<div class="member-form">
<p class="font14">Your email address will not be published. Required fields are marked *</p>
<div class="row">
<p class="col-md-6">[text* your-name placeholder "YOUR NAME *"]</p>
<p class="col-md-6">[email* your-email placeholder "YOUR EMAIL *"]</p>
</div>
<p>[text your-site placeholder "WEBSITE"]</p>
<p>[textarea your-message placeholder "MESSAGE..."]</p>
<button type="submit" class="octf-btn octf-btn-dark">Send Message</button>
</div>