<div class='block-terc' style='min-height:350px'>

{{form->Open()}}
{{form->Error()}}
{{form->Success()}}

    <h2>{{GetCode(ClickTrackPlugin.ContactUs)}}</h2>
    <div class='col-md-6'>
        <label>{{GetCode(ClickTrackPlugin.FirstName)}}</label> 
        {{form->Render(FirstName)}}
    </div>

    <div class='col-md-6'>
        <label>{{GetCode(ClickTrackPlugin.Name)}}</label> 
        {{form->Render(Name)}}
    </div>

    <div class='col-md-12'>
        <label>{{GetCode(ClickTrackPlugin.Email)}}</label> 
        {{form->Render(Email)}}
    </div>
    
    <div class='col-md-12'>
        <label>{{GetCode(ClickTrackPlugin.Phone)}}</label> 
        {{form->Render(Phone)}}
    </div>


    <div class='col-md-12'>
        <label>{{GetCode(ClickTrackPlugin.Message)}}</label> 
        {{form->Render(Message)}}
        
    </div>  
    
    <div class='col-md-12 center marginTop' >   
        {{form->Render(btnSendContactForm)}}
    </div>
    
{{form->Close()}}


</div>