<form action="#" method="post">
<h1>Contact Us</h1>
<p>Please take a moment to get in touch, we will get back to you shortly.</p>
<div class="column">
<label for="the-name">Your Name</label>
<input type="text" name="name" id="the-name">
<label for="the-email">Email Address</label>
<input type="email" name="email" id="the-email">
<label for="the-phone">Phone Number</label>
<input type="tel" name="phone" id="the-phone">
<label for="the-reason">How can we help you?</label>
<select name="reason" id="the-reason">
<option value="">Choose one</option>
<option value="web">I need web design services</option>
<option value="video">I need you to produce a video</option>
<option value="3d">I need 3D polygon things</option>
</select>
</div>
<div class="column">
<label for="the-message">Message</label>
<textarea name="message" id="the-message"></textarea>
<label>
<input type="checkbox" name="newsletter" value="yes"> Join our mailing list?
</label>
<input type="submit" value="Send Message">
</div>
</form>