<link href="//netdna.bootstrapcdn.com/twitter-bootstrap/2.3.2/css/bootstrap-combined.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//netdna.bootstrapcdn.com/twitter-bootstrap/2.3.2/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
<div class="container">
<form class="well span8">
<div class="row">
<div class="span3">
<label>First Name</label> <input class="span3" placeholder=
"Your First Name" type="text"> <label>Last Name</label>
<input class="span3" placeholder="Your Last Name" type="text">
<label>Email Address</label> <input class="span3" placeholder=
"Your email address" type="text"> <label>Subject</label>
<select class="span3" id="subject" name="subject">
<option selected value="na">
Choose One:
</option>
<option value="service">
General Customer Service
</option>
<option value="suggestions">
Suggestions
</option>
<option value="product">
Product Support
</option>
</select>
</div>
<div class="span5">
<label>Message</label>
<textarea class="input-xlarge span5" id="message" name="message"
rows="10">