<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></legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="nombre">Nombre</label> <div class="col-md-5"> <input id="nombre" name="nombre" type="text" placeholder="" class="form-control input-md" required=""> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="apellido">Apellido</label> <div class="col-md-5"> <input id="apellido" name="apellido" type="text" placeholder="" class="form-control input-md" required=""> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="email">Email</label> <div class="col-md-5"> <input id="email" name="email" type="text" placeholder="" class="form-control input-md" required=""> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="nombresv">Nombre Servidor</label> <div class="col-md-5"> <input id="nombresv" name="nombresv" type="text" placeholder="akz | " class="form-control input-md" required=""> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="password">Contraseña</label> <div class="col-md-5"> <input id="password" name="password" type="text" placeholder="" class="form-control input-md"> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="slots">Slots</label> <div class="col-md-5"> <select id="slots" name="slots" class="form-control"> <option value="1">50 slots @ $1000</option> <option value="2">100 slots @ $1500</option> <option value="3">200 slots @ $2000</option> <option value="4">300 slots @ $2500</option> <option value="5">400 slots @ $3000</option> <option value="">500 slots @ $3500</option> </select> </div> </div> <!-- Prepended text--> <div class="form-group"> <label class="col-md-4 control-label" for="dinero">Dinero</label> <div class="col-md-5"> <div class="input-group"> <span class="input-group-addon">$</span> <input id="dinero" name="dinero" class="form-control" placeholder="" type="text" required=""> </div> </div> </div> <!-- File Button --> <div class="form-group"> <label class="col-md-4 control-label" for="comprobante">Comprobante</label> <div class="col-md-4"> <input id="comprobante" name="comprobante" class="input-file" type="file"> </div> </div> <!-- Button --> <!-- Button --> <div class="form-group"> <label class="col-md-4 control-label" for="enviar"></label> <div class="col-md-4"> <button id="enviar" name="enviar" class="btn btn-success">Enviar</button> </div> </div> </fieldset> </form>