<link href="//netdna.bootstrapcdn.com/bootstrap/3.0.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//netdna.bootstrapcdn.com/bootstrap/3.0.0/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>Creación Cliente</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">Cliente</label> <div class="col-md-4"> <input id="textinput" name="textinput" type="text" placeholder="Coop Agricola Pisquera Elqui Ltda" class="form-control input-md" required=""> <span class="help-block">help</span> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">RUT</label> <div class="col-md-4"> <input id="textinput" name="textinput" type="text" placeholder="82262600-9" class="form-control input-md"> <span class="help-block">help</span> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">Dirección</label> <div class="col-md-4"> <input id="textinput" name="textinput" type="text" placeholder="Camino Peralillo, sin número, Vicuña" class="form-control input-md"> <span class="help-block">help</span> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">Nombre contacto:</label> <div class="col-md-4"> <input id="textinput" name="textinput" type="text" placeholder="Juan Perez" class="form-control input-md"> <span class="help-block">help</span> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">Telefono contacto</label> <div class="col-md-4"> <input id="textinput" name="textinput" type="text" placeholder="+56222222222" class="form-control input-md"> <span class="help-block">help</span> </div> </div> <!-- Button Drop Down --> <div class="form-group"> <label class="col-md-4 control-label" for="buttondropdown">Numero de puntos de retiro</label> <div class="col-md-4"> <div class="input-group"> <input id="buttondropdown" name="buttondropdown" class="form-control" placeholder="4" type="text"> <div class="input-group-btn"> <button type="button" class="btn btn-default dropdown-toggle" data-toggle="dropdown"> Seleccionar <span class="caret"></span> </button> <ul class="dropdown-menu pull-right"> <li><a href="#">Option one</a></li> <li><a href="#">Option two</a></li> <li><a href="#">Option three</a></li> </ul> </div> </div> </div> </div> <!-- File Button --> <div class="form-group"> <label class="col-md-4 control-label" for="filebutton">Adjuntar aviso a la distribuidora</label> <div class="col-md-4"> <input id="filebutton" name="filebutton" class="input-file" type="file"> </div> </div> <!-- File Button --> <div class="form-group"> <label class="col-md-4 control-label" for="filebutton">Adjuntar contrato firmado</label> <div class="col-md-4"> <input id="filebutton" name="filebutton" class="input-file" type="file"> </div> </div> </fieldset> </form>