<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="container">
<form class="well col-sm-12 col-md-12">
<div class="row">
<div class="col-sm-4 col-md-4">
<label>First Name</label>
<input class="form-control" placeholder="Your First Name" type="text">
<label>Last Name</label>
<input class="form-control" placeholder="Your Last Name" type="text">
<label>Email Address</label>
<input class="form-control" placeholder="Your email address" type="text"> <label>Subject</label>
<select class="col-sm-3 col-md-3 form-control" 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="col-sm-8 col-md-8">
<div class="form-group">
<label>Message</label>
<textarea class="col-sm-3 col-md-3 form-control" id="message" name="message" rows="10"></textarea>
<button class="btn btn-primary pull-right" type="submit">Send</button>
</div>
</div>
</div>
</form>
</div>
