<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>Segnalazione Abbigliamento</legend> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="textarea"></label> <div class="col-md-4"> <textarea name="textarea" class="form-control" id="textarea">La preghiamo di compilare tutti i campi sotto riportati. Al termine, premere il tasto "OK" per confermare la richiesta. </textarea> </div> </div> <!-- Button Drop Down --> <div class="form-group"> <label class="col-md-4 control-label" for="buttondropdown">Button Drop Down</label> <div class="col-md-4"> <div class="input-group"> <input name="buttondropdown" class="form-control" id="buttondropdown" required="" type="text" placeholder="Scegli"> <div class="input-group-btn"> <button class="btn btn-default dropdown-toggle" type="button" data-toggle="dropdown"> Clicca qui... <span class="caret"></span> </button> <ul class="dropdown-menu pull-right"> <li><a href="#">Option 1</a></li> <li><a href="#">Option 2</a></li> <li><a href="#">Option three</a></li> </ul> </div> </div> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="reqdate">Data Richiesta</label> <div class="col-md-4"> <input name="reqdate" class="form-control input-md" id="reqdate" type="text" placeholder=""> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="username">Cognome e Nome</label> <div class="col-md-2"> <input name="username" class="form-control input-md" id="username" type="text" placeholder=""> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="reqtype">Tipo Richiesta</label> <div class="col-md-4"> <select name="reqtype" class="form-control" id="reqtype"> <option value="1">Richiesta Riparazione</option> <option value="2">Segnalazione Difetto</option> </select> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="assettype">Tipo Asset</label> <div class="col-md-4"> <select name="assettype" class="form-control" id="assettype"> <option value="1">Giacca</option> <option value="2">Pantalone</option> <option value="3">Cappello</option> <option value="4">Altro</option> </select> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="notes">Tipo Causa</label> <div class="col-md-4"> <textarea name="notes" class="form-control" id="notes"></textarea> </div> </div> <!-- Button --> <div class="form-group"> <label class="col-md-4 control-label" for="okbutton"></label> <div class="col-md-4"> <button name="okbutton" class="btn btn-success" id="okbutton">OK</button> </div> </div> </fieldset> </form>