<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 ----------> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Form Name</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">Name *</label> <div class="col-md-4"> <input id="textinput" name="textinput" placeholder="Enter Your Full 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="title">Title</label> <div class="col-md-4"> <input id="title" name="title" placeholder="Job Title" class="form-control input-md" type="text"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="company">Company</label> <div class="col-md-4"> <input id="company" name="company" placeholder="Enter your Company Name" class="form-control input-md" type="text"> </div> </div> <!-- Prepended text--> <div class="form-group"> <label class="col-md-4 control-label" for="Phone">Mobile Number *</label> <div class="col-md-4"> <div class="input-group"> <span class="input-group-addon">+91</span> <input id="Phone" name="Phone" class="form-control" placeholder="Mobile" required="" type="text"> </div> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="website">Website</label> <div class="col-md-4"> <input id="website" name="website" placeholder="Enter Your Website" class="form-control input-md" type="text"> <span class="help-block">Ex: www.resguardo.com</span> </div> </div> <!-- Text input--> <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="Enter Your E mail" class="form-control input-md" required="" type="text"> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="Message">Message *</label> <div class="col-md-4"> <textarea class="form-control" id="Message" name="Message">Enter Your Message *</textarea> </div> </div> <!-- Button --> <div class="form-group"> <label class="col-md-4 control-label" for="singlebutton"></label> <div class="col-md-4"> <button id="singlebutton" name="singlebutton" class="btn btn-primary">Send Feedback</button> </div> </div> </fieldset> </form>