<div style="background-color: #444; color: #fff; padding: 10px;">
<form name="contact-form"><span><i class="fa fa-pencil-square-o"></i> Name </span><br /> <input id="ContactForm1_contact-form-name" name="name" size="30" type="text" value="" /> <br /> <br /> <span><i class="fa fa-envelope-o"></i> Email Address <span style="color: #f56954; font-size: x-small; font-weight: bold;">important</span></span> <br /> <input id="ContactForm1_contact-form-email" name="email" size="30" type="text" value="" /> <br /> <br /> <span><i class="fa fa-keyboard-o"></i> Content <span style="color: #f56954; font-size: x-small; font-weight: bold;">important</span></span><br /> <textarea cols="25" id="ContactForm1_contact-form-email-message" name="email-message" rows="5"></textarea> <br /> <input id="ContactForm1_contact-form-submit" type="button" value="Send" /> <br /> <div style="max-width: 222px; text-align: center; width: 100%;"><div id="ContactForm1_contact-form-error-message"></div><div id="ContactForm1_contact-form-success-message"></div></div></form><br /><style scoped="" type="text/css"> #comments,.post_meta,#blog-pager {display:none;} #ContactForm1_contact-form-name, #ContactForm1_contact-form-email{ height:auto;margin:5px auto;padding:10px;background:#fafafa;color:#444;border:1px solid #ccc;border-radius:3px;box-sizing:border-box;-webkit-box-sizing:border-box;-moz-box-sizing:border-box;transition:all 0.5s ease-out;} #ContactForm1_contact-form-email-message{width:95%;height:175px;margin:5px 0;padding:10px;background:#fafafa;color:#444;font-family:'Open Sans',sans-serif;border:1px solid #ccc;border-radius:3px;transition:all 0.5s ease-out;} #ContactForm1_contact-form-name:focus, #ContactForm1_contact-form-email:focus, #ContactForm1_contact-form-email-message:focus{outline:none;background:#fff;color:#444;border-color:rgba(81,203,238,1);box-shadow:0 0 5px rgba(81,203,238,0.7);} #ContactForm1_contact-form-submit{font-family:'Open Sans';float:left;background:#cf4d35;color:#fff;margin:10px auto;vertical-align:middle;cursor:pointer;padding:10px 18px!important;font-weight:700;font-size:14px;text-align:center;text-transform:uppercase;letter-spacing:.5px;border-radius:4px;border:0;transition:all .8s ease} #ContactForm1_contact-form-submit:hover {background:#e45a40;color:#fff;} #ContactForm1_contact-form-error-message, #ContactForm1_contact-form-success-message{width:100%;margin-top:35px;} .contact-form-error-message-with-border {background:#f6f6f6;border:none;box-shadow:none;color:#444;padding:5px 0;} .contact-form-success-message {background:#4fc3f7;border:none;box-shadow:none;color:#fff;} img.contact-form-cross {line-height:40px;margin-left:5px;} @media only screen and (max-width:640px){ #ContactForm1_contact-form-name, #ContactForm1_contact-form-email,#ContactForm1_contact-form-submit{width:100%;}} </style>
</div>