mdbootstrap / bootstrap-credit-card-form Goto Github PK

<!-- Credit card form -->
<section>
  <div class="row">
    <div class="col-md-8 mb-4">
      <div class="card mb-4">
        <div class="card-header py-3">
          <h5 class="mb-0">Biling details</h5>
        </div>
        <div class="card-body">
          <form>
            <!-- 2 column grid layout with text inputs for the first and last names -->
            <div class="row mb-4">
              <div class="col">
                <div class="form-outline">
                  <input type="text" id="form6Example1" class="form-control" />
                  <label class="form-label" for="form6Example1">First name</label>
                </div>
              </div>
              <div class="col">
                <div class="form-outline">
                  <input type="text" id="form6Example2" class="form-control" />
                  <label class="form-label" for="form6Example2">Last name</label>
                </div>
              </div>
            </div>

            <!-- Text input -->
            <div class="form-outline mb-4">
              <input type="text" id="form6Example3" class="form-control" />
              <label class="form-label" for="form6Example3">Company name</label>
            </div>

            <!-- Text input -->
            <div class="form-outline mb-4">
              <input type="text" id="form6Example4" class="form-control" />
              <label class="form-label" for="form6Example4">Address</label>
            </div>

            <!-- Email input -->
            <div class="form-outline mb-4">
              <input type="email" id="form6Example5" class="form-control" />
              <label class="form-label" for="form6Example5">Email</label>
            </div>

            <!-- Number input -->
            <div class="form-outline mb-4">
              <input type="number" id="form6Example6" class="form-control" />
              <label class="form-label" for="form6Example6">Phone</label>
            </div>

            <hr class="my-4" />

            <div class="form-check">
              <input
                class="form-check-input"
                type="checkbox"
                value=""
                id="checkoutForm1"
              />
              <label class="form-check-label" for="checkoutForm1">
                Shipping address is the same as my billing address
              </label>
            </div>

            <div class="form-check mb-4">
              <input
                class="form-check-input"
                type="checkbox"
                value=""
                id="checkoutForm2"
                checked
              />
              <label class="form-check-label" for="checkoutForm2">
                Save this information for next time
              </label>
            </div>

            <hr class="my-4" />

            <h5 class="mb-4">Payment</h5>

            <div class="form-check">
              <input
                class="form-check-input"
                type="radio"
                name="flexRadioDefault"
                id="checkoutForm3"
                checked
              />
              <label class="form-check-label" for="checkoutForm3">
                Credit card
              </label>
            </div>

            <div class="form-check">
              <input
                class="form-check-input"
                type="radio"
                name="flexRadioDefault"
                id="checkoutForm4"
              />
              <label class="form-check-label" for="checkoutForm4">
                Debit card
              </label>
            </div>

            <div class="form-check mb-4">
              <input
                class="form-check-input"
                type="radio"
                name="flexRadioDefault"
                id="checkoutForm5"
              />
              <label class="form-check-label" for="checkoutForm5">
                Paypal
              </label>
            </div>

            <div class="row mb-4">
              <div class="col">
                <div class="form-outline">
                  <input type="text" id="formNameOnCard" class="form-control" />
                  <label class="form-label" for="formNameOnCard">Name on card</label>
                </div>
              </div>
              <div class="col">
                <div class="form-outline">
                  <input type="text" id="formCardNumber" class="form-control" />
                  <label class="form-label" for="formCardNumber"
                    >Credit card number</label
                  >
                </div>
              </div>
            </div>

            <div class="row mb-4">
              <div class="col-3">
                <div class="form-outline">
                  <input type="text" id="formExpiration" class="form-control" />
                  <label class="form-label" for="formExpiration">Expiration</label>
                </div>
              </div>
              <div class="col-3">
                <div class="form-outline">
                  <input type="text" id="formCVV" class="form-control" />
                  <label class="form-label" for="formCVV">CVV</label>
                </div>
              </div>
            </div>

            <button class="btn btn-primary btn-lg btn-block" type="submit">
              Continue to checkout
            </button>
          </form>
        </div>
      </div>
    </div>

    <div class="col-md-4 mb-4">
      <div class="card mb-4">
        <div class="card-header py-3">
          <h5 class="mb-0">Summary</h5>
        </div>
        <div class="card-body">
          <ul class="list-group list-group-flush">
            <li
              class="list-group-item d-flex justify-content-between align-items-center border-0 px-0 pb-0"
            >
              Products
              <span>$53.98</span>
            </li>
            <li
              class="list-group-item d-flex justify-content-between align-items-center px-0"
            >
              Shipping
              <span>Gratis</span>
            </li>
            <li
              class="list-group-item d-flex justify-content-between align-items-center border-0 px-0 mb-3"
            >
              <div>
                <strong>Total amount</strong>
                <strong>
                  <p class="mb-0">(including VAT)</p>
                </strong>
              </div>
              <span><strong>$53.98</strong></span>
            </li>
          </ul>
        </div>
      </div>
    </div>
  </div>
</section>
<!-- Credit card form -->