Cox v2

by JQ Purfect

HTML

<link rel="stylesheet" href="//maxcdn.bootstrapcdn.com/bootstrap/3.2.0/css/bootstrap.min.css">
<script src="http://fonts.googleapis.com/css?family=Open+Sans"></script>
<div class="container-fluid" style="font-family: 'Open Sans', sans-serif;">
    <div class="row">
        <!-- left content area -->
        <div style="float: left; padding: 10px 0px 0px 10px; line-height: 30px;">
            <input name="options" type="radio" /><span style="padding-left: 10px;">Phone Number</span>
            <br /> <span style="padding-left: 60px; color:#1987CC">OR</span>
            <br />
            <input name="options" type="radio" /><span style="padding-left: 10px;">Account Number</span>
        </div>
        <!-- right content area -->
        <div style="float: left; padding: 10px 0px 0px 10px; line-height: 25px;">
            <input type="text" name="phone" />
            <br />&nbsp;
            <br />
            <input type="text" name="account" />
        </div>
    </div>
    <!-- button area -->
    <div class="row" style="padding: 30px;">
        <button style="width:120px" type="button" class="btn btn-primary">Submit</button>
    </div>
</div>