<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>事前登録</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">貴社名</label> <div class="col-md-4"> <input name="textinput" class="form-control input-md" id="textinput" type="text" placeholder="例：Zenshin株式会社"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">ご担当者名</label> <div class="col-md-4"> <input name="textinput" class="form-control input-md" id="textinput" type="text" placeholder="例：前進太郎"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">メールアドレス</label> <div class="col-md-4"> <input name="textinput" class="form-control input-md" id="textinput" type="text" placeholder="例：zenshin.tarou@zenshin.com"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">電話番号</label> <div class="col-md-4"> <input name="textinput" class="form-control input-md" id="textinput" type="text" placeholder="半角で入力"> </div> </div> <!-- Multiple Checkboxes (inline) --> <div class="form-group"> <label class="col-md-4 control-label" for="checkboxes"></label> <div class="col-md-4"> <label class="checkbox-inline" for="checkboxes-0"> <input name="checkboxes" id="checkboxes-0" type="checkbox" value="1"> 個人情報の取扱いに同意する </label> </div> </div> <!-- Button --> <div class="form-group"> <label class="col-md-4 control-label" for="singlebutton"></label> <div class="col-md-4"> <button name="singlebutton" class="btn btn-primary" id="singlebutton">上記に同意して事前登録</button> </div> </div> </fieldset> </form>