"Contribution Category"
Bootstrap 3.3.0 Snippet by xrozix

<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>Contribution Category</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="txtContributionCategory">Contribution Category</label> <div class="col-md-4"> <input id="txtContributionCategory" name="txtContributionCategory" type="text" placeholder="" class="form-control input-md" required=""> </div> </div> <!-- Password input--> <div class="form-group"> <label class="col-md-4 control-label" for="txtDisplaySequence">DisplaySequence</label> <div class="col-md-1"> <input id="txtDisplaySequence" name="txtDisplaySequence" type="text" placeholder="" class="form-control input-md" required=""> </div> </div> <!-- Multiple Radios (inline) --> <div class="form-group"> <label class="col-md-4 control-label" for="rdoCAUsage">CA Usage</label> <div class="col-md-4"> <label class="radio-inline" for="rdoCAUsage-0"> <input type="radio" name="rdoCAUsage" id="rdoCAUsage-0" value="Apply" checked="checked"> Apply </label> <label class="radio-inline" for="rdoCAUsage-1"> <input type="radio" name="rdoCAUsage" id="rdoCAUsage-1" value="Do Not Apply"> Do Not Apply </label> </div> </div> <!-- Multiple Radios (inline) --> <div class="form-group"> <label class="col-md-4 control-label" for="rdoPSUsage">Payment Schedule Usage</label> <div class="col-md-4"> <label class="radio-inline" for="rdoPSUsage-0"> <input type="radio" name="rdoPSUsage" id="rdoPSUsage-0" value="Apply" checked="checked"> Apply </label> <label class="radio-inline" for="rdoPSUsage-1"> <input type="radio" name="rdoPSUsage" id="rdoPSUsage-1" value="Do Not Apply"> Do Not Apply </label> </div> </div> <!-- Multiple Checkboxes (inline) --> <div class="form-group"> <label class="col-md-4 control-label" for="FrameworkAgreedAmt">Framework Agreed Amt</label> <div class="col-md-4"> <label class="checkbox-inline" for="FrameworkAgreedAmt-0"> <input type="checkbox" name="FrameworkAgreedAmt" id="FrameworkAgreedAmt-0" value="Display"> Display </label> <label class="checkbox-inline" for="FrameworkAgreedAmt-1"> <input type="checkbox" name="FrameworkAgreedAmt" id="FrameworkAgreedAmt-1" value="Edit"> Edit </label> </div> </div> <!-- Multiple Checkboxes (inline) --> <div class="form-group"> <label class="col-md-4 control-label" for="FrameworkRevisedAmt">Framework Revised Amt</label> <div class="col-md-4"> <label class="checkbox-inline" for="FrameworkRevisedAmt-0"> <input type="checkbox" name="FrameworkRevisedAmt" id="FrameworkRevisedAmt-0" value="Display"> Display </label> <label class="checkbox-inline" for="FrameworkRevisedAmt-1"> <input type="checkbox" name="FrameworkRevisedAmt" id="FrameworkRevisedAmt-1" value="Edit"> Edit </label> </div> </div> <!-- Button (Double) --> <div class="form-group"> <label class="col-md-4 control-label" for="validation"></label> <div class="col-md-4"> <button id="btnSubmit" name="btnSubmit" class="btn btn-info">Submit</button> <button id="btnCancel" name="btnCancel" class="btn btn-info">Cancel</button> </div> </div> </fieldset> </form>

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