" type="text" placeholder="Last Name *">
                                </div>
                                <div class="column is-6">
                                    <input class="input is-medium" type="text" placeholder="Email *">
                                </div>
                                <div class="column is-6">
                                    <input class="input is-medium" type="email" placeholder="Company">
                                </div>
                                <