JSFiddle - React, Tailwind, and code Playground

HTML

<script src="//netdna.bootstrapcdn.com/bootstrap/3.1.1/js/bootstrap.min.js"></script>
<link rel="stylesheet" href="//netdna.bootstrapcdn.com/bootstrap/3.1.1/css/bootstrap.min.css">
<form method="post" action="">
        <p>
            <label>Name: </label>
            <input type="text" name="name" size="30" />
        </p>
        <p>
            <label>Address: </label>
            <textarea name="address"></textarea>
        </p>        
        <p>
            <input type="submit" value="Submit" />
        </p>
</form>
<div class="modal fade">
  <div class="modal-dialog">
    <div class="modal-content">
      <div class="modal-header">
        <button type="button" class="close" data-dismiss="modal" aria-hidden="true">&times;</button>
        <h4 class="modal-title">Information</h4>
      </div>
      <div class="modal-body">
        <p class="name"></p>
        <p class="address"></p>
      </div>
      <div class="modal-footer">
        <button type="button" class="btn btn-default" data-dismiss="modal">Close</button>
        <button type="button" class="btn btn-primary">Save changes</button>
      </div>
    </div><!-- /.modal-content -->
  </div><!-- /.modal-dialog -->
</div><!-- /.modal -->

JavaScript

$('form').submit( function(e) {
    var name = $('form input').val();
    var address = $('form textarea').val();
    $('p.name').text( "Name : " + name );
    $('p.address').text( "Address : " + address );
    $('.modal').modal();
    e.preventDefault();
});