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HTML 

              
                %form(action="")    
  .flip
    .flip-inner
      .flip-content.flip-content--front
        .creditCard
          .grid.creditCard-header
            .grid-box.grid-box--1of3
              %h3.creditCard-title Credit Card
            .grid-box.grid-box--2of3
              %ul.creditCard-types
                %li.creditCard-type
                  %img(src="https://s.cdpn.io/5734/visa.png" alt="")
                %li.creditCard-type
                  %img(src="https://s.cdpn.io/5734/mastercard.png" alt="")
                %li.creditCard-type
                  %img(src="https://s.cdpn.io/5734/american-express.png" alt="")
                %li.creditCard-type
                  %img(src="https://s.cdpn.io/5734/discover.png" alt="")
          .creditCard-field
            %label.creditCard-label(for="name") Name on Card
            %input.creditCard-input.is-required(type="text" name="name" placeholder="Jonathan Doe")
          .grid.l-space
            .grid-box.grid-box--3of4
              .creditCard-field
                %label.creditCard-label(for="number") Credit Card Number
                %input.creditCard-input.is-required(type="text" name="number" placeholder="0000 0000 0000 0000")
            .grid-box.grid-box--1of4
              .creditCard-field.has-creditCard-field-help
                %label.creditCard-label(for="cvv") 
                  Code (CVV)
                  %a.creditCard-field-help.flip-toggle(href="#") ?
                %input.creditCard-input.is-required(type="text" name="code" placeholder="123")
          .grid
            .grid-box.grid-box--1of2
              .creditCard-field
                %label.creditCard-label(for="date") Expiration Date
                %select.creditCard-select
                  %option(value="8") 8 - August
                %select.creditCard-select
                  %option(value="2013") 2013
            .grid-box.grid-box--1of2
              %label.creditCard-label(for="zip") Zip Code
              %input.creditCard-input.is-required(type="text" name="zip" placeholder="123456")
              
      .flip-content.flip-content--back
        .creditCard.creditCard--back
          %a.l-block.l-space.creditCard-close.flip-toggle(href="#") x
          .creditCard-header.creditCard-header--fixed
          .creditCard-input.creditCard-input--fixed
            %span.c-right 123
            %em.creditCard-highlight
!

CSS 

              
                @import compass

// -------------------------------------
//   Base
// -------------------------------------

$base-background: #34495e

html
  background: $base-background
  height: 100%

body
  color: #636365
  font-size: 16px
  padding: 50px
  
ul 
  margin: 0
  padding: 0
  li
    list-style-type: none
      
p
  margin: 0
  padding: 0
  
.l-block
  display: block
      
.l-space
  margin-bottom: 20px
  
.flip
  margin: 0 auto
  
// *************************************
//
//   Credit Card
//   -> Credit card form module.
//
// *************************************
  
$creditCard-background: #fff
$creditCard-border: 1px solid #ccc
$creditCard-borderRadius: 10px
$creditCard-boxShadow: 0 1px 2px rgba(#000, 0.45)
$creditCard-fontFamily: sans-serif
$creditCard-fontSize: 16px
$creditCard-height: 300px
$creditCard-padding: 20px
$creditCard-textShadow: 0 1px 2px rgba(#000, 0.75)
$creditCard-whitespace: 20px
$creditCard-width: 500px

$creditCard-input-borderColor: #ccc
  
.creditCard
  background: $creditCard-background
  border-radius: $creditCard-borderRadius
  box-shadow: $creditCard-boxShadow
  height: $creditCard-height
  padding: $creditCard-padding
  position: relative
  width: $creditCard-width
  
// -------------------------------------
//   Modifiers
// -------------------------------------

// ----- Back ----- //

.creditCard--back
  background: lighten($base-background, 7%)

// ----- Glossy ----- //

.creditCard--glossy
  
  .creditCard-header
    position: relative
    &::before
      background: #fff
      content: ""
      display: block
      height: 30px
      left: 0
      opacity: 0.1
      position: absolute
      top: 0
      width: 100%
  
