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HTML 

              
                <!-- 002: Credit Card Form -->
<form action="javascript:alert('submit')" class="form-credit">
  <div class="card__container">
    <h1>Payment Info</h1>
    <div class="card" id="card">
      <div class="field card-num">
        <input id="card_num" required pattern="(\d{4}\s?){4}" placeholder="0000 0000 0000 0000" maxlength="19">
        <label for="card_num">Card Number</label>
      </div>
      <div class="field name">
        <input id="name" required placeholder="John Doe">
        <label for="name">Full Name</label>
      </div>
      <div class="field expiration">
        <input id="expiration" required placeholder="12/16" pattern="\d{1,2}/\d{2}">
        <label for="expiration">Expiration</label>
      </div>
      <div class="card-type">
        <input type="radio" name="card_type" value="visa" id="card_type_visa" checked>
        <label class="card-type__logo visa" for="card_type_mastercard">Visa</label>

        <input type="radio" name="card_type" value="mastercard" id="card_type_mastercard">
        <label class="card-type__logo mastercard" for="card_type_visa">Mastercard</label>
      </div>
    </div>

    <div class="field csv">
      <input id="csv" required pattern="\d{3}" placeholder="000" maxlength="3">
      <label for="csv">CSV</label>
    </div>

    <div class="field submit">
      <button class="btn-submit">Finalize Purchase</button>
    </div>
  </div>
</form>
!

CSS 

              
                // fonts
@import url(https://fonts.googleapis.com/css?family=PT+Mono|Montserrat:700,400);

// colors
$background: #a3ffe1;
$text: #303132;
$light: lighten($text,50%);
$accent: #40edd3;
$invalid: #EF3535;
$input-outline: white;

// sizing
$rhythm: .75rem;
$card-ratio: .627;

// elements
*,*::before,*::after {
  box-sizing: border-box;
}
body {
  background: $background linear-gradient(to bottom right, $background, $accent);
  color: $text;
  padding: 1px;
  min-height: 100vh;
}
input {
  font: inherit;
  color: inherit;
  padding: 0;
  width: 100%;
  background: transparent;
  border: none;
  outline: none;
}
button {
  appearance: none;
  padding: $rhythm $rhythm * 2;
  color: $text;
  background: linear-gradient(to top right, #E9FFFC, #CCD3D3);
  background-size: 200% 200%;
  background-position: 100% 0;
  border: none;
  font-weight: bold;
  transition: all .3s;
  font-variant: small-caps;
  letter-spacing: .02em;
  &:hover {
    background-position: 0 100%;
    transform: scale(1.05);
  }
}
h1 {
  margin: 0 0 $rhythm * 4;
  font: small-caps 600 2rem/1.5 "Montserrat",sans-serif;
  letter-spacing: .02em;
}

// card
.card__container {
  margin: $rhythm * 8 auto;
  padding: 0 $rhythm;
  max-width: 600px;
  filter: drop-shadow(1px 1px 20px rgba(black,.5));
  perspective: 1000px;
}
.card {
  position: relative;
  padding-top: $card-ratio * 100%;
  height: 0;
  background: url('http://dailyui.glenn-martin.com/002/images/credit-card-bg.svg');
  font: 1rem/1 "PT Mono",serif;
  transform: rotateY(20deg);
  transform-style: preserve-3d;
  .field, .card-type {
    position: absolute;
  }
}
.field {
  padding: $rhythm * 2.5 $rhythm $rhythm;
  margin-top: $rhythm * -2.5;
  input {
    //color: rgba(#D5E1E0,.5);
    -webkit-text-fill-color: rgba(#D5E1E0,.5);
    text-shadow: -2px 0 1px rgba(white,.4), 0 -2px 1px rgba(white,.6), 2px 0 1px rgba(black,.4), 0 2px 1px rgba(black,.6);
    text-transform: uppercase;

