Show Output
<!DOCTYPE html> <html lang="en"> <head> <meta charset="utf-8"> <meta http-equiv="X-UA-Compatible" content="IE=edge"> <meta name="viewport" content="width=device-width, initial-scale=1"> <link href="https://fonts.googleapis.com/css?family=Roboto:400,700" rel="stylesheet"> <title>Bootstrap Simple Registration Form</title> <link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/css/bootstrap.min.css"> <link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/css/bootstrap-theme.min.css"> <script src="https://ajax.googleapis.com/ajax/libs/jquery/1.12.4/jquery.min.js"></script> <script src="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/js/bootstrap.min.js"></script> <style> body { color: #fff; background: #63738a; font-family: 'Roboto', sans-serif; } .form-control{ height: 40px; box-shadow: none; color: #969fa4; } .form-control:focus{ border-color: #5cb85c; } .form-control, .btn{ border-radius: 3px; } .signup-form{ width: 400px; margin: 0 auto; padding: 30px 0; } .signup-form h2{ color: #636363; margin: 0 0 15px; position: relative; text-align: center; } .signup-form h2:before, .signup-form h2:after{ content: ""; height: 2px; width: 30%; background: #d4d4d4; position: absolute; top: 50%; z-index: 2; } .signup-form h2:before{ left: 0; } .signup-form h2:after{ right: 0; } .signup-form .hint-text{ color: #999; margin-bottom: 30px; text-align: center; } .signup-form form{ color: #999; border-radius: 3px; margin-bottom: 15px; background: #f2f3f7; box-shadow: 0px 2px 2px rgba(0, 0, 0, 0.3); padding: 30px; } .signup-form .form-group{ margin-bottom: 20px; } .signup-form input[type="checkbox"]{ margin-top: 3px; } .signup-form .btn{ font-size: 16px; font-weight: bold; min-width: 140px; outline: none !important; } .signup-form .row div:first-child{ padding-right: 10px; } .signup-form .row div:last-child{ padding-left: 10px; } .signup-form a{ color: #fff; text-decoration: underline; } .signup-form a:hover{ text-decoration: none; } .signup-form form a{ color: #5cb85c; text-decoration: none; } .signup-form form a:hover{ text-decoration: underline; } </style> </head> <body> <div class="signup-form"> <form action="/examples/actions/confirmation.php" method="post"> <h2>Register</h2> <p class="hint-text">Create your account. It's free and only takes a minute.</p> <div class="form-group"> <div class="row"> <div class="col-xs-6"><input type="text" class="form-control" name="first_name" placeholder="First Name" required="required"></div> <div class="col-xs-6"><input type="text" class="form-control" name="last_name" placeholder="Last Name" required="required"></div> </div> </div> <div class="form-group"> <input type="email" class="form-control" name="email" placeholder="Email" required="required"> </div> <div class="form-group"> <input type="password" class="form-control" name="password" placeholder="Password" required="required"> </div> <div class="form-group"> <input type="password" class="form-control" name="confirm_password" placeholder="Confirm Password" required="required"> </div> <div class="form-group"> <label class="checkbox-inline"><input type="checkbox" required="required"> I accept the <a href="#">Terms of Use</a> & <a href="#">Privacy Policy</a></label> </div> <div class="form-group"> <button type="submit" class="btn btn-success btn-lg btn-block">Register Now</button> </div> </form> <div class="text-center">Already have an account? <a href="#">Sign in</a></div> </div> </body> </html>