<form class="form-inline">
<div class="form-group">
<label class="sr-only" for="exampleInputAmount">Amount (in dollars)</label>
<div class="input-group">
<div class="input-group-addon">$</div>
<input type="text" class="form-control" id="exampleInputAmount" placeholder="Amount">
<div class="input-group-addon">.00</div>
</div>
</div>
<button type="submit" class="btn btn-primary">Transfer cash</button>
</form>