<div class="row">
	<div class="col-md-6 text-left">
		<div class="row">
			<div class="control-group">
				<div class="form-group col-xs-12 floating-label-form-group controls">
					[text* text-137 class:form-control placeholder "Name *"]
				</div>
			</div>

			<div class="control-group">
				<div class="form-group col-xs-12 floating-label-form-group controls">
					[text text-339 class:form-control placeholder "Phone"]
				</div>
			</div>

			<div class="control-group">
				<div class="form-group col-xs-12 floating-label-form-group controls">
					[email* email-615 class:form-control akismet:author_email placeholder "Email Address*"]
				</div>
			</div>

		</div>
	</div>
	<div class="col-md-6 text-left">
		<div class="row">
			<div class="control-group">
				<div class="form-group col-xs-12 floating-label-form-group controls">
					[textarea* textarea-940 x4 class:form-control placeholder "Message *"]
				</div>
			</div>
		</div>
	</div>
	<div class="form-group col-xs-12 text-center margin-20">
		[submit class:btn class:btn-default class:primary-typo ]
	</div>
</div>