<div class="row">
<div class="col-xs-12">

[text* your-name placeholder "Your Name"]

[email* your-email placeholder "Your Email"]

[text your-website placeholder "Your Website"]

[text your-company placeholder "Your Company"]

[textarea* your-message placeholder "Your Comment"]

</div>

</div>

<div class="row vertical-center">
<div class="col-xs-12 col-lg-6">
<p>We will contact you within one business day.</p>
</div>
<div class="col-xs-12 col-lg-6 submit-button-align-right">
[submit "Send Message"]
</div>
</div>