<!doctype html>
<html lang="en">
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<meta name="description" content="">
<meta name="author" content="Mark Otto, Jacob Thornton, and Bootstrap contributors">
<meta name="generator" content="Hugo 0.84.0">
<title>Checkout example · Bootstrap v5.0</title>
<link rel="canonical" href="https://getbootstrap.com/docs/5.0/examples/checkout/">
<!-- Bootstrap core CSS -->
<link href="../assets/dist/css/bootstrap.min.css" rel="stylesheet">
<style>
.bd-placeholder-img {
font-size: 1.125rem;
text-anchor: middle;
-webkit-user-select: none;
-moz-user-select: none;
user-select: none;
}
@media (min-width: 768px) {
.bd-placeholder-img-lg {
font-size: 3.5rem;
}
}
</style>
<!-- Custom styles for this template -->
<link href="form-validation.css" rel="stylesheet">
</head>
<body class="bg-light">
<div class="container">
<main>
<div class="py-5 text-center">
<img class="d-block mx-auto mb-4" src="../assets/brand/bootstrap-logo.svg" alt="" width="72" height="57">
<h2>Checkout form</h2>
<p class="lead">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.</p>
</div>
<div class="row g-5">
<div class="col-md-5 col-lg-4 order-md-last">
<h4 class="d-flex justify-content-between align-items-center mb-3">
<span class="text-primary">Your cart</span>
<span class="badge bg-primary rounded-pill">3</span>
</h4>
<ul class="list-group mb-3">
<li class="list-group-item d-flex justify-content-between lh-sm">
<div>
<h6 class="my-0">Product name</h6>
<small class="text-muted">Brief description</small>
</div>
<span class="text-muted">$12</span>
</li>
<li class="list-group-item d-flex justify-content-between lh-sm">
<div>
<h6 class="my-0">Second product</h6>
<small class="text-muted">Brief description</small>
</div>
<span class="text-muted">$8</span>
</li>
<li class="list-group-item d-flex justify-content-between lh-sm">
<div>
<h6 class="my-0">Third item</h6>
<small class="text-muted">Brief description</small>
</div>
<span class="text-muted">$5</span>
</li>
<li class="list-group-item d-flex justify-content-between bg-light">
<div class="text-success">
<h6 class="my-0">Promo code</h6>
<small>EXAMPLECODE</small>
</div>
<span class="text-success">−$5</span>
</li>
<li class="list-group-item d-flex justify-content-between">
<span>Total (USD)</span>
<strong>$20</strong>
</li>
</ul>
<form class="card p-2">
<div class="input-group">
<input type="text" class="form-control" placeholder="Promo code">
<button type="submit" class="btn btn-secondary">Redeem</button>
</div>
</form>
</div>
<div class="col-md-7 col-lg-8">
<h4 class="mb-3">Billing address</h4>
<form class="needs-validation" novalidate>
<div class="row g-3">
<div class="col-sm-6">
<label for="firstName" class="form-label">First name</label>
<input type="text" class="form-control" id="firstName" placeholder="" value="" required>
<div class="invalid-feedback">
Valid first name is required.
</div>
</div>
<div class="col-sm-6">
<label for="lastName" class="form-label">Last name</label>
<input type="text" class="form-control" id="lastName" placeholder="" value="" required>
<div class="invalid-feedback">
Valid last name is required.
</div>
</div>
<div class="col-12">
<label for="username" class="form-label">Username</label>
<div class="input-group has-validation">
<span class="input-group-text">@</span>
<input type="text" class="form-control" id="username" placeholder="Username" required>
<div class="invalid-feedback">
Your username is required.
</div>
</div>
</div>
<div class="col-12">
<label for="email" class="form-label">Email <span class="text-muted">(Optional)</span></label>
<input type="email" class="form-control" id="email" placeholder="you@example.com">
<div class="invalid-feedback">
Please enter a valid email address for shipping updates.
