<link href="//netdna.bootstrapcdn.com/bootstrap/3.1.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//netdna.bootstrapcdn.com/bootstrap/3.1.0/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
<form class="form-horizontal">
<fieldset>
<legend>New Affiliate Signup</legend>
<div class="form-group">
<label class="col-md-4 control-label" for="fname">First Name</label>
<div class="col-md-5">
<input id="fname" name="fname" type="text" placeholder="First Name" class="form-control input-md" required="">
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="lname">Last Name</label>
<div class="col-md-5">
<input id="lname" name="lname" type="text" placeholder="Last Name" class="form-control input-md" required="">
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="email">Email</label>
<div class="col-md-5">
<input id="email" name="email" type="text" placeholder="Email" class="form-control input-md" required="">
</div>
</div>
