<div class="flex">
<div class='itm row' >[text* your-name placeholder "Name*"]</div>  </br>
<div class='itm row'>[text* your-email placeholder "E-mail*"]</div> </div></br>
<div class="flex">
<div class='itm row' >[text* telephone placeholder "Phone*"]</div> </br>
<div class='itm row'>[text* adresse placeholder "Address*"]</div> </div></br>
<div class='itm row' >[text* rendezvous class:datefield placeholder "Desired date of visit"]</div></div>
</br>
<div class="bt">[submit "Send"]</div>