<div class="container">
<div class="row">
<form role="form">
<div class="col-lg-6">
<div class="well well-sm"><strong><span class="glyphicon glyphicon-asterisk"></span>Required Field</strong></div>
<div class="form-group">
<label for="InputName">Enter Name</label>
<div class="input-group">
<input type="text" class="form-control" name="InputName" id="InputName" placeholder="Enter Name" required>
<span class="input-group-addon"><span class="glyphicon glyphicon-asterisk"></span></span>
</div>
</div>
<div class="form-group">
<label for="InputEmail">Enter Email</label>
<div class="input-group">
<input type="email" class="form-control" id="InputEmailFirst" name="InputEmail" placeholder="Enter Email" required>
<span class="input-group-addon"><span class="glyphicon glyphicon-asterisk"></span></span>
</div>
</div>
<div class="form-group">
<label for="InputEmail">Confirm Email</label>
<div class="input-group">
<input type="email" class="form-control" id="InputEmailSecond" name="InputEmail" placeholder="Confirm Email" required>
<span class="input-group-addon"><span class="glyphicon glyphicon-asterisk"></span></span>
</div>
</div>
<div class="form-group">
<label for="InputMessage">Enter Message</label>
<div class="input-group">
<textarea name="InputMessage" id="InputMessage" class="form-control" rows="5" required></textarea>
<span class="input-group-addon"><span class="glyphicon glyphicon-asterisk"></span></span>
</div>
</div>
<input type="submit" name="submit" id="submit" value="Submit" class="btn btn-info pull-right">
</div>
</form>
<div class="col-lg-5 col-md-push-1">
<div class="col-md-12">
<div class="alert alert-success">
<strong><span class="glyphicon glyphicon-ok"></span> Success! Message sent.</strong>
</div>
<div class="alert alert-danger">
<span class="glyphicon glyphicon-remove"></span><strong> Error! Please check all page inputs.</strong>
</div>
</div>
</div>
</div>
</div>