Bootstrap snippet and html example. Billing Profile

This html snippet was created to help web designers, web developers, front-end and back-end developer save time. Use it for free in your project and build your app faster, You can also download the HTML, CSS, and JS code.
Tags: payment,billing,form

HTML code

This is the html code used to create this bootstrap snippet, You can copy and paste the following html code inside a page with bootstrap 3.3.7 included, to get the result that you can see in the preview selection

<link href="https://maxcdn.bootstrapcdn.com/font-awesome/4.3.0/css/font-awesome.min.css" rel="stylesheet">
<div class="container">
    <div class="view-account">
        <section class="module">
        	<div class="module-inner">
        		<div class="side-bar">
        			<div class="user-info">
        				<img class="img-profile img-circle img-responsive center-block" src="https://bootdey.com/img/Content/avatar/avatar1.png" alt="">
        				<ul class="meta list list-unstyled">
        					<li class="name">Rebecca Sanders
        						<label class="label label-info">UX Designer</label>
        					</li>
        					<li class="email"><a href="#">[email protected]</a></li>
        					<li class="activity">Last logged in: Today at 2:18pm</li>
        				</ul>
        			</div>
        			<nav class="side-menu">
        				<ul class="nav">
        					<li><a href="#"><span class="fa fa-user"></span> Profile</a></li>
        					<li><a href="#"><span class="fa fa-cog"></span> Settings</a></li>
        					<li class="active"><a href="#"><span class="fa fa-credit-card"></span> Billing</a></li>
        					<li><a href="#"><span class="fa fa-envelope"></span> Messages</a></li>
        					
        					<li><a href="user-drive.html"><span class="fa fa-th"></span> Drive</a></li>
        					<li><a href="#"><span class="fa fa-clock-o"></span> Reminders</a></li>
        				</ul>
        			</nav>
        		</div>
        		
        		<div class="content-panel">
        			<h2 class="title">Billing</h2>
        			<div class="billing">
        				<div class="secure text-center margin-bottom-md">
        					<h3 class="margin-bottom-md text-success">
        							<span class="fs1 icon" aria-hidden="true" data-icon=""></span>
        							Secure credit card payment<br>
        							<small>This is a secure 128-bit SSL encrypted payment</small>
        						</h3>
        					<div class="accepted-cards">
        						<ul class="list-inline">
        							<li><img src="https://www.uxfordev.com/demo/1.0.6/assets/images/payment-icon-set/icons/visa-curved-32px.png" alt="Visa"></li>
        							<li><img src="https://www.uxfordev.com/demo/1.0.6/assets/images/payment-icon-set/icons/mastercard-curved-32px.png" alt="MasterCard"></li>
        							<li><img src="https://www.uxfordev.com/demo/1.0.6/assets/images/payment-icon-set/icons/maestro-curved-32px.png" alt="Maestro"></li>
        							<li><img src="https://www.uxfordev.com/demo/1.0.6/assets/images/payment-icon-set/icons/american-express-curved-32px.png" alt="American Express"></li>
        						</ul>
        					</div>
        				</div>
        				<form id="billing" class="form-horizontal" method="post" action="#" role="form">
        					<div class="form-group">
        						<label class="col-sm-3 control-label">Name on Card</label>
        						<div class="col-sm-9">
        							<input type="text" class="form-control" placeholder="Your name">
        							<p class="help-block">As it appears on the card</p>
        						</div>
        					</div>
        					<div class="form-group">
        						<label class="col-sm-3 control-label">Card Number </label>
        						<div class="col-sm-9">
        							<input type="text" class="form-control" placeholder="••••  ••••  ••••  ••••">
        							<p class="help-block">The 16 digits on the front of your credit card.</p>
        						</div>
        					</div>
        					<div class="form-group">
        						<label class="col-sm-3 control-label">Expiration Date</label>
        						<div class="col-sm-9 form-inline">
        							<select class="form-control">
        								<option value="01">01</option>
        								<option value="01">02</option>
        								<option value="01">03</option>
        								<option value="01">04</option>
        								<option value="01">05</option>
        								<option value="01">06</option>
        								<option value="01">07</option>
        								<option value="01">08</option>
        							</select>
        							<span class="divider">/</span>
        							<select class="form-control">
        								<option value="01">2015</option>
        								<option value="01">2016</option>
        								<option value="01">2017</option>
        								<option value="01">2018</option>
        								<option value="01">2019</option>
        								<option value="01">2020</option>
        								<option value="01">2021</option>
        								<option value="01">2022</option>
        							</select>
        							<p class="help-block">The date your credit card expires. Find this on the front of your credit card.</p>
        						</div>
        					</div>
        					<div class="form-group">
        						<label class="col-sm-3 control-label">Security Code</label>
        						<div class="col-sm-9">
        							<input type="text" class="form-control" style="width: 120px;" placeholder="CVC">
        							<p class="help-block">The last 3 digits displayed on the back of your credit card.</p>
        						</div>
        					</div>
        					<div class="address">
        						<div class="form-group">
        							<label class="col-sm-3 control-label">Address</label>
        							<div class="col-sm-9">
        								<input type="text" class="form-control" placeholder="Address">
        							</div>
        						</div>
        						<div class="form-group">
        							<div class="col-sm-5 col-sm-offset-3">
        								<input type="text" class="form-control" placeholder="City">
        							</div>
        							<div class="col-sm-4">
        								<input type="text" class="form-control" placeholder="Zip/Postal">
        							</div>
        						</div>
        						<div class="form-group">
        							<div class="col-sm-5 col-sm-offset-3">
        								<input type="text" class="form-control" placeholder="Country">
        							</div>
        							<div class="col-sm-4">
        								<input type="text" class="form-control" placeholder="State">
        							</div>
        						</div>
        					</div>
        					<hr>
        					<div class="action-wrapper text-center">
        						<h4 class="notes margin-bottom-sm">
        								You'll be charged <span class="text-stronger">$99/year</span> 
        							</h4>
        						<div class="action-btn">
        							<button class="btn btn-success btn-lg">
        								Make Payment
        								<i class="fa fa-chevron-right"></i>
        							</button>
        						</div>
        					</div>
        				</form>
        			</div>
        		</div>
        	</div>
        </section>
    </div>
</div>

