&lt;form id=&quot;form-app&quot;&gt;
&lt;fieldset&gt;

&lt;!-- Heading --&gt;
&lt;h3 class=&quot;legend&quot;&gt;Contact Us&lt;/h3&gt;

&lt;!-- Paragraph Text --&gt;
&lt;p&gt;Let us know your questions, suggestions and concerns by filling out the contact form below.&lt;/p&gt;

&lt;!-- Text --&gt;
&lt;div class=&quot;form-group&quot;&gt;
    &lt;label class=&quot;control-label&quot; for=&quot;text_0&quot;&gt;Name&lt;/label&gt;
    &lt;input type=&quot;text&quot; id=&quot;text_0&quot; name=&quot;text_0&quot; class=&quot;form-control&quot;&gt;
&lt;/div&gt;

&lt;!-- Email --&gt;
&lt;div class=&quot;form-group required-control&quot;&gt;
    &lt;label class=&quot;control-label&quot; for=&quot;email_0&quot;&gt;Email&lt;/label&gt;
    &lt;input type=&quot;email&quot; id=&quot;email_0&quot; name=&quot;email_0&quot; class=&quot;form-control&quot; required=&quot;&quot;&gt;
&lt;/div&gt;

&lt;!-- Text Area --&gt;
&lt;div class=&quot;form-group required-control&quot;&gt;
    &lt;label class=&quot;control-label&quot; for=&quot;textarea_0&quot;&gt;Message&lt;/label&gt;
    &lt;textarea id=&quot;textarea_0&quot; name=&quot;textarea_0&quot; rows=&quot;3&quot; class=&quot;form-control&quot; required=&quot;&quot;&gt;&lt;/textarea&gt;
&lt;/div&gt;

&lt;!-- Button --&gt;
&lt;div class=&quot;form-action&quot;&gt;
    &lt;input type=&quot;submit&quot; id=&quot;button_0&quot; name=&quot;button_0&quot; class=&quot;btn btn-primary&quot; value=&quot;Submit&quot;&gt;
&lt;/div&gt;

&lt;/fieldset&gt;
&lt;/form&gt;