<link href="//netdna.bootstrapcdn.com/bootstrap/3.0.1/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//netdna.bootstrapcdn.com/bootstrap/3.0.1/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>Source address</legend> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="Country">Country</label> <div class="col-md-5"> <select id="Country" name="Country" class="form-control"> <option value="IR">IR Iran</option> <option value="USA">United States</option> </select> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="State">State</label> <div class="col-md-6"> <input id="State" name="State" type="text" placeholder="state" class="form-control input-md" required=""> <span class="help-block">Enter Source state</span> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="city">City/Town</label> <div class="col-md-6"> <input id="city" name="city" type="text" placeholder="city or town" class="form-control input-md" required=""> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="address1">Address Line1</label> <div class="col-md-8"> <input id="address1" name="address1" type="text" placeholder="" class="form-control input-md"> <span class="help-block">Street address, P.O. box, company name, c/o</span> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="Address2">Address Line2</label> <div class="col-md-8"> <input id="Address2" name="Address2" type="text" placeholder="" class="form-control input-md"> <span class="help-block">Apartment, suite , unit, building, floor, etc.</span> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="zip">Zip/Postal code</label> <div class="col-md-4"> <input id="zip" name="zip" type="text" placeholder="zip or postal code" class="form-control input-md" required=""> </div> </div> </fieldset> </form>