JSFiddle - React, Tailwind, and code Playground

HTML

<script src="http://netdna.bootstrapcdn.com/twitter-bootstrap/2.2.1/js/bootstrap.min.js"></script>
<link rel="stylesheet" href="http://netdna.bootstrapcdn.com/twitter-bootstrap/2.2.1/css/bootstrap.min.css">
      <form method="post" action="" id="form">
        <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" name="submit" value="Submit" />
        </p>
</form>
<!-- Modal -->
<div class="modal fade" id="myModal" tabindex="-1" role="dialog" aria-labelledby="myModalLabel" aria-hidden="true">
  <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" id="myModalLabel">Modal title</h4>
      </div>
      <div class="modal-body">

      </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>
  </div>
</div>

JavaScript

$("form").submit(function(event) {
    event.preventDefault();
    var name = $("input[name='name']").val();
    var address = $("textarea[name='address']").val();
    var html = '<table><tr><td>Name:</td><td>' + name + '</td></tr><tr><td>Address: </td><td>' + address + '</td></tr></table';
    $(".modal-body").html(html);
    $("#myModal").modal("show");
})