<div class="form-field">
[dt_sc_icon icon="icon icon-user" /][text* text-867 placeholder "Name"]
</div>

<div class="form-field">
[dt_sc_icon icon="icon icon-mail" /][email* email-739 placeholder "email"]
</div>

<div class="form-field">
[dt_sc_icon icon="icon icon-phone2" /][tel tel-962 placeholder "Phone"]
</div>

<div class="form-field">
[dt_sc_icon icon="icon icon-message" /][textarea textarea-633 placeholder "Message"]
</div>