<div class="request-form animation animated fadeInRight" data-animation="fadeInRight">
    <h4>GET IN TOUCH WITH US!</h4>
    <div style="margin-bottom: 18px; font-size:15px;">Let The Swim Zone know how we can help with your pool. Send us a message! </div>
    [text your-name class:input-custom class:input-full "Name:"]
    [text Phone class:input-custom class:input-full placeholder "Phone:"]
    [text your-email class:input-custom class:input-full placeholder "Email:"]
    [textarea message class:input-custom class:input-full placeholder "Message:"][submit class:btn class:btn-orange "SEND MESSAGE"]
</div>