CSS code

This is the css code used to create this bootstrap snippet, You can copy and paste the following css code inside a page with bootstrap 3.3.7 included, to get the result that you can see in the preview selection

body{
    background:#f9f9fb;    
}
.view-account{
    background:#FFFFFF; 
    margin-top:20px;
}
.view-account .pro-label {
    font-size: 13px;
    padding: 4px 5px;
    position: relative;
    top: -5px;
    margin-left: 10px;
    display: inline-block
}

.view-account .side-bar {
    padding-bottom: 30px
}

.view-account .side-bar .user-info {
    text-align: center;
    margin-bottom: 15px;
    padding: 30px;
    color: #616670;
    border-bottom: 1px solid #f3f3f3
}

.view-account .side-bar .user-info .img-profile {
    width: 120px;
    height: 120px;
    margin-bottom: 15px
}

.view-account .side-bar .user-info .meta li {
    margin-bottom: 10px
}

.view-account .side-bar .user-info .meta li span {
    display: inline-block;
    width: 100px;
    margin-right: 5px;
    text-align: right
}

.view-account .side-bar .user-info .meta li a {
    color: #616670
}

.view-account .side-bar .user-info .meta li.activity {
    color: #a2a6af
}

.view-account .side-bar .side-menu {
    text-align: center
}

.view-account .side-bar .side-menu .nav {
    display: inline-block;
    margin: 0 auto
}

.view-account .side-bar .side-menu .nav>li {
    font-size: 14px;
    margin-bottom: 0;
    border-bottom: none;
    display: inline-block;
    float: left;
    margin-right: 15px;
    margin-bottom: 15px
}

.view-account .side-bar .side-menu .nav>li:last-child {
    margin-right: 0
}

.view-account .side-bar .side-menu .nav>li>a {
    display: inline-block;
    color: #9499a3;
    padding: 5px;
    border-bottom: 2px solid transparent
}

.view-account .side-bar .side-menu .nav>li>a:hover {
    color: #616670;
    background: none
}

