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@tesfayegari
Created October 26, 2019 15:42
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<!DOCTYPE html>
<html lang="en">
<head>
<title>Bootstrap Example</title>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.4.0/css/bootstrap.min.css">
</head>
<body>
<div class="container">
<h2>Purchase Order Item form</h2>
<div class="row">
<div class="col-md-6">
<div class="form-group">
<label for="Title">Title:</label>
<input type="text" class="form-control" placeholder="Enter Title" name="Title">
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label for="fullName">Full Name:</label>
<input type="text" class="form-control" placeholder="Enter Full Name" name="fullName">
</div>
</div>
</div>
<div class="row">
<div class="col-md-9">
<div class="form-group">
<label for="street">Street Address:</label>
<input type="text" class="form-control" placeholder="123 Main Street" name="street">
</div>
</div>
<div class="col-md-3">
<div class="form-group">
<label for="Appartment">Appartment/Room #:</label>
<input type="text" class="form-control" placeholder="Appartment #" name="Appartment">
</div>
</div>
</div>
<div class="row">
<div class="col-md-4">
<div class="form-group">
<label for="city">City:</label>
<input type="text" class="form-control" placeholder="Enter City" name="city">
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label for="state">State:</label>
<select class="form-control" name="state">
<option value="">Select State --</option>
</select>
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label for="zip">Zip Code:</label>
<input type="text" class="form-control" placeholder="Zip Code" name="zip">
</div>
</div>
</div>
<div class="row">
<div class="col-md-12">
<div class="checkbox">
<label><input type="checkbox" name="remember" checked> Is Billing Address Same</label>
</div>
</div>
<div class="col-md-12 hidden">
<div class="form-group">
<label for="billing">Billing Address:</label>
<textarea class="form-control" rows="3" name="billing" placeholder="Billing Address"></textarea>
</div>
</div>
<div class="col-sm-12">
<button type="submit" class="btn btn-primary float-right">Submit</button>
<button type="submit" class="btn btn-secondary float-right">Cancel</button>
</div>
</div>
</div>
</body>
</html>
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