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<form class="well span8">
<div class="row">
<div class="span3">
<label>First Name</label>
<input type="text" class="span3" placeholder="Your First Name">
<label>Last Name</label>
<input type="text" class="span3" placeholder="Your Last Name">
<label>Email Address</label>
<div class="input-prepend">
<span class="add-on"><i class="icon-envelope"></i></span><input type="text" id="inputIcon" class="span2" style="width:233px" placeholder="Your email address">
</div>
<label>Subject
<select id="subject" name="subject" class="span3">
<option value="na" selected="">Choose One:</option>
<option value="service">General Customer Service</option>
<option value="suggestions">Suggestions</option>
<option value="product">Product Support</option>
</select>
</label>
</div>
<div class="span5">
<label>Message</label>
<textarea name="message" id="message" class="input-xlarge span5" rows="10"></textarea>
</div>
</div>
<button type="submit" class="btn btn-primary pull-right">Send</button>
</form>
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