.view-account .side-bar .side-menu .nav>li.active a {
    color: #40babd;
    border-bottom: 2px solid #40babd;
    background: none;
    border-right: none
}

.theme-2 .view-account .side-bar .side-menu .nav>li.active a {
    color: #6dbd63;
    border-bottom-color: #6dbd63
}

.theme-3 .view-account .side-bar .side-menu .nav>li.active a {
    color: #497cb1;
    border-bottom-color: #497cb1
}

.theme-4 .view-account .side-bar .side-menu .nav>li.active a {
    color: #ec6952;
    border-bottom-color: #ec6952
}

.view-account .side-bar .side-menu .nav>li .icon {
    display: block;
    font-size: 24px;
    margin-bottom: 5px
}

.view-account .content-panel {
    padding: 30px
}

.view-account .content-panel .title {
    margin-bottom: 15px;
    margin-top: 0;
    font-size: 18px
}

.view-account .content-panel .fieldset-title {
    padding-bottom: 15px;
    border-bottom: 1px solid #eaeaf1;
    margin-bottom: 30px;
    color: #616670;
    font-size: 16px
}

.view-account .content-panel .avatar .figure img {
    float: right;
    width: 64px
}

.view-account .content-panel .content-header-wrapper {
    position: relative;
    margin-bottom: 30px
}

.view-account .content-panel .content-header-wrapper .actions {
    position: absolute;
    right: 0;
    top: 0
}

.view-account .content-panel .content-utilities {
    position: relative;
    margin-bottom: 30px
}

.view-account .content-panel .content-utilities .btn-group {
    margin-right: 5px;
    margin-bottom: 15px
}

.view-account .content-panel .content-utilities .fa {
    font-size: 16px;
    margin-right: 0
}

.view-account .content-panel .content-utilities .page-nav {
    position: absolute;
    right: 0;
    top: 0
}

.view-account .content-panel .content-utilities .page-nav .btn-group {
    margin-bottom: 0
}

.view-account .content-panel .content-utilities .page-nav .indicator {
    color: #a2a6af;
    margin-right: 5px;
    display: inline-block
}

.view-account .content-panel .mails-wrapper .mail-item {
    position: relative;
    padding: 10px;
    border-bottom: 1px solid #f3f3f3;
    color: #616670;
    overflow: hidden
}

.view-account .content-panel .mails-wrapper .mail-item>div {
    float: left
}

.view-account .content-panel .mails-wrapper .mail-item .icheck {
    background-color: #fff
}

.view-account .content-panel .mails-wrapper .mail-item:hover {
    background: #f9f9fb
}

.view-account .content-panel .mails-wrapper .mail-item:nth-child(even) {
    background: #fcfcfd
}

.view-account .content-panel .mails-wrapper .mail-item:nth-child(even):hover {
    background: #f9f9fb
}

.view-account .content-panel .mails-wrapper .mail-item a {
    color: #616670
}

.view-account .content-panel .mails-wrapper .mail-item a:hover {
    color: #494d55;
    text-decoration: none
}

.view-account .content-panel .mails-wrapper .mail-item .checkbox-container,
.view-account .content-panel .mails-wrapper .mail-item .star-container {
    display: inline-block;
    margin-right: 5px
}

.view-account .content-panel .mails-wrapper .mail-item .star-container .fa {
    color: #a2a6af;
    font-size: 16px;
    vertical-align: middle
}

.view-account .content-panel .mails-wrapper .mail-item .star-container .fa.fa-star {
    color: #f2b542
}

.view-account .content-panel .mails-wrapper .mail-item .star-container .fa:hover {
    color: #868c97
}

.view-account .content-panel .mails-wrapper .mail-item .mail-to {
    display: inline-block;
    margin-right: 5px;
    min-width: 120px
}

.view-account .content-panel .mails-wrapper .mail-item .mail-subject {
    display: inline-block;
    margin-right: 5px
}

.view-account .content-panel .mails-wrapper .mail-item .mail-subject .label {
    margin-right: 5px
}

.view-account .content-panel .mails-wrapper .mail-item .mail-subject .label:last-child {
    margin-right: 10px
}

