Checkout form

Below is an example form built entirely with Bootstrap’s form controls. Each required form group has a validation state that can be triggered by attempting to submit the form without completing it.

    Your cart
3

  • Product name

    Brief description

    $12

  • Second product

    Brief description

    $8

  • Third item

    Brief description

    $5

  • Promo code

    EXAMPLECODE

    −$5

  • Total (USD)
    $20

Billing address


 

Valid first name is required.


 

Valid last name is required.

Your username is required.


 

Please enter a valid email address for shipping updates.


 

Please enter your shipping address.


 

Please select a valid country.


 

Please provide a valid state.


 

Zip code required.

Payment



Full name as displayed on card

 

Name on card is required


 

Credit card number is required


Expiration date required


 

Security code required