Toggle navigation
Bootsnipp
Bootstrap
For
CSS Frameworks
Bootstrap
Foundation
Semantic UI
Materialize
Pure
Bulma
References
CSS Reference
Tools
Community
Page Builder
Form Builder
Button Builder
Icon Search
Dan's Tools
Diff / Merge
Color Picker
Keyword Tool
Web Fonts
.htaccess Generator
Favicon Generator
Site Speed Test
Snippets
Featured
Tags
By Bootstrap Version
4.1.1
4.0.0
3.3.0
3.2.0
3.1.0
3.0.3
3.0.1
3.0.0
2.3.2
Register
Login
"Formato Captura"
Bootstrap 2.3.2 Snippet by
alviore
2.3.2
Preview
HTML
View Full Screen
Fork
Fork this
2.5K
 
0 Fav
Post to Facebook
Tweet this
<link href="//netdna.bootstrapcdn.com/twitter-bootstrap/2.3.2/css/bootstrap-combined.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//netdna.bootstrapcdn.com/twitter-bootstrap/2.3.2/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>Formato para perfil de cliente</legend> <!-- Text input--> <div class="control-group"> <label class="control-label" for="name">Nombre</label> <div class="controls"> <input id="name" name="name" type="text" placeholder="" class="input-xlarge" required=""> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="last">Apellidos</label> <div class="controls"> <input id="last" name="last" type="text" placeholder="" class="input-xlarge" required=""> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="phone">Teléfono</label> <div class="controls"> <input id="phone" name="phone" type="text" placeholder="" class="input-xlarge" required=""> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="mail">Correo Electrónico</label> <div class="controls"> <input id="mail" name="mail" type="text" placeholder="" class="input-xlarge" required=""> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="email">Confirmar correo</label> <div class="controls"> <input id="email" name="email" type="text" placeholder="" class="input-xlarge" required=""> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="empresa">Nombre o Razón Social</label> <div class="controls"> <input id="empresa" name="empresa" type="text" placeholder="" class="input-xlarge" required=""> </div> </div> <!-- Select Basic --> <div class="control-group"> <label class="control-label" for="facturas">Número de facturas que emite por mes</label> <div class="controls"> <select id="facturas" name="facturas" class="input-xlarge"> <option>Seleccione una opción</option> <option>1 a 20</option> <option>21 a 50</option> <option>51 a 100</option> <option>101 a 300</option> <option>301 a 500</option> <option>Más de 500</option> </select> </div> </div> <!-- Select Basic --> <div class="control-group"> <label class="control-label" for="giro">Identifique el giro que va de acuerdo a su empresa</label> <div class="controls"> <select id="giro" name="giro" class="input-xlarge"> <option>Seleccione una opción</option> <option>Arrendamiento de Inmuebles</option> <option>Blindaje</option> <option>Cheques de Viajero</option> <option>Comercio Exterior</option> <option>Donativos</option> <option>Fedatarios Públicos</option> <option>Inmuebles</option> <option>Juegos y Sorteos</option> <option>Metales y Joyas</option> <option>Mutuo, Préstamo o Crédito</option> <option>Obras de Arte</option> <option>Servicios Profesionales</option> <option>Tarjetas de Devolución y Recompensas</option> <option>Tarjetas de Prepago y Cupones</option> <option>Tarjetas de Servicio y Crédito</option> <option>Traslado o Custodia de Valores</option> <option>Vehículos</option> </select> </div> </div> <!-- Button --> <div class="control-group"> <label class="control-label" for="send"></label> <div class="controls"> <button id="send" name="send" class="btn btn-primary">Guardar y Enviar</button> </div> </div> </fieldset> </form>
Related:
See More
Free Template
Black Dashboard React
Questions / Comments:
Post
Posting Guidelines
Formatting
- Now
×
Close
Donate
BTC: 12JxYMYi6Vt3mx3hcmP3B2oyFiCSF3FhYT
ETH: 0xCD715b2E3549c54A40e6ecAaFeB82138148a6c76