<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> <!------ Include the above in your HEAD tag ----------> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>CBTU Online Registration</legend> <!-- Text input--> <div class="control-group"> <label class="control-label" for="Name">Name</label> <div class="controls"> <input id="Name" name="Name" type="text" placeholder="Name" class="input-xlarge"> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="Address">Address</label> <div class="controls"> <input id="Address" name="Address" type="text" placeholder="Address" class="input-xlarge"> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="City">City</label> <div class="controls"> <input id="City" name="City" type="text" placeholder="City" class="input-xlarge"> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="State">State</label> <div class="controls"> <input id="State" name="State" type="text" placeholder="State" class="input-xlarge"> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="Zip_Code">Zip Code</label> <div class="controls"> <input id="Zip_Code" name="Zip_Code" type="text" placeholder="Zip Code" class="input-xlarge"> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="Work_Number">Work Number</label> <div class="controls"> <input id="Work_Number" name="Work_Number" type="text" placeholder="Work Number" class="input-xlarge"> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="Home_Number">Home Number</label> <div class="controls"> <input id="Home_Number" name="Home_Number" type="text" placeholder="Home Number" class="input-xlarge"> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="Cell_Number">Cell Number</label> <div class="controls"> <input id="Cell_Number" name="Cell_Number" type="text" placeholder="Cell Number" class="input-xlarge"> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="Email_Address">Email Address</label> <div class="controls"> <input id="Email_Address" name="Email_Address" type="text" placeholder="Email Address" class="input-xlarge"> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="Member_ID">Member ID</label> <div class="controls"> <input id="Member_ID" name="Member_ID" type="text" placeholder="Member ID" class="input-medium"> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="International_Union">International Union</label> <div class="controls"> <input id="International_Union" name="International_Union" type="text" placeholder="International Union" class="input-xlarge"> <p class="help-block"> </p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="Local">Local</label> <div class="controls"> <input id="Local" name="Local" type="text" placeholder="Local" class="input-xlarge"> </div> </div> <!-- Select Basic --> <div class="control-group"> <label class="control-label" for="Shirt_Size">Shirt Size (Optional)</label> <div class="controls"> <select id="Shirt_Size" name="Shirt_Size" class="input-xlarge"> <option>Medium</option> <option>Large</option> <option>X-Large</option> <option>2X-Large</option> <option>3X-Large</option> <option>4X-Large</option> </select> </div> </div> <!-- Multiple Radios --> <div class="control-group"> <label class="control-label" for="Registration">Registration</label> <div class="controls"> <label class="radio" for="Registration-0"> <input type="radio" name="Registration" id="Registration-0" value="Delegate" checked="checked"> Delegate </label> <label class="radio" for="Registration-1"> <input type="radio" name="Registration" id="Registration-1" value="Guest"> Guest </label> <label class="radio" for="Registration-2"> <input type="radio" name="Registration" id="Registration-2" value="Retiree Delegate"> Retiree Delegate </label> <label class="radio" for="Registration-3"> <input type="radio" name="Registration" id="Registration-3" value="Retiree Guest"> Retiree Guest </label> <label class="radio" for="Registration-4"> <input type="radio" name="Registration" id="Registration-4" value="Youth"> Youth </label> </div> </div> </fieldset> </form>