<link href="//maxcdn.bootstrapcdn.com/bootstrap/4.0.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//maxcdn.bootstrapcdn.com/bootstrap/4.0.0/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
<form class="form-horizontal">
<fieldset>
<legend>Orçamento</legend>
<div class="form-group">
<label class="col-md-4 control-label" for="name">Nome</label>
<div class="col-md-4">
<input id="name" name="name" placeholder="" class="form-control input-md" required="" type="text">
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="email">E-mail</label>
<div class="col-md-4">
<input id="email" name="email" placeholder="" class="form-control input-md" required="" type="text">
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="date">Data e Local</label>
<div class="col-md-4">
<input id="date" name="date" placeholder="" class="form-control input-md" required="" type="text">
</div>
</div>