gistfile1.html

<div id="place-order" class="row">
    <h2>Check out now</h2>
    <p>Please enter your details, and we'll ship your goods right away!</p>
    <form name="shippingForm" novalidate>
        <h3>Ship to</h3>
        <div class="form-group">
            <label>Name</label>
            <input class="form-control" ng-model="data.shipping.name" required />
            <span class="error" ng-show="shippingForm.name.$error.required">
                Please enter a name
            </span>
        </div>
        <h3>Address</h3>
        <div class="form-group">
            <label>Street Address</label>
            <input class="form-control" ng-model="data.shipping.street" required />
            <span class="error" ng-show="shippingForm.street.$error.required">
                Please enter street
            </span>
        </div>
        <div class="text-center">
            <button class="btn btn-primary">Complete order</button>
        </div>
    </form>
</div>