<div class="input-filled">[text* your-name placeholder "Name"]</div>
<div class="input-filled">[email* your-email placeholder "Email"]</div>
<div class="input-filled">[text* your-phone placeholder "Telephone"]</div>
<div class="input-filled">[textarea* your-message placeholder "Ask any question..."]</div>
[submit class:btn "Submit now"]