v class="col-md-4">
											<label for="contact:name">Full Name *</label>
											<input required type="text" value="" class="form-control" name="contact[name][required]" id="contact:name">
										</div>
										<div class="col-md-4">
											<label for="contact:email">E-mail Address *</label>
											<input required type="email" value="" class="form-control" name="contact[email][required]" id="contact:email">
										</div>
										<div class="col-md-4">
											<label for="contact: