<div class="request_callback_6">
    <div class="row">
        <div class="col-sm-4 col-xs-12">
            <div class="input-group">
                [text* text-name placeholder akismet:author "First name"]
            </div>
        </div>
        <div class="col-sm-4 col-xs-12">
            <div class="input-group">
                [tel* phone placeholder "Phone number"]
            </div>
        </div>
        <div class="col-sm-4 col-xs-12">
            <div class="input-group">
                [select services_consulting first_as_label "Business Planning" "Audit & Assurance" "Strategic Planning" "Trades & Stocks" "Financial Projections"]
            </div>
        </div>
    </div>
    <div class="row">
      <div class="col-xs-12">
        <div class="input-group text-center">
          <button type="submit" class="button theme_style_2 size-lg icon_right">SUBMIT <i class="fa fa-chevron-right"></i></button>
        </div>
     </div>
    </div>
</div>