.view-account .content-panel .mails-wrapper .mail-item .mail-subject .label a,
.view-account .content-panel .mails-wrapper .mail-item .mail-subject .label a:hover {
    color: #fff
}

.view-account .content-panel .mails-wrapper .mail-item .mail-subject .label-color-1 {
    background: #f77b6b
}

.view-account .content-panel .mails-wrapper .mail-item .mail-subject .label-color-2 {
    background: #58bbee
}

.view-account .content-panel .mails-wrapper .mail-item .mail-subject .label-color-3 {
    background: #f8a13f
}

.view-account .content-panel .mails-wrapper .mail-item .mail-subject .label-color-4 {
    background: #ea5395
}

.view-account .content-panel .mails-wrapper .mail-item .mail-subject .label-color-5 {
    background: #8a40a7
}

.view-account .content-panel .mails-wrapper .mail-item .time-container {
    display: inline-block;
    position: absolute;
    right: 10px;
    top: 10px;
    color: #a2a6af;
    text-align: left
}

.view-account .content-panel .mails-wrapper .mail-item .time-container .attachment-container {
    display: inline-block;
    color: #a2a6af;
    margin-right: 5px
}

.view-account .content-panel .mails-wrapper .mail-item .time-container .time {
    display: inline-block;
    text-align: right
}

.view-account .content-panel .mails-wrapper .mail-item .time-container .time.today {
    font-weight: 700;
    color: #494d55
}

.drive-wrapper {
    padding: 15px;
    background: #f5f5f5;
    overflow: hidden
}

.drive-wrapper .drive-item {
    width: 130px;
    margin-right: 15px;
    display: inline-block;
    float: left
}

.drive-wrapper .drive-item:hover {
    box-shadow: 0 1px 5px rgba(0, 0, 0, .1);
    z-index: 1
}

.drive-wrapper .drive-item-inner {
    padding: 15px
}

.drive-wrapper .drive-item-title {
    margin-bottom: 15px;
    max-width: 100px;
    white-space: nowrap;
    overflow: hidden;
    text-overflow: ellipsis
}

.drive-wrapper .drive-item-title a {
    color: #494d55
}

.drive-wrapper .drive-item-title a:hover {
    color: #40babd
}

.theme-2 .drive-wrapper .drive-item-title a:hover {
    color: #6dbd63
}

.theme-3 .drive-wrapper .drive-item-title a:hover {
    color: #497cb1
}

.theme-4 .drive-wrapper .drive-item-title a:hover {
    color: #ec6952
}

.drive-wrapper .drive-item-thumb {
    width: 100px;
    height: 80px;
    margin: 0 auto;
    color: #616670
}

.drive-wrapper .drive-item-thumb a {
    -webkit-opacity: .8;
    -moz-opacity: .8;
    opacity: .8
}

.drive-wrapper .drive-item-thumb a:hover {
    -webkit-opacity: 1;
    -moz-opacity: 1;
    opacity: 1
}

.drive-wrapper .drive-item-thumb .fa {
    display: inline-block;
    font-size: 36px;
    margin: 0 auto;
    margin-top: 20px
}

.drive-wrapper .drive-item-footer .utilities {
    margin-bottom: 0
}

.drive-wrapper .drive-item-footer .utilities li:last-child {
    padding-right: 0
}

.drive-list-view .name {
    width: 60%
}

.drive-list-view .name.truncate {
    max-width: 100px;
    white-space: nowrap;
    overflow: hidden;
    text-overflow: ellipsis
}

.drive-list-view .type {
    width: 15px
}

.drive-list-view .date,
.drive-list-view .size {
    max-width: 60px;
    white-space: nowrap;
    overflow: hidden;
    text-overflow: ellipsis
}

