<div class="fusion-columns fusion-clearfix" style="margin-bottom: 20px;">
<div class="col-lg-6 col-md-6 col-sm-12">FIRST NAME *<br />
    [text* first-name]</div><div class="col-lg-6 col-md-6 col-sm-12">LAST NAME *<br />
    [text* last-name]</div>
</div>



<div class="fusion-columns fusion-clearfix" style="margin-bottom: 20px;">
<div class="col-lg-6 col-md-6 col-sm-12">EMAIL ADDRESS *<br />
    [email* your-email] </div><div class="col-lg-6 col-md-6 col-sm-12">PHONE NUMBER<br />
    [text phone-number]</div>
</div>
<p>SUBJECT<br />
    [text your-subject] </p>

<p style="margin-bottom: 30px;">YOUR QUERY<br />
    [textarea your-message] </p>

<p>[submit "SUBMIT"]</p>