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snowbob/bs:cardPayment

Created October 19, 2016 12:08
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bootstrap container for card payment form
Raw
bs:cardPayment
<div class="container">
<form class="form-horizontal" role="form">
<fieldset>
<legend>Payment</legend>
<div class="form-group">
<label class="col-sm-3 control-label" for="card-holder-name">Name on Card</label>
<div class="col-sm-9">
<input type="text" class="form-control" name="card-holder-name" id="card-holder-name" placeholder="Card Holder's Name">
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label" for="card-number">Card Number</label>
<div class="col-sm-9">
<input type="text" class="form-control" name="card-number" id="card-number" placeholder="Debit/Credit Card Number">
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label" for="expiry-month">Expiration Date</label>
<div class="col-sm-9">
<div class="row">
<div class="col-xs-3">
<select class="form-control col-sm-2" name="expiry-month" id="expiry-month">
<option>Month</option>
<option value="01">Jan (01)</option>
<option value="02">Feb (02)</option>
<option value="03">Mar (03)</option>
<option value="04">Apr (04)</option>
<option value="05">May (05)</option>
<option value="06">June (06)</option>
<option value="07">July (07)</option>
<option value="08">Aug (08)</option>
<option value="09">Sep (09)</option>
<option value="10">Oct (10)</option>
<option value="11">Nov (11)</option>
<option value="12">Dec (12)</option>
</select>
</div>
<div class="col-xs-3">
<select class="form-control" name="expiry-year">
<option value="13">2013</option>
<option value="14">2014</option>
<option value="15">2015</option>
<option value="16">2016</option>
<option value="17">2017</option>
<option value="18">2018</option>
<option value="19">2019</option>
<option value="20">2020</option>
<option value="21">2021</option>
<option value="22">2022</option>
<option value="23">2023</option>
</select>
</div>
</div>
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label" for="cvv">Card CVV</label>
<div class="col-sm-3">
<input type="text" class="form-control" name="cvv" id="cvv" placeholder="Security Code">
</div>
</div>
<div class="form-group">
<div class="col-sm-offset-3 col-sm-9">
<button type="button" class="btn btn-success">Pay Now</button>
</div>
</div>
</fieldset>
</form>
</div><!DOCTYPE html>
<html lang="">
<head>
<!-- Required meta tags always come first --
<meta charset="utf-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1">
<title>Title Page</title>
<!-- Bootstrap CSS -->
<link rel="stylesheet" href="https://cdn.rawgit.com/twbs/bootstrap/v4-dev/dist/css/bootstrap.css">
</head>
<body>
<h1 class="text-xs-center">Hello World</h1>
<!-- jQuery -->
<script src="https://ajax.googleapis.com/ajax/libs/jquery/2.1.4/jquery.min.js"></script>
<!-- Bootstrap JavaScript -->
<script src="https://cdn.rawgit.com/twbs/bootstrap/v4-dev/dist/js/bootstrap.js"></script>
</body>
</html>
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