</div>
</div>
<div class="col-12">
<label for="address" class="form-label">Address</label>
<input type="text" class="form-control" id="address" placeholder="1234 Main St" required>
<div class="invalid-feedback">
Please enter your shipping address.
</div>
</div>
<div class="col-12">
<label for="address2" class="form-label">Address 2 <span class="text-muted">(Optional)</span></label>
<input type="text" class="form-control" id="address2" placeholder="Apartment or suite">
</div>
<div class="col-md-5">
<label for="country" class="form-label">Country</label>
<select class="form-select" id="country" required>
<option value="">Choose...</option>
<option>United States</option>
</select>
<div class="invalid-feedback">
Please select a valid country.
</div>
</div>
<div class="col-md-4">
<label for="state" class="form-label">State</label>
<select class="form-select" id="state" required>
<option value="">Choose...</option>
<option>California</option>
</select>
<div class="invalid-feedback">
Please provide a valid state.
</div>
</div>
<div class="col-md-3">
<label for="zip" class="form-label">Zip</label>
<input type="text" class="form-control" id="zip" placeholder="" required>
<div class="invalid-feedback">
Zip code required.
</div>
</div>
</div>
<hr class="my-4">
<div class="form-check">
<input type="checkbox" class="form-check-input" id="same-address">
<label class="form-check-label" for="same-address">Shipping address is the same as my billing address</label>
</div>
<div class="form-check">
<input type="checkbox" class="form-check-input" id="save-info">
<label class="form-check-label" for="save-info">Save this information for next time</label>
</div>
<hr class="my-4">
<h4 class="mb-3">Payment</h4>
<div class="my-3">
<div class="form-check">
<input id="credit" name="paymentMethod" type="radio" class="form-check-input" checked required>
<label class="form-check-label" for="credit">Credit card</label>
</div>
<div class="form-check">
<input id="debit" name="paymentMethod" type="radio" class="form-check-input" required>
<label class="form-check-label" for="debit">Debit card</label>
</div>
<div class="form-check">
<input id="paypal" name="paymentMethod" type="radio" class="form-check-input" required>
<label class="form-check-label" for="paypal">PayPal</label>
</div>
</div>
<div class="row gy-3">
<div class="col-md-6">
<label for="cc-name" class="form-label">Name on card</label>
<input type="text" class="form-control" id="cc-name" placeholder="" required>
<small class="text-muted">Full name as displayed on card</small>
<div class="invalid-feedback">
Name on card is required
</div>
</div>
<div class="col-md-6">
<label for="cc-number" class="form-label">Credit card number</label>
<input type="text" class="form-control" id="cc-number" placeholder="" required>
<div class="invalid-feedback">
Credit card number is required
</div>
</div>
<div class="col-md-3">
<label for="cc-expiration" class="form-label">Expiration</label>
<input type="text" class="form-control" id="cc-expiration" placeholder="" required>
<div class="invalid-feedback">
Expiration date required
</div>
</div>
<div class="col-md-3">
<label for="cc-cvv" class="form-label">CVV</label>
<input type="text" class="form-control" id="cc-cvv" placeholder="" required>
<div class="invalid-feedback">
Security code required
</div>
</div>
</div>
<hr class="my-4">
<button class="w-100 btn btn-primary btn-lg" type="submit">Continue to checkout</button>
</form>
</div>
</div>
</main>
<footer class="my-5 pt-5 text-muted text-center text-small">
<p class="mb-1">© 2017–2021 Company Name</p>
<ul class="list-inline">
<li class="list-inline-item"><a href="#">Privacy</a></li>
<li class="list-inline-item"><a href="#">Terms</a></li>
<li class="list-inline-item"><a href="#">Support</a></li>
</ul>
</footer>
</div>
<script src="../assets/dist/js/bootstrap.bundle.min.js"></script>
<script src="form-validation.js"></script>
</body>
</html>