"Product Request Form"
Bootstrap 3.2.0 Snippet by thinkberg

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<link href="//netdna.bootstrapcdn.com/bootstrap/3.2.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//netdna.bootstrapcdn.com/bootstrap/3.2.0/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">
<form class="form-horizontal">
<fieldset>
<!-- Form Name -->
<div class="form-group">
<legend>Product Request</legend>
<label class="col-md-4 control-label" for="product">Product</label>
<div class="col-md-6">
<select id="cproduct" name="product" class="form-control">
<option value="startup">streamdrill: Startup</option>
<option value="business">streamdrill: Business</option>
<option value="enterprise">streamdrill: Enterprise</option>
<option value="ultimate">streamdrill: Ultimate</option>
</select>
</div>
</div>
<!-- Text input-->
<div class="form-group">
<label class="col-md-4 control-label" for="name">Name</label>
<div class="col-md-6">
<input id="name" name="name" type="text" placeholder="Max Muster" class="form-control input-md" required="">
</div>
</div>
<!-- Text input-->
<div class="form-group">
<label class="col-md-4 control-label" for="email">Email Address</label>
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