<div class="container-fluid">
        <div class="row">
            <div class="col-md-4">
                [text* first-name class:form-control placeholder "First Name"]
            </div>
            <div class="col-md-4">
                [text* last-name class:form-control placeholder "Last Name"]
            </div>
            <div class="col-md-4">
                [email* your-email class:form-control placeholder "E-mail Addres"]
            </div>
        </div>
        <div class="row"  style="margin-top:10px">
            <div class="col-md-4">
                [number phonenumber class:form-control min:0 placeholder "Phone Number"]
            </div>
            <div class="col-md-4">
                [text* company-name class:form-control placeholder "Company Name"]
            </div>
            <div class="col-md-4">
                    [select department class:form-control "Personal Care / Cosmetic" "Food and Beverage" "Pharmaceutical" "Flavor and Fragrance" "Animal Health & Nutrition" "Sport Nutrition" "Indutrial"]
            </div>
        </div>
        <div class="row" style="margin-top: 10px;">
            <div class="col-md-6" >
                [textarea products-of-interest class:form-control class:form-message placeholder "What products are you iterested in?"]
            </div>
            <div class="col-md-6" >
                [textarea final-aplication class:form-control class:form-message placeholder "Final application?"]
            </div>
        </div>
        <div class="row">
            <div class="col-md-9">[recaptcha]</div>
            <div class="col-md-3">[submit class:btn class:btn--form "SEND"]</div>
        </div>
    </div>