Bootstrap Snippet Facebook style signup form using HTML CSS Bootstrap

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<link href="//netdna.bootstrapcdn.com/bootstrap/3.0.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//netdna.bootstrapcdn.com/bootstrap/3.0.0/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" id="wrap">
      <div class="row">
        <div class="col-md-6 col-md-offset-3">
            <form action="r" method="post" accept-charset="utf-8" class="form" role="form">   <legend>Sign Up</legend>
                    <h4>It's free and always will be.</h4>
                    <div class="row">
                        <div class="col-xs-6 col-md-6">
                            <input type="text" name="firstname" value="" class="form-control input-lg" placeholder="First Name"  />                        </div>
                        <div class="col-xs-6 col-md-6">
                            <input type="text" name="lastname" value="" class="form-control input-lg" placeholder="Last Name"  />                        </div>
                    </div>
                    <input type="text" name="email" value="" class="form-control input-lg" placeholder="Your Email"  /><input type="password" name="password" value="" class="form-control input-lg" placeholder="Password"  /><input type="password" name="confirm_password" value="" class="form-control input-lg" placeholder="Confirm Password"  />                    <label>Birth Date</label>                    <div class="row">
                        <div class="col-xs-4 col-md-4">
                            <select name="month" class = "form-control input-lg">
<option value="01">Jan</option>
<option value="02">Feb</option>
<option value="03">Mar</option>
<option value="04">Apr</option>
<option value="05">May</option>
<option value="06">Jun</option>
<option value="07">Jul</option>
<option value="08">Aug</option>
<option value="09">Sep</option>
<option value="10">Oct</option>
<option value="11">Nov</option>
<option value="12">Dec</option>
</select>                        </div>
                        <div class="col-xs-4 col-md-4">
                            <select name="day" class = "form-control input-lg">
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
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#wrap{
background-image: -ms-linear-gradient(top, #FFFFFF 0%, #D3D8E8 100%);
/* Mozilla Firefox */ 
background-image: -moz-linear-gradient(top, #FFFFFF 0%, #D3D8E8 100%);
/* Opera */ 
background-image: -o-linear-gradient(top, #FFFFFF 0%, #D3D8E8 100%);
/* Webkit (Safari/Chrome 10) */ 
background-image: -webkit-gradient(linear, left top, left bottom, color-stop(0, #FFFFFF), color-stop(1, #D3D8E8));
/* Webkit (Chrome 11+) */ 
background-image: -webkit-linear-gradient(top, #FFFFFF 0%, #D3D8E8 100%);
/* W3C Markup, IE10 Release Preview */ 
background-image: linear-gradient(to bottom, #FFFFFF 0%, #D3D8E8 100%);
background-repeat: no-repeat;
background-attachment: fixed;
}
legend{
    color:#141823;
    font-size:25px;
    font-weight:bold;
}
.signup-btn {
  background: #79bc64;
  background-image: -webkit-linear-gradient(top, #79bc64, #578843);
  background-image: -moz-linear-gradient(top, #79bc64, #578843);
  background-image: -ms-linear-gradient(top, #79bc64, #578843);
  background-image: -o-linear-gradient(top, #79bc64, #578843);
  background-image: linear-gradient(to bottom, #79bc64, #578843);
  -webkit-border-radius: 4;
  -moz-border-radius: 4;
  border-radius: 4px;
  text-shadow: 0px 1px 0px #898a88;
  -webkit-box-shadow: 0px 0px 0px #a4e388;
  -moz-box-shadow: 0px 0px 0px #a4e388;
  box-shadow: 0px 0px 0px #a4e388;
  font-family: Arial;
  color: #ffffff;
  font-size: 20px;
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"Facebook style signup form"
Bootstrap 3.0.0 Snippet by azhagu

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"Facebook style signup form" Bootstrap 3.0.0 Snippet by azhagu

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"Facebook style signup form"
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