.drive-list-view a {
    color: #494d55
}

.drive-list-view a:hover {
    color: #40babd
}

.theme-2 .drive-list-view a:hover {
    color: #6dbd63
}

.theme-3 .drive-list-view a:hover {
    color: #497cb1
}

.theme-4 .drive-list-view a:hover {
    color: #ec6952
}

.drive-list-view td.date,
.drive-list-view td.size {
    color: #a2a6af
}

@media (max-width:767px) {
    .view-account .content-panel .title {
        text-align: center
    }
    .view-account .side-bar .user-info {
        padding: 0
    }
    .view-account .side-bar .user-info .img-profile {
        width: 60px;
        height: 60px
    }
    .view-account .side-bar .user-info .meta li {
        margin-bottom: 5px
    }
    .view-account .content-panel .content-header-wrapper .actions {
        position: static;
        margin-bottom: 30px
    }
    .view-account .content-panel {
        padding: 0
    }
    .view-account .content-panel .content-utilities .page-nav {
        position: static;
        margin-bottom: 15px
    }
    .drive-wrapper .drive-item {
        width: 100px;
        margin-right: 5px;
        float: none
    }
    .drive-wrapper .drive-item-thumb {
        width: auto;
        height: 54px
    }
    .drive-wrapper .drive-item-thumb .fa {
        font-size: 24px;
        padding-top: 0
    }
    .view-account .content-panel .avatar .figure img {
        float: none;
        margin-bottom: 15px
    }
    .view-account .file-uploader {
        margin-bottom: 15px
    }
    .view-account .mail-subject {
        max-width: 100px;
        white-space: nowrap;
        overflow: hidden;
        text-overflow: ellipsis
    }
    .view-account .content-panel .mails-wrapper .mail-item .time-container {
        position: static
    }
    .view-account .content-panel .mails-wrapper .mail-item .time-container .time {
        width: auto;
        text-align: left
    }
}

@media (min-width:768px) {
    .view-account .side-bar .user-info {
        padding: 0;
        padding-bottom: 15px
    }
    .view-account .mail-subject .subject {
        max-width: 200px;
        white-space: nowrap;
        overflow: hidden;
        text-overflow: ellipsis
    }
}

@media (min-width:992px) {
    .view-account .content-panel {
        min-height: 800px;
        border-left: 1px solid #f3f3f7;
        margin-left: 200px
    }
    .view-account .mail-subject .subject {
        max-width: 280px;
        white-space: nowrap;
        overflow: hidden;
        text-overflow: ellipsis
    }
    .view-account .side-bar {
        position: absolute;
        width: 200px;
        min-height: 600px
    }
    .view-account .side-bar .user-info {
        margin-bottom: 0;
        border-bottom: none;
        padding: 30px
    }
    .view-account .side-bar .user-info .img-profile {
        width: 120px;
        height: 120px
    }
    .view-account .side-bar .side-menu {
        text-align: left
    }
    .view-account .side-bar .side-menu .nav {
        display: block
    }
    .view-account .side-bar .side-menu .nav>li {
        display: block;
        float: none;
        font-size: 14px;
        border-bottom: 1px solid #f3f3f7;
        margin-right: 0;
        margin-bottom: 0
    }
    .view-account .side-bar .side-menu .nav>li>a {
        display: block;
        color: #9499a3;
        padding: 10px 15px;
        padding-left: 30px
    }
    .view-account .side-bar .side-menu .nav>li>a:hover {
        background: #f9f9fb
    }
    .view-account .side-bar .side-menu .nav>li.active a {
        background: #f9f9fb;
        border-right: 4px solid #40babd;
        border-bottom: none
    }
    .theme-2 .view-account .side-bar .side-menu .nav>li.active a {
        border-right-color: #6dbd63
    }
    .theme-3 .view-account .side-bar .side-menu .nav>li.active a {
        border-right-color: #497cb1
    }
    .theme-4 .view-account .side-bar .side-menu .nav>li.active a {
        border-right-color: #ec6952
    }
    .view-account .side-bar .side-menu .nav>li .icon {
        font-size: 24px;
        vertical-align: middle;
        text-align: center;
        width: 40px;
        display: inline-block
    }
}

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Bootstrap 3.3.7

<link rel='stylesheet' href='https://netdna.bootstrapcdn.com/bootstrap/3.3.7/css/bootstrap.min.css'>

<script src='https://netdna.bootstrapcdn.com/bootstrap/3.3.7/js/bootstrap.min.js'></script>

This code example is based on bootstrap 3.3.7 and the grid system of this framework

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semantic html 5

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