<link href="//netdna.bootstrapcdn.com/bootstrap/3.2.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//netdna.bootstrapcdn.com/bootstrap/3.2.0/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
<div class="container">
<form class="form-horizontal">
<fieldset>
<legend>API key registration & survey</legend>
<div class="form-group">
<label class="col-md-4 control-label" for="domaininput">Domain / Site *</label>
<div class="col-md-4">
<input id="domaininput" name="domaininput" type="text" placeholder="yourdomain.com" class="form-control input-md" required="">
<span class="help-block">A valid domain ensures that your Affinitomics work as expected.</span>
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="emailinput">Email *</label>
<div class="col-md-4">
<input id="emailinput" name="emailinput" type="text" placeholder="you@yourdomain.com" class="form-control input-md" required="">
<span class="help-block">A valid email ensures our ability to support your Affinitomics collection.</span>
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="project">Project name</label>
<div class="col-md-4">
<input id="project" name="project" type="text" placeholder="Puppy Finder" class="form-control input-md">
</div>