"SALE"
Bootstrap 3.2.0 Snippet by stephane

<link href="//netdna.bootstrapcdn.com/bootstrap/3.2.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//netdna.bootstrapcdn.com/bootstrap/3.2.0/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>SALE</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="product_id">PRODUCT ID</label> <div class="col-md-4"> <input id="product_id" name="product_id" placeholder="PRODUCT ID" class="form-control input-md" required="" type="text"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="customer_id">CUSTOMER ID</label> <div class="col-md-4"> <input id="customer_id" name="customer_id" placeholder="CUSTOMER ID" class="form-control input-md" required="" type="text"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="customer_name">CUSTOMER NAME</label> <div class="col-md-4"> <input id="customer_name" name="customer_name" placeholder="CUSTOMER NAME" class="form-control input-md" required="" type="text"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="product_price">PRODUCT PRICE</label> <div class="col-md-4"> <input id="product_price" name="product_price" placeholder="PRODUCT PRICE" class="form-control input-md" required="" type="text"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="quantity_purchased">QUANTITY PURCHASED</label> <div class="col-md-4"> <input id="quantity_purchased" name="quantity_purchased" placeholder="QUANTITY PURCHASED" class="form-control input-md" required="" type="text"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="percentage_discount">PERCENTAGE DISCOUNT</label> <div class="col-md-4"> <input id="percentage_discount" name="percentage_discount" placeholder="PERCENTAGE DISCOUNT" class="form-control input-md" required="" type="text"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="confirmed_purchase">CONFIRMED PURCHASE</label> <div class="col-md-4"> <input id="confirmed_purchase" name="confirmed_purchase" placeholder="CONFIRMED PURCHASE" class="form-control input-md" required="" type="text"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="payment_mode">PAYMENT MODE</label> <div class="col-md-4"> <input id="payment_mode" name="payment_mode" placeholder="PAYMENT MODE" class="form-control input-md" required="" type="text"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="purchase_date">PURCHASE DATE</label> <div class="col-md-4"> <input id="purchase_date" name="purchase_date" placeholder="PURCHASE DATE" class="form-control input-md" required="" type="text"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="shipping_mode">SHIPPING MODE</label> <div class="col-md-4"> <input id="shipping_mode" name="shipping_mode" placeholder="SHIPPING MODE" class="form-control input-md" required="" type="text"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="comment">COMMENT</label> <div class="col-md-4"> <input id="comment" name="comment" placeholder="COMMENT" class="form-control input-md" required="" type="text"> </div> </div> <!-- Button --> <div class="form-group"> <label class="col-md-4 control-label" for=""></label> <div class="col-md-4"> <button id="" name="" class="btn btn-primary">Submit</button> </div> </div> </fieldset> </form>

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