<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="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-hidden="true"><i class="fa fa-times"></i></button> <h4 class="modal-title">Ready to Join? Create a New Account</h4> </div> <form action="" method="post"> <div class="modal-body"> <div class="form-group"> <label for="userEmail">Email Address</label> <input type="text" class="form-control" required="" name="userEmail" value=""> <span class="help-block">Your email address is also used to log in.</span> </div> <div class="row"> <div class="col-md-6"> <div class="form-group"> <label for="password">Password</label> <input type="password" class="form-control" required="" name="password" value=""> <span class="help-block">Choose a password for your new account.</span> </div> </div> <div class="col-md-6"> <div class="form-group"> <label for="passwordr">Repeat Password</label> <input type="password" class="form-control" required="" name="passwordr" value=""> <span class="help-block">Type the password again. Passwords must match.</span> </div> </div> </div> </div> <div class="modal-footer"> <input type="hidden" name="isEmpty" value=""> <button type="input" name="submit" value="newAccount" class="btn btn-success btn-icon"><i class="fa fa-check"></i> Create My Account</button> <button type="button" class="btn btn-default btn-icon" data-dismiss="modal"><i class="fa fa-times-circle"></i> Cancel</button> </div> </form> </div> </div> </div>

.modal-content { position: relative; background-color: #ffffff; border: 1px solid #999999; border: 1px solid rgba(0, 0, 0, 0.2); border-radius: 0; outline: none; -webkit-box-shadow: 0 3px 9px rgba(0, 0, 0, 0.5); box-shadow: 0 3px 9px rgba(0, 0, 0, 0.5); background-clip: padding-box; } .modal-header { border-bottom: 1px solid #48a4ac; background: #61bdc5; min-height: 16.4286px; padding: 10px 15px; } .close { float: right; font-size: 21px; font-weight: 700; line-height: 1; color: #000; text-shadow: 0 1px 0 #fff; opacity: .2; filter: alpha(opacity=20); } .modal-body { position: relative; padding: 20px; } .modal-footer { padding: 19px 20px 20px; margin-top: 0; text-align: right; border-top: 1px solid #e5e5e5; }