fiddle.response.html

<h3 class="form-title">Form Title</h3>
<form class="form-horizontal">
  <div class="control-group">
    <label for="field" class="control-label">Field</label>
    <div class="controls">
      <input type="text" name="field">
    </div>
  </div>
  <div class="control-group">
    <label for="field" class="control-label">Field</label>
    <div class="controls">
      <input type="text" name="field">
    </div>
  </div>
  <div class="form-actions">
    <button class="btn" data-dismiss="modal">Cancel</button>
    <button type="submit" class="btn btn-primary">Submit</button>
  </div>
</form>