<div class="form">
<div class="row">
<div class="col-md-6"><label for="first-name">* First Name:</label>[text* first-name id:first-name]</div>
<div class="col-md-6"><label for="last-name">* Last Name:</label>[text* last-name id:last-name]</div>
<div class="col-md-6"><label for="website">* Website:</label>[text* website id:website]</div>
<div class="col-md-6"><label for="role">* Role:</label>[text* role id:role]</div>
<div class="col-md-12"><label for="email">* Email Address:</label>[text* email id:email]</div>
<div class="col-md-6"><label for="phone">* Phone Number:</label>[text* phone id:phone]</div>
<div class="col-md-6"><div class="custom-select"><label for="type">* Inquire Type: (please choose)</label>[select* type id:type include_blank "I am an identity solution" "I am an identity solution buyer" "I would like to submit a press release" "I would like to apply for the Identity Consortium" "I am contacting for a
different reason"]</div></div>
<div class="col-md-12"><label for="message" class="message-label">* Message:</label>[textarea* message id:message]</div>
</div>
[submit id:submitform "Send"]
</div>