// -------------------------------------
//   Submodules
// -------------------------------------

// ----- Close ----- //

.creditCard-close
  $size: 40px
  background: darken($base-background, 20%)
  border: 2px solid #fff
  border-radius: 50%
  color: #fff
  display: block
  height: $size
  left: -10px
  line-height: $size
  position: absolute
  text-align: center
  text-decoration: none
  text-transform: uppercase
  top: -10px
  width: $size
  &:hover
    background: darken($base-background, 10%)

// ----- Field ----- //
  
.creditCard-field
  margin-bottom: $creditCard-whitespace
  &:last-child
    margin-bottom: 0
    
// Context

.has-creditCard-field-help
  position: relative
    
// Help
    
.creditCard-field-help
  $size: 20px
  background: #999
  border-radius: 50%
  color: #fff
  display: block
  height: $size
  line-height: $size
  position: absolute
  right: 5px
  text-align: center
  text-decoration: none
  bottom: 10px
  width: $size
  &:hover
    background: #636365
    
// ----- Header ----- //
    
.creditCard-header
  background: $base-background
  margin: 0 -20px 20px
  overflow: auto
  padding: 5px
  
.creditCard-header--fixed
  height: 30px
  margin-bottom: 40px
  
// ----- Input ----- //
    
.creditCard-input
  border: $creditCard-border
  border-radius: ($creditCard-borderRadius / 2)
  box-sizing: border-box
  font: $creditCard-fontSize $creditCard-fontFamily
  padding: ($creditCard-padding / 2)
  width: 100%
  
.creditCard-input--fixed
  background: #fff
  border: 0
  border-radius: 0
  font-weight: bold
  height: 36px
  position: relative
  text-align: right
    
// ----- Highlight ----- //

.creditCard-highlight
  background: rgba(red, 0.3)
  border: 5px solid red
  border-radius: 50%
  padding: 10px 25px
  position: absolute
  right: -5px
  top: 4px
  
// ----- Label ----- //
    
.creditCard-label
  display: block
  font-size: 12px
  font-weight: bold
  margin-bottom: 5px
  text-transform: uppercase
    
// ----- Select ----- //
  
.creditCard-select
  margin-top: ($creditCard-whitespace / 2)
  
// ----- Title ----- //
  
.creditCard-title
  color: #fff
  font-size: 20px
  font-weight: normal
  margin: 13px 0 0
  text-shadow: $creditCard-textShadow
  
// ----- Types ----- //
  
.creditCard-types
  margin-top: 5px
  text-align: right
  
// Item
    
.creditCard-type
  display: inline
  margin-right: 5px
  -webkit-filter: drop-shadow($creditCard-boxShadow)
  &:last-child
    margin-right: 0
    
// *************************************
//
//   Flip
//
// *************************************

.flip
  +perspective(500px)
  height: $creditCard-height
  width: $creditCard-width
  
.is-flipped
  
  .flip-inner
    +transform(rotateY(180deg))
  
.flip-inner
  height: 100%
  position: relative
  -webkit-transition: 0.6s
  transition: 0.6s
  -webkit-transform-style: preserve-3d
  -moz-transform-style: preserve-3d
  transform-style: preserve-3d
    
.flip-content
  +backface-visibility(hidden)
  bottom: 0
  left: 0
  position: absolute
  right: 0
  top: 0
  
.flip-content--front
  z-index: 2
  
.flip-content--back
  +transform(rotateY(180deg))
!

JS 

              
                class @CCForm
  
  constructor: (@options) -> @init()
  
  init: ->
    @events()
    
  events: ->
    @options.toggle.on 'click', (e) => 
      e.preventDefault()
      @flipCard()
      
  flipCard: ->
    @options.container.toggleClass(@options.activeClass)

$ ->
  ccf = new CCForm({
    toggle: $('.flip-toggle'),
    container: $('.flip'),
    activeClass: 'is-flipped'
  })
!
999px

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