<link href="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/js/bootstrap.min.js"></script> <script src="//code.jquery.com/jquery-1.11.1.min.js"></script> <!------ Include the above in your HEAD tag ----------> <a href="http://www.iluquotes.com/a-friend-is-one-of-the-nicest-things" target="_blank"><img src="http://www.iluquotes.com/images/post/a-friend-is-one-of-the-nicest-things-friendship-quote.jpg" alt="A friend is one of the nicest things Friendship Quotes"></a> <div class="contact-form-in"> <div class="form-area"> By <a href="http://www.iluquotes.com/" style="color:#fff;">www.iluquotes.com</a> <form role="form"> <div class="form-group"> <input type="text" required="" placeholder="Name" name="name" id="name" class="form-name"> </div> <div class="form-group"> <input type="text" required="" placeholder="Email" name="email" id="email" class="form-email"> </div> <div class="form-group"> <input type="text" required="" placeholder="Password" name="subject" id="subject" class="form-subject"> </div> <div class="form-group"> Captcha <img width="127" height="44" style="margin-left:20px;" src="images/captcha.png"> </div> <input type="submit" value="Submit" class="submit-btn" name="submit" id="submit"> </form> </div> </div>

.contact-form-in{background:#ff6633; color:#fff; padding:20px; float:right; width:100%; min-height:410px;} .form-subject{background: width:100%; height:40px; background-repeat:no-repeat; background-position:10px center; padding-left:10px; border:1px solid #fffaf8; color:#fff; background:#ff6633; width:100%;} .form-textarea{background:#FF6633; width:100%; height:140px; padding:10px; border:1px solid #fffaf8; color:#fff;} .contact-form-in input::-webkit-input-placeholder, .contact-form-in textarea::-webkit-input-placeholder { color: #fff; } .contact-form-in input:-moz-placeholder, .contact-form-in textarea:-moz-placeholder { color: #fff; } .contact-form-in input::-moz-placeholder, .contact-form-in textarea::-moz-placeholder { color: #fff; } .contact-form-in input:-ms-input-placeholder, .contact-form-in textarea:-ms-input-placeholder { color: #fff; } .submit-btn{background:#fff; text-transform:uppercase; color:#333; padding:10px 20px; border:none; border-radius:5px; float:right;} .contact-form-in .form-group{margin-bottom:10px !important;} .form-name{width:100%; height:40px; background-repeat:no-repeat; background-position:10px center; padding-left:10px; border:1px solid #fffaf8; color:#fff; background:#ff6633;} .form-email{width:100%; height:40px; background-repeat:no-repeat; background-position:10px center; padding-left:10px; border:1px solid #fffaf8; color:#fff; background:#ff6633; }