<div class="row">
	<p class="col-md-6">
		[text* text-783 placeholder akismet:author "First Name"]
	</p>
	<p class="col-md-6">
		[text* text-181 placeholder akismet:author "Last name"]
	</p>
	<p class="col-md-6">
		[email* email-230 placeholder akismet:author_email "Your email address"]
	</p>
	<p class="col-md-6">
		[select* menu-722 include_blank "United States" "United Kingdom" "Italy" "France"]
	</p>
	<p class="col-md-12">
		[textarea* textarea-251 10x4 placeholder "Message"]
	</p>
	<p class="col-md-12 text-md-right">
		[submit "SEND MESSAGE"]
	</p>
</div>