Checkout example for Bootstrap kwa kiswahili

Fomu ya malipo

Ifuatayo ni fomu ya mfano iliyojengwa kabisa na vidhibiti vya fomu vya Bootstrap. Kila kikundi cha fomu kinachohitajika kina hali ya uthibitishaji ambayo inaweza kuanzishwa kwa kujaribu kuwasilisha fomu bila kuijaza.

Mkokoteni wako 3

Jina la bidhaa
Maelezo mafupi
$12
Bidhaa ya pili
Maelezo mafupi
$8
Kipengee cha tatu
Maelezo mafupi
$5
Msimbo wa ofa
EXAMPLECODE
$5
Jumla (USD) $20

Mahali deni litakapotumwa

Jina la kwanza

Valid first name is required.

Jina la familia

Valid last name is required.

Jina la mtumiaji

Your username is required.

Barua pepe (Si lazima)

Please enter a valid email address for shipping updates.

Anwani

Please enter your shipping address.

Anwani 2 (Si lazima)

Nchi

Please select a valid country.

Jimbo

Please provide a valid state.

Zip

Zip code required.

Anwani ya usafirishaji ni sawa na anwani yangu ya kutuma bili

Hifadhi habari hii kwa wakati ujao

Malipo

Kadi ya mkopo

Kadi ya malipo

PayPal

Jina kwa kadi Jina kamili kama inavyoonyeshwa kwenye kadi

Name on card is required

Nambari ya kadi ya mkopo

Credit card number is required

Kuisha muda wake

Expiration date required

CVV

Security code required

Fomu ya malipo

Mkokoteni wako 3

Jina la bidhaa

Bidhaa ya pili

Kipengee cha tatu

Msimbo wa ofa

Mahali deni litakapotumwa

Malipo