<div class="contact_us">
    <div class="row">
        <div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
            <div class="input-group">
                [textarea your-message placeholder "Your Message *"]
            </div>
        </div>
        <div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
            <div class="input-group">
                [text* your-name placeholder "First name *"]
            </div>
            <div class="input-group">
                [email* your-email placeholder "E-mail *"]
            </div>
            <div class="input-group">
                [tel* your-phone placeholder "Phone *"]
            </div>
        </div>
    </div>
    <div class="input-group text-center">
      <button type="submit" class="button theme_style_4 size-lg bordered icon_right">Submit <i class="fa fa-chevron-right"></i></button>
    </div>
</div>