<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> <!------ Include the above in your HEAD tag ----------> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Contactenos</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="txt_name">Nombre</label> <div class="col-md-4"> <input id="txt_name" name="txt_name" type="text" placeholder="Nombre Completo" class="form-control input-md" required=""> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="txt_empresa">Empresa</label> <div class="col-md-4"> <input id="txt_empresa" name="txt_empresa" type="text" placeholder="Nombre de la empresa" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="txt_cargo">Dirección</label> <div class="col-md-5"> <input id="txt_cargo" name="txt_cargo" type="text" placeholder="Dirección" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="txt_localidad">Localidad</label> <div class="col-md-4"> <input id="txt_localidad" name="txt_localidad" type="text" placeholder="Localidad" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="txt_pais">País</label> <div class="col-md-4"> <input id="txt_pais" name="txt_pais" type="text" placeholder="País" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="txt_telefono">Telefono</label> <div class="col-md-4"> <input id="txt_telefono" name="txt_telefono" type="text" placeholder="Teléfono Fijo" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="txt_celular">Celular</label> <div class="col-md-4"> <input id="txt_celular" name="txt_celular" type="text" placeholder="Teléfono Celular" class="form-control input-md"> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="txt_consulta">Consulta</label> <div class="col-md-4"> <textarea class="form-control" id="txt_consulta" name="txt_consulta"></textarea> </div> </div> </fieldset> </form>