<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 ----------> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Equipment Details</legend> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="selectbasic">* What equipment will you purchase with this grant?</label> <div class="col-md-4"> <select id="selectbasic" name="selectbasic" class="form-control"> <option value="1">Air Compressor/Cascade</option> <option value="2">Appliance(s)</option> <option value="">Basic Hand tools</option> <option value="">Ladders</option> <option value="">PPE Washer/Extractor/Dryer</option> <option value="">Props</option> <option value="">Simulators</option> </select> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="textarea">* Please provide detailed description of the item selected.</label> <div class="col-md-4"> <textarea class="form-control" id="textarea" name="textarea"></textarea> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">* Number of units</label> <div class="col-md-4"> <input id="textinput" name="textinput" type="text" placeholder="" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">* Cost per unit</label> <div class="col-md-4"> <input id="textinput" name="textinput" type="text" placeholder="$" class="form-control input-md"> </div> </div> <!-- Multiple Radios --> <div class="form-group"> <label class="col-md-4 control-label" for="radios">Generally the equipment purchased will:</label> <div class="col-md-4"> <div class="radio"> <label for="radios-0"> <input type="radio" name="radios" id="radios-0" value="1" checked="checked"> Buy equipment for the first time </label> </div> <div class="radio"> <label for="radios-1"> <input type="radio" name="radios" id="radios-1" value="2"> Replace obsolete equipment </label> </div> <div class="radio"> <label for="radios-2"> <input type="radio" name="radios" id="radios-2" value=""> Increase the organization's available supply of the requested item(s) </label> </div> </div> </div> </fieldset> </form>