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form.html
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form.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<title>Form Example</title>
<link rel="stylesheet" href="//necolas.github.io/normalize.css/8.0.0/normalize.css">
<link rel="stylesheet" href="//maxcdn.bootstrapcdn.com/font-awesome/4.3.0/css/font-awesome.min.css">
<link rel="stylesheet" href="assets/css/style.css">
</head>
<body>
<div class="container">
<form>
<div class="row">
<h4>Account</h4>
<div class="input-group input-group-icon">
<input type="text" placeholder="Full Name"/>
<div class="input-icon"><i class="fa fa-user"></i></div>
</div>
<div class="input-group input-group-icon">
<input type="email" placeholder="Email Adress"/>
<div class="input-icon"><i class="fa fa-envelope"></i></div>
</div>
<div class="input-group input-group-icon">
<input type="password" placeholder="Password"/>
<div class="input-icon"><i class="fa fa-key"></i></div>
</div>
</div>
<div class="row">
<div class="col-half">
<h4>Date of Birth</h4>
<div class="input-group">
<div class="col-third">
<input type="text" placeholder="DD"/>
</div>
<div class="col-third">
<input type="text" placeholder="MM"/>
</div>
<div class="col-third">
<input type="text" placeholder="YYYY"/>
</div>
</div>
</div>
<div class="col-half">
<h4>Gender</h4>
<div class="input-group">
<input type="radio" name="gender" value="male" id="gender-male"/>
<label for="gender-male">Male</label>
<input type="radio" name="gender" value="female" id="gender-female"/>
<label for="gender-female">Female</label>
</div>
</div>
</div>
<div class="row">
<h4>Payment Details</h4>
<div class="input-group">
<input type="radio" name="payment-method" value="card" id="payment-method-card" checked="true"/>
<label for="payment-method-card"><span><i class="fa fa-cc-visa"></i>Credit Card</span></label>
<input type="radio" name="payment-method" value="paypal" id="payment-method-paypal"/>
<label for="payment-method-paypal"> <span><i class="fa fa-cc-paypal"></i>Paypal</span></label>
</div>
<div class="input-group input-group-icon">
<input type="text" placeholder="Card Number"/>
<div class="input-icon"><i class="fa fa-credit-card"></i></div>
</div>
<div class="col-half">
<div class="input-group input-group-icon">
<input type="text" placeholder="Card CVC"/>
<div class="input-icon"><i class="fa fa-user"></i></div>
</div>
</div>
<div class="col-half">
<div class="input-group">
<select>
<option>01 Jan</option>
<option>02 Jan</option>
</select>
<select>
<option>2015</option>
<option>2016</option>
</select>
</div>
</div>
</div>
<div class="row">
<h4>Terms and Conditions</h4>
<div class="input-group">
<input type="checkbox" id="terms"/>
<label for="terms">I accept the terms and conditions for signing up to this service, and hereby confirm I have read the privacy policy.</label>
</div>
</div>
</form>
</div>
</body>
</html>