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HTML

              
                <head>
<link rel="stylesheet" href="http://www.prestigeinsurancetexas.com/riskquote.css"> 
 <link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/twitter-bootstrap/3.3.7/css/bootstrap.min.css">

   <h1>Homeowners/Tenant Dwelling Quote Application</h1>
  
  
</head>


<!-- Begin applicant contact info -->
<form method="post" action="acknowledgeRiskQuote.php">
<div class="contact_form">
  <div class="heading">Applicant Information</div>
<div class="form-group row">
 
  <div class="col-xs-2 col-sm-offset-4">
    <label for="entity">Name Or Entity</label>
    <input name="entity" id="entity" type="text">
  </div>
</div>
 <div class="form-group row">
  <div class="col-xs-2 col-sm-offset-4">
    <label for="insured">Name of insured</label>
    <input name="insured" id="insured" type="text">
  </div>
</div>
<div class="form-group row">
  <div class="col-xs-2 col-sm-offset-4">
    <label for="email">Contact Email</label>
    <input name="email" id="email" type="email">
  </div>
</div>

<div class="form-group row">
  <div class="col-xs-2 col-sm-offset-4">
    <label for="mailing_address">Street Address</label>
    <input name="mailing_address" id="mailing_address" type="text">
  </div>
   <div class="col-xs-1">
    <label for="city">City</label>
    <input name="city" id="city" type="text">
  </div>
   <div class="col-xs-1">
    <label for="state">State</label>
    <input name="state" id="state" type="text">
  </div>
   <div class="col-xs-1">
    <label for="zip">Zip Code</label>
    <input name="zip" id="zip" type="text">
  </div>
</div> 
</div>




<!-- Begin property info -->
<div class="property_info">
   <div class="heading">Property Information</div>
<div class="form-group row">
  <div class="col-xs-2 col-sm-offset-4">
    <label for="property_address">Street Address</label>
    <input name="property_address" id="property_address" type="text">
  </div>
   <div class="col-xs-1">
    <label for="property_city">City</label>
    <input name="property_city" id="property_city" type="text">
  </div>
   <div class="col-xs-1">
    <label for="property_state">State</label>
    <input name="property_state" id="property_state" type="text">
  </div>
   <div class="col-xs-1">
    <label for="property_zip">Zip Code</label>
    <input name="property_zip" id="property_zip" type="text">
  </div>
</div> 




<div class="form-group row">
  <div class="col-xs-1 col-sm-offset-4">
    <label for="year_built">Year Built</label>
    <input name="year_built" id="year_built" type="text">
  </div>
   <div class="col-xs-2">
    <label for="square_footage">Square Footage</label>
    <input name="square_footage" id="square_footage" type="text">
  </div>
</div>


 <div class="form-group row">
  <div class="col-xs-2 col-sm-offset-4">
    <label for="loan_amount">Loan Amount</label>
    <input name="loan_amount" id="loan_amount" type="text">
  </div>
</div>
  <div class="form-group row">
  <div class="col-xs-2 col-sm-offset-4">
    <label for="renovation_cost">Estimated renovation cost</label>
    <input name="renovation_cost" id="renovation_cost" type="text">
  </div>
 </div>
 <div class="form-group row">
  <div class="col-xs-2 col-sm-offset-4">
    <label for="arv">ARV(After Repair Value)</label>
    <input name="arv" id="arv" type="text">
  </div>
</div>
</div>



<div class="button">
<input type="submit" name="send" value="Send Message">
</div>
              
            
!

CSS

              
                h1 {text-align: center;
padding-bottom: 4em;
  
}

.heading{
  font-size: 25px;
  text-align: center;
  padding-bottom: 2em;
  font-family: sans-seriff;
}

.contact_form {border: solid;
   margin-bottom: 10em;
    }

.property_info {
  border: solid;
  margin-bottom: 3em;
}

.button {text-align: center;
 margin-bottom: 6em;
}


              
            
!

JS

              
                
              
            
!
999px

Console