<div class="row">
          <div class="medium-3 columns item">Full Name :</div>
          <div class="medium-9 columns">[text* FullName]</div>
     </div>

     <div class="row">
          <div class="medium-3 columns item">Email Address :</div>
          <div class="medium-9 columns">[email* EmailAddress]</div>
     </div>

     <div class="row">
          <div class="medium-3 columns item">Phone Number :</div>
          <div class="medium-9 columns">[tel PhoneNumber]</div>
     </div>

     <div class="row">
          <div class="medium-3 columns item">Subject :</div>
          <div class="medium-9 columns">[text Subject]</div>
     </div>

     <div class="row">
          <div class="medium-3 columns item">Message :</div>
          <div class="medium-9 columns">[textarea Message]</div>
     </div>

     <div class="row">
          <div class="medium-12 columns text-right">[submit class:submitbutton "Submit"]</div>
     </div>