<link href="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
<div class="container">
<div class="col-m-12 text-center">
<h2>Google Style Contact Form with white panel</h2>
</div>
<div class="col-sm-12 custom-box">
<div class="col-md-6 col-md-offset-3">
<div class="well form-well">
<div class="well form-well">
<legend class="blue-txt text-center">Contact US</legend>
<form>
<div class="group">
<input required="" type="text">
<span class="highlight"></span>
<span class="bar"></span>
<label>Name</label>
</div>
<div class="group">
<input required="" type="text">
<span class="highlight"></span>
<span class="bar"></span>
<label>Email</label>
</div>
<div class="group">
<input required="" type="text">
<span class="highlight"></span>
<span class="bar"></span>
<label>Phone No</label>
</div>
<div class="group">
