"Modal date of birth"
Bootstrap 3.3.0 Snippet by onza22

<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 ----------> <a href="#" data-toggle="modal" data-target="#login-modal">Login</a> <div class="modal fade" id="login-modal" tabindex="-1" role="dialog" data-backdrop="static" aria-labelledby="myModalLabel" aria-hidden="true" style="display: none;"> <div class="modal-dialog"> <div class="loginmodal-container"> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Please enter your date of birth</legend> <!-- Text input--> <div class="form-group"> <div class="clearfix"></div> <div class="col-md-4"> <input id="Day" name="Day" type="text" placeholder="Day" class="form-control input-md" required=""> <span class="help-block">Day</span> </div> <!-- Text input--> <div class="col-md-4"> <input id="Month" name="Month" type="text" placeholder="Month" class="form-control input-md" required=""> <span class="help-block">Month</span> </div> <!-- Text input--> <div class="col-md-4"> <input id="Year" name="Year" type="text" placeholder="Year" class="form-control input-md" required=""> <span class="help-block">Year</span> </div> </div> <div class="col-md-4 pull-right"> <button id="singlebutton" name="singlebutton" class="btn btn-primary pull-right">Button</button> </div> </fieldset> </form> </div> </div> </div>
@import url(http://fonts.googleapis.com/css?family=Roboto); /****** LOGIN MODAL ******/ .loginmodal-container { padding: 30px; max-width: 600px; width: 100% !important; background-color: #F7F7F7; margin: 0 auto; border-radius: 2px; box-shadow: 0px 2px 2px rgba(0, 0, 0, 0.3); overflow: hidden; font-family: roboto; } .loginmodal-container h1 { text-align: center; font-size: 1.8em; font-family: roboto; } .loginmodal-container input[type=submit] { width: 100%; display: block; margin-bottom: 10px; position: relative; } .loginmodal-container input[type=text], input[type=password] { height: 44px; font-size: 16px; width: 100%; margin-bottom: 10px; -webkit-appearance: none; background: #fff; border: 1px solid #d9d9d9; border-top: 1px solid #c0c0c0; /* border-radius: 2px; */ padding: 0 8px; box-sizing: border-box; -moz-box-sizing: border-box; } .loginmodal-container input[type=text]:hover, input[type=password]:hover { border: 1px solid #b9b9b9; border-top: 1px solid #a0a0a0; -moz-box-shadow: inset 0 1px 2px rgba(0,0,0,0.1); -webkit-box-shadow: inset 0 1px 2px rgba(0,0,0,0.1); box-shadow: inset 0 1px 2px rgba(0,0,0,0.1); } .loginmodal { text-align: center; font-size: 14px; font-family: 'Arial', sans-serif; font-weight: 700; height: 36px; padding: 0 8px; /* border-radius: 3px; */ /* -webkit-user-select: none; user-select: none; */ } .loginmodal-submit { /* border: 1px solid #3079ed; */ border: 0px; color: #fff; text-shadow: 0 1px rgba(0,0,0,0.1); background-color: #4d90fe; padding: 17px 0px; font-family: roboto; font-size: 14px; /* background-image: -webkit-gradient(linear, 0 0, 0 100%, from(#4d90fe), to(#4787ed)); */ } .loginmodal-submit:hover { /* border: 1px solid #2f5bb7; */ border: 0px; text-shadow: 0 1px rgba(0,0,0,0.3); background-color: #357ae8; /* background-image: -webkit-gradient(linear, 0 0, 0 100%, from(#4d90fe), to(#357ae8)); */ } .loginmodal-container a { text-decoration: none; color: #666; font-weight: 400; text-align: center; display: inline-block; opacity: 0.6; transition: opacity ease 0.5s; } .login-help{ font-size: 12px; }

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