<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 ----------> <div class="container"> <div class="row"> <h2>Quote Request</h2> </div> </div> <form class="form-horizontal"> <fieldset> <!-- Button Drop Down --> <div class="form-group"> <label class="col-md-4 control-label" for="buttondropdown">Select</label> <div class="col-md-4"> <div class="input-group"> <input id="buttondropdown" name="buttondropdown" class="form-control" placeholder="Will you need a video shoot?" type="text"> <div class="input-group-btn"> <button type="button" class="btn btn-default dropdown-toggle" data-toggle="dropdown"> Video <span class="caret"></span> </button> <ul class="dropdown-menu pull-right"> <li><a href="#">I will need you need to shoot video.</a></li> <li><a href="#">I have video files that I will supply</a></li> </ul> </div> </div> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">Video Length</label> <div class="col-md-4"> <input id="textinput" name="textinput" type="text" placeholder="15, 30, 60, longer?" class="form-control input-md"> <span class="help-block">Please specify the approximate length the video needs to be</span> </div> </div> <!-- Button Drop Down --> <div class="form-group"> <label class="col-md-4 control-label" for="Graphics">Graphics/Design</label> <div class="col-md-4"> <div class="input-group"> <input id="Graphics" name="Graphics" class="form-control" placeholder="Will you require design/animation?" type="text"> <div class="input-group-btn"> <button type="button" class="btn btn-default dropdown-toggle" data-toggle="dropdown"> Select <span class="caret"></span> </button> <ul class="dropdown-menu pull-right"> <li><a href="#">Yes - I would like you to design.</a></li> <li><a href="#">Yes -I will supply files.</a></li> <li><a href="#">No</a></li> </ul> </div> </div> </div> </div> <!-- Button Drop Down --> <div class="form-group"> <label class="col-md-4 control-label" for="voice">Voice Over</label> <div class="col-md-4"> <div class="input-group"> <input id="voice" name="voice" class="form-control" placeholder="Will you have a voice over the video?" type="text"> <div class="input-group-btn"> <button type="button" class="btn btn-default dropdown-toggle" data-toggle="dropdown"> select <span class="caret"></span> </button> <ul class="dropdown-menu pull-right"> <li><a href="#">Yes - Please find me a professional.</a></li> <li><a href="#">No</a></li> <li><a href="#">Yes- I will supply</a></li> <li><a href="#">Yes, but I will need help recording my voice.</a></li> </ul> </div> </div> </div> </div> <!-- Multiple Radios --> <div class="form-group"> <label class="col-md-4 control-label" for="Music">Will the video have a music track?</label> <div class="col-md-4"> <div class="radio"> <label for="Music-0"> <input type="radio" name="Music" id="Music-0" value="1" checked="checked"> Yes </label> </div> <div class="radio"> <label for="Music-1"> <input type="radio" name="Music" id="Music-1" value="2"> No </label> </div> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="Script">Your Vision</label> <div class="col-md-4"> <textarea class="form-control" id="Script" name="Script">Please cut and paste your script or notes here: Sample Script: </textarea> </div> </div> </fieldset> </form>