<div class="row">
	<div class="col-xs-12 col-sm-12 col-md-6 col-lg-6">
		<div class="input-filled">[text* first-name placeholder "First Name *"]</div>
		<div class="input-filled">[text* last-name placeholder "Last Name"]</div>
		<div class="input-filled">[email* email-address placeholder "Email Address"]</div>
		<div class="input-filled">[text phone-number placeholder "Phone Number"]</div>
	</div>
	<div class="col-xs-12 col-sm-12 col-md-6 col-lg-6">
		 <div class="input-filled">[text looking placeholder "What are you looking for?"]</div>
		 <div class="input-filled">[textarea message placeholder "Message *"]</div>
	</div>
</div>
<div class="row">
	<div class="col-xs-12 col-sm-12 col-md-12 col-lg-12">
		[submit class:btn class:btn-block "Send Enquiry"]
	</div>
</div>