<h2 class="short"><strong>Contact</strong> Us</h2>
<div class="row">
    <div class="col-lg-6">
        <div class="form-group">
            <label for="contact-name">Your name *</label>
            [text* your-name id:contact-name class:form-control]
        </div>
    </div>
    <div class="col-lg-6">
        <div class="form-group">
            <label for="contact-email">Your email address *</label>
            [email* your-email id:contact-email class:form-control]
        </div>
    </div>
    <div class="col-lg-12">
        <div class="form-group">
            <label for="contact-subject">Subject</label>
            [select your-subject id:contact-subject class:form-control "" "Option 1" "Option 2" "Option 3" "Option 4" "Option 5"]
        </div>
    </div>
    <div class="col-lg-6">
        <div class="form-group">
            <label>Checkboxes</label>
            [checkbox your-checkboxes id:contact-checkboxes "1" "2" "3" "4" "5"]
        </div>
    </div>
    <div class="col-lg-6">
        <div class="form-group">
            <label>Radios</label>
            [radio your-radios id:contact-radios "1" "2" "3" "4" "5"]
        </div>
    </div>
    <div class="col-lg-12">
        <div class="form-group">
            <label for="contact-attachment">Attachment</label>
            [file your-attachment id:contact-attachment]
        </div>
    </div>
    <div class="col-lg-12">
        <div class="form-group">
            <label for="contact-message">Message *</label>
            [textarea* your-message id:contact-message class:form-control ]
        </div>
    </div>
    <div class="col-lg-12">
        <label for="contact-captcha">Human Verification *</label>
    </div>
    <div class="col-lg-8">
        <div class="form-group">
            [captchar your-captcha id:contact-captcha class:form-control]
        </div>
    </div>
    <div class="col-lg-4">
        <div class="form-group">
            [captchac your-captcha]
        </div>
    </div>
    <hr>
    <div class="col-lg-12">
        <div class="form-group">
            [submit class:btn class:btn-primary class:btn-lg "Send Message"]
        </div>
    </div>
</div>