<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>
<div class="container">
<form class="form-horizontal">
<fieldset>
<legend>Add Card</legend>
<div class="form-group col-lg-6">
<label class="col-md-4 control-label" for="textinput">Card Number:</label>
<div class="col-md-8">
<input id="NameonCard" name="textinput" type="text" placeholder="Enter Card Number" class="form-control input-md">
</div>
</div>
<div class="form-group col-lg-6">
<label class="col-md-4 control-label" for="textinput">Name on Card:</label>
<div class="col-md-8">
<input id="NameonCard" name="textinput" type="text" placeholder="Enter Name on Card" class="form-control input-md">
</div>
</div>
<div class="form-group col-lg-6">
<label class="col-md-4 control-label" for="textinput">Exp Date:</label>
<div class="col-md-8">
<div class='col-md-6' style="padding-left:0px">
<select class="form-control input-md">
<option>MM</option>
</select>
</div>
<div class='col-md-6' style="padding-right:0px">
<select class="form-control input-md">
<option>YY</option>
