<link href="//netdna.bootstrapcdn.com/bootstrap/3.1.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//netdna.bootstrapcdn.com/bootstrap/3.1.0/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
<div class="jumbotron jumbotron-sm">
<div class="container">
<div class="row">
<div class="col-sm-12 col-lg-12">
<h1 class="h1">
Contact us <small>Feel free to contact us</small></h1>
</div>
</div>
</div>
</div>
<div class="container">
<div class="row">
<div class="col-md-2">
</div>
<div class="col-md-8">
<div class="well well-sm">
<form>
<div class="row">
<div class="col-md-6">
<div class="form-group">
<label for="name">
Name</label>
<input type="text" class="form-control" id="name" placeholder="Enter name" required="required" />
</div>
<div class="form-group">
<label for="email">
Email Address</label>
<div class="input-group">
<span class="input-group-addon"><span class="glyphicon glyphicon-envelope"></span>
</span>
<input type="email" class="form-control" id="email" placeholder="Enter email" required="required" /></div>
</div>
<div class="form-group">
<label for="subject">
Subject</label>
<select id="subject" name="subject" class="form-control" required="required">
<option value="na" selected="">Choose One:</option>
<option value="service">General Customer Service</option>
<option value="suggestions">Suggestions</option>
<option value="product">Product Support</option>
</select>
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label for="name">
Message</label>
<textarea name="message" id="message" class="form-control" rows="9" cols="25" required="required"
placeholder="Message"></textarea>
</div>
</div>
<div class="col-md-12">
<button type="submit" class="btn btn-primary pull-right" id="btnContactUs">
Send Message</button>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
.jumbotron {
background: #358CCE;
color: #FFF;
border-radius: 0px;
}
.jumbotron-sm { padding-top: 24px;
padding-bottom: 24px; }
.jumbotron small {
color: #FFF;
}
.h1 small {
font-size: 24px;
}