<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 ----------> <!-- First Name Last Name DOB Phone > Continue --- Existing Recent Enquiry/ies Exists? > Resume | Create New Enquiry | Cancel (Reason) --- * Resume will require user verification (i.e. code via email or sms) Staff enter verification code Enter enquiry details > Continue (to Lead) | Cancel (Reason) --> <div class="container"> <div class="row"> <h2>Loan Enquiry</h2> </div> <form> <div class="row"> <div class="col-lg-2"> Title </div> <div class="col-lg-5"> <label for="firstname">First Name</label> <input type="text" class="form-control" id="firstname"> </div> <div class="col-lg-5"> <label for="familyname">Last Name</label> <input type="text" class="form-control" id="familyname"> </div> </div> <hr> <div class="row"> <div class="col-lg-6"> <label for="phone">Phone</label> <input type="text" class="form-control" id="phone"> </div> <div class="col-lg-6"> <label for="email">Email</label> <input type="email" class="form-control" id="email"> </div> </div> <div class="row"> <button type="submit" class="btn btn-primary pull-right">Continue</button> </div> </form> </div>