<div class="btContact">

<div class="btContactRow">
<div class="btContactColumnLeft"><label>NAME</label>[text* your-name]</div>
<div class="btContactColumnRight"><label>LASTNAME</label>[text* your-lastname]</div>
</div>

<div class="btContactRow"><label>ADDRESS</label>[text* your-address]</div>

<div class="btContactRow">
<div class="btContactColumnLeft"><label>EMAIL</label>[email* your-email]</div>
<div class="btContactColumnRight"><label>PHONE NUMBER</label>[tel* your-phone]</div>
</div>


<div class="btContactRow"><label>TYPE OF SERVICE</label>[select your-service include_blank "Exterior Caulking" "Interior Caulking " "Why Silicone"]</div>

<div class="btContactMessage"><label> MESSAGE</label>[textarea your-message]</div>

[submit "SEND MESSAGE"]
</div>