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<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>
<hr>
<div class="container">
<form class="well span8">
<div class="row">
<div class="span3">
<label>ФИО/ОРГАНИЗАЦИЯ</label> <input class="span3" placeholder=
"*" type="text"> <label>КОНТАКТНЫЙ ТЕЛЕФОН</label>
<input class="span3" placeholder="*" type="text">
<label>EMAIL</label> <input class="span3" placeholder=
"*" type="text"> <label>ВАШ СТАТУС</label>
<select class="span3" id="subject" name="subject">
<option selected value="na">
Физическое лицо
</option>
<option value="service">
Юридическое лицо
</option>
<option value="suggestions">
ИП
</option>
</select>
</div>
<div class="span5">
<label>Ваше сообщение:</label>
<textarea class="input-xlarge span5" id="message" name="message"
rows="10">
</textarea>
</div><button class="btn btn-primary pull-right" type=
"submit">Отправить</button>
