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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.
@
Please provide a valid username.
Please enter a valid email address for shipping updates.
Please enter your shipping address.
Please select a valid country.
Please select 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