<div class="dt-contact-form on-dark row">
	<div class="col-sm-12">
		[text* your-name placeholder "Your Name"]
	</div>
	<div class="col-sm-12">
		[email* your-email placeholder "Email"]
	</div>
	<div class="col-sm-12">
		[tel telephone placeholder "Telephone"]
	</div>
	<div class="col-sm-12">
		[text Address placeholder "Address"]	
	</div>
	<div class="col-sm-6 half-right-padding">
		[text street-address placeholder "Street Address"]
	</div>
	<div class="col-sm-6 half-left-padding">
		[text zipcode placeholder "ZIP / Postal Code"]
	</div>
	<div class="col-sm-12">
		[select city "Enter Your City" "Surabaya" "Jakarta" "Bandung" "Yogyakarta" "Malang" "Gresik" "Kediri" "Pare"]
	</div>
	<div class="col-sm-12">
		[select type-of-service "Type of Service" "Home Cleaning" "Vehicle Cleaning" "Maintenance Service" "Building Cleaning" "Commercial Cleaning" "Pest Control"]
	</div>
	<div class="col-sm-12">[submit "Send"]</div>
</div>