<link href="//netdna.bootstrapcdn.com/twitter-bootstrap/2.3.2/css/bootstrap-combined.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//netdna.bootstrapcdn.com/twitter-bootstrap/2.3.2/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
<div class="container">
<div class="row">
<form class="form-horizontal">
<fieldset>
<h2>Address</h2>
<div class="control-group">
<label class="control-label">Full Name</label>
<div class="controls">
<input id="full-name" name="full-name" type="text" placeholder="full name"
class="input-xlarge">
<p class="help-block"></p>
</div>
</div>
<div class="control-group">
<label class="control-label">Address Line 1</label>
<div class="controls">
<input id="address-line1" name="address-line1" type="text" placeholder="address line 1"
class="input-xlarge">
<p class="help-block">Street address, P.O. box, company name, c/o</p>
</div>
</div>
<div class="control-group">
<label class="control-label">Address Line 2</label>
<div class="controls">
<input id="address-line2" name="address-line2" type="text" placeholder="address line 2"
class="input-xlarge">