<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 ----------> <div class="container"> <div class="row centered-form"> <div class="col-xs-12 col-sm-8 col-md-4 col-sm-offset-2 col-md-offset-4"> <div class="panel panel-default"> <div class="panel-heading"> <h3 class="panel-title">Estimate a Job <small>It's easy!</small></h3> </div> <div class="panel-body"> <form role="form"> <div class="row"> <div class="col-xs-12 col-sm-6"> <div class="form-group"> <input class="form-control" type="text" name="PIN" placeholder="Employee PIN" /> </div> </div> <div class="col-xs-12 col-sm-6"> <div class="form-group"> <label class="form-control" for="club_member">Club Member? <input type="checkbox" name="club_member" /></label> </div> </div> </div> <div class="row"> <div class="col-xs-12 col-sm-4"> <div class="form-group"> <label class="btn btn-primary" for="type1">Delivery <input type="radio" name="type" id="type1" value="delivery"></label> </div> </div> <div class="col-xs-12 col-sm-4"> <div class="form-group"> <label class="btn btn-primary" for="type2">Pickup <input type="radio" name="type" id="type2" value="pickup"></label> </div> </div> <div class="col-xs-12 col-sm-4"> <div class="form-group"> <label class="btn btn-primary" for="type3">Both <input type="radio" name="type" id="type3" value="both"></label> </div> </div> </div> <div class="form-group"> <input type="text" name="address" id="address" class="form-control input-sm" placeholder="Appointment Address"> </div> <input type="submit" value="Check Rate and Continue" class="btn btn-info btn-block"> </form> </div> </div> </div> </div> </div>

body{ background-color: #525252; } .panel{ margin-top:60px; background: rgba(255, 255, 255, 0.8); box-shadow: rgba(0, 0, 0, 0.3) 20px 20px 20px; margin-bottom: 60px; }