<div class="row">
	<p class="col-lg-6 col-md-12 col-sm-12 col-xs-12">
		<label>[text* your-name placeholder "First Name" ]</label></p>
	<p class="col-lg-6 col-md-12 col-sm-12 col-xs-12"><label>[text* tel-548 placeholder "Last Name" ] </label></p>
	<p class="col-lg-6 col-md-12 col-sm-12 col-xs-12"><label>[text* your-email placeholder "Your Email" ]</label></p>
        <p class="col-lg-6 col-md-12 col-sm-12 col-xs-12"><label>[tel* your-phone placeholder "Phone Number" ]</label></p>
	<p class="col-lg-12 col-md-12 col-sm-12 col-xs-12"><label>[textarea* your-message placeholder "Address" ] </label></p>
<p class="col-lg-6 col-md-12 col-sm-12 col-xs-12"><label>Services</label></p>
        <p class="col-lg-12 col-md-12 col-sm-12 col-xs-12">[checkbox* Services use_label_element "House Washing" "Roof Cleaning" "Driveway & Surface Cleaning" "Deck & Fence Washing" "Gutter Cleaning & Brightening" "Commercial Cleaning"]</p>
<p class="col-lg-12 col-md-12 col-sm-12 col-xs-12"><label>[textarea description placeholder "Description of Service" ] </label></p>
	<p class="col-lg-12 col-md-12 col-sm-12 col-xs-12 submit-button-align-right">[submit "Send message"]</p>
</div>