<div class="row">
	<div class="col-md-6">
		<label>First name</label>
		[text* your-first-name placeholder "e.g., Jonh Doe"]
	</div>
	<div class="col-md-6">
		<label>Latst name</label>
		[text* your-last-name placeholder "Enter your last name"]
	</div>
	<div class="col-md-6">
		<label>Your email</label>
		[email* your-email placeholder "Enter your email…"]
	</div>
	<div class="col-md-6">
		<label>Your phone number…</label>
		[tel* your-phone placeholder "Enter your phone number…"]
	</div>
	<div class="col-md-12">
		<label>Your mesage</label>
		[textarea your-message placeholder "Enter your mesage…"]
	</div>
	<div class="col-md-12">
		[submit "Get appointment"]
	</div>
</div>