<div class="formbold-main-wrapper">

<div class="formbold-form-wrapper">

<div class="formbold-input-flex">
<div>
<label for="firstname" class="formbold-form-label"> First name
</label>
<input
type="text"
name="firstname"
id="firstname"
placeholder="Jane"
class="formbold-form-input"
/>
</div>
<div>
<label for="lastname" class="formbold-form-label"> Last name </label>
<input
type="text"
name="lastname"
id="lastname"
placeholder="Cooper"
class="formbold-form-input"
/>
</div>
</div>

<div class="formbold-input-flex">
<div>
<label for="email" class="formbold-form-label"> Mail </label>
<input
type="email"
name="email"
id="email"
placeholder="jhon@mail.com"
class="formbold-form-input"
/>
</div>
<div>
<label for="phone" class="formbold-form-label"> Phone </label>
<input
type="text"
name="phone"
id="phone"
placeholder="(319) 555-0115"
class="formbold-form-input"
/>
</div>
</div>

<div class="formbold-input-radio-wrapper">
<label for="jobtitle" class="formbold-form-label"> What are you looking
for? </label>

<div class="formbold-radio-flex">
<div class="formbold-radio-group">
<label class="formbold-radio-label">
<input class="formbold-input-radio" type="radio" name="jobtitle"
id="jobtitle">
 Web Design
<span class="formbold-radio-checkmark"></span>
</label>
</div>

<div class="formbold-radio-group">
<label class="formbold-radio-label">
<input class="formbold-input-radio" type="radio" name="jobtitle"
id="jobtitle">
Graphics Design
<span class="formbold-radio-checkmark"></span>
</label>
</div>

<div class="formbold-radio-group">
<label class="formbold-radio-label">
<input class="formbold-input-radio" type="radio" name="jobtitle"
id="jobtitle">
Logo Design
<span class="formbold-radio-checkmark"></span>
</label>
</div>

<div class="formbold-radio-group">
<label class="formbold-radio-label">
<input class="formbold-input-radio" type="radio" name="jobtitle"
id="jobtitle">
Others
<span class="formbold-radio-checkmark"></span>
</label>
</div>
</div>
</div>

<div>
<label for="message" class="formbold-form-label"> Message </label>
<textarea
rows="6"
name="message"
id="message"
placeholder="Type your message"
class="formbold-form-input"
></textarea>
</div>

<button class="formbold-btn">
Send Message
</button>

</div>
</div>