placeholder="CUSTOMER E.MAIL" class="form-control input-md" required="" type="text"> </div> </div> <!-- Password input--> <div class="form-group"> <label class="col-md-4 control-label" for="password">PASSWORD</label> <div class="col-md-4"> <input id="password" name="password" placeholder="PASSWORD" class="form-control input-md" required="" type="password"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="customer_status">CUSTOMER STATUS</label> <div class="col-md-4"> <input id="customer_status" name="customer_status" placeholder="CUSTOMER STATUS" class="form-control input-md" required="" type="text"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="site_web">SITE WEB</label> <div class="col-md-4"> <input id="site_web" name="site_web" placeholder="SITE WEB" class="form-control input-md" type="text"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="country">COUNTRY</label> <div class="col-md-4"> <input id="country" name="country" placeholder="COUNTRY" class="form-control input-md" required="" type="text"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="phone1">PHONE1</label> <div class="col-md-4"> <input id="phone1" name="phone1" placeholder="PHONE1" class="form-control input-md" required="" type="text"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="phone2">PHONE2</label> <div class="col-md-4"> <input id="phone2" name="phone2" placeholder="PHONE2" class="form-control input-md" type="text"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="account_création_date">ACCOUNT CREATION DATE</label> <div class="col-md-4"> <input id="account_création_date" name="account_création_date" placeholder="ACCOUNT CREATION DATE" class="form-control input-md" required="" type="text"> </div> </div> <!-- Button --> <div class="form-group"> <label class="col-md-4 control-label" for=""></label> <div class="col-md-4"> <button id="" name="" class="btn btn-primary">Submit</button> </div> </div> </fieldset> </form>