    &:hover + label {
      &::before, &::after {
        transform: translateZ(65px);
        border-color: $background;
      }
    }
    &:focus + label {
      &::before, &::after {
        transform: none;
        border-color: $accent;
      }
    }
    &.touched:invalid + label {
      &::before, &::after {
        border-color: $invalid;
      }
    }
  }
  label {
    font-family: "Montserrat",sans-serif;
    font-size: 13px;
    position: absolute;
    top: 0; right: 0; bottom: 0; left: 0;
    padding: $rhythm;
    cursor: text;
    pointer-events: none;

    &::before, &::after {
      content: '';
      position: absolute;
      top: 0; right: 0; bottom: 0; left: 0;
      border: 2px solid $input-outline;
      transform: translateZ(60px);
      transition: all .3s;
    }
  }
}
.card-num {
  top: 50%; left: 3%;
  width: 94%;
  font-size: 2.75rem;
  @media only screen and (max-width: 36em) {
    font-size: 2.25rem;
  }
  @media only screen and (max-width: 31em) {
    font-size: 1.25rem;
  }
}
.name {
  left: 3%;
  bottom: 3%;
  font-size: 1.5rem;
  width: 47%;
  @media only screen and (max-width: 31em) {
    font-size: 1rem;
  }
}
.expiration {
  left: 53%;
  bottom: calc(3% + .5rem);
  width: $rhythm * 8;
}
.card-type {
  bottom: 3%;
  right: 3%;
  width: 20%;

  input {
    opacity: 0;
    pointer-events: none;
    position: absolute;
    z-index: -99;
  }
}
.card-type__logo {
  display: none;
  position: absolute;
  bottom: 0; right: 0;
  width: 100%;
  height: 0;
  padding-top: 50%;
  background: transparent center center no-repeat;
  background-size: contain;
  cursor: pointer;
  font-size: 0;

  &.visa {
    background-color: white;
    background-image: url(http://dailyui.glenn-martin.com/002/images/visa-logo.svg);
  }
  &.mastercard {
    background-image: url(http://dailyui.glenn-martin.com/002/images/mastercard-logo.svg);
  }

  &::before {
    content: '';
    position: absolute;
    top: 0; right: 0; bottom: 0; left: 0;
    border: 2px solid $input-outline;
    transform: translateZ(30px);
    transition: all .3s;
  }
  &:hover::before {
    border-color: $background;
    transform: translateZ(35px);
  }

  :checked + & {
    display: block;
  }
}

.csv {
  position: relative;
  float: right;
  width: 5rem;
  margin-top: 0;
  font-size: 1.5rem;
  input {
    text-shadow: none;
    -webkit-text-fill-color: inherit;
    transform: skewX(8deg);
    text-align: right;
    color: lighten($text,10%);
  }
  transform: rotateY(-4deg);
}

.submit {
  clear: both;
  text-align: center;
}

::-webkit-input-placeholder {
  color: #D8E5E4;
}
!

JS 

              
                // format credit card number as user types
// doesn't handle every fringe case, just normal typing
card_num.addEventListener('keyup',function (e) {
  console.log(e.keyCode);
  if (e.keyCode !== 8) {
    // not backspace
    if (this.value.length === 4 || this.value.length === 9 || this.value.length === 14) {
      this.value = this.value += ' ';
    }
  }
});

// card rotation
// again, not cross-browser, this is just for proof of concept
var xRange = -10;
var xMiddle = 0;
var yRange = 10;
var yMiddle = 20;
document.body.addEventListener('mousemove', function (e) {
  var yPerc = e.clientX / window.innerWidth;
  var xPerc = e.clientY / window.innerHeight;
  card.style.transform = 'rotateY(' + (yMiddle + (yPerc * yRange - (yRange / 2))) + 'deg) rotateX(' + (xMiddle + (xPerc * xRange - (xRange / 2))) + 'deg)';
});

// add .touched class to inputs
var inputEls = document.querySelectorAll('input');
for (var i = 0, len = inputEls.length; i < len; i++) {
  inputEls[i].addEventListener('blur', function (e) {
    this.classList.add('touched');
  });
}
!
999px

Console