<h3 class="title">Leave A Message</h3>
<div class="row">
	<div class="col-xs-12 col-sm-6"><div class="form-group"><label>Your name</label>[text* your-name class:form-control placeholder "Name"]</div></div>
	<div class="col-xs-12 col-sm-6"><div class="form-group"><label>Your Email</label>[email* your-email class:form-control placeholder "Email"]</div></div>
</div>
<div class="form-group">
<label>Subject</label>
[text* your-subject class:form-control placeholder "Subject"]</div>
<div class="form-group">
<label>Your Comment</label>
[textarea your-message class:form-control placeholder "Comment"]</div>
<div class="clearfix">[submit class:btn class:btn-theme "Send Message"]</div>