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<form method="post" action="#">
<div class="row gtr-uniform">
<div class="col-6 col-12-xsmall">
<input type="text" name="demo-name" id="demo-name" value="" placeholder="Name" />
</div>
<div class="col-6 col-12-xsmall">
<input type="email" name="demo-email" id="demo-email" value="" placeholder="Email" />
</div>
<!-- Break -->
<div class="col-12">
<select name="demo-category" id="demo-category">
<option value="">- Category -</option>
<option value="1">Manufacturing</option>
<option value="1">Shipping</option>
<option value="1">Administration</option>
<option value="1">Human Resources</option>
</select>
</div>
<!-- Break -->
<div class="col-4 col-12-small">
<input type="radio" id="demo-priority-low" name="demo-priority" checked>
<label for="demo-priority-low">Low</label>
</div>
<div class="col-4 col-12-small">
<input type="radio" id="demo-priority-normal" name="demo-priority">
<label for="demo-priority-normal">Normal</label>
</div>
<div class="col-4 col-12-small">
<input type="radio" id="demo-priority-high" name="demo-priority">
<label for="demo-priority-high">High</label>
</div>
<!-- Break -->
<div class="col-6 col-12-small">
<input type="checkbox" id="demo-copy" name="demo-copy">
<label for="demo-copy">Email me a copy</label>
</div>
<div class="col-6 col-12-small">
<input type="checkbox" id="demo-human" name="demo-human" checked>
<label for="demo-human">I am a human</label>
</div>
<!-- Break -->
<div class="col-12">
<textarea name="demo-message" id="demo-message" placeholder="Enter your message" rows="6"></textarea>
</div>
<!-- Break -->
<div class="col-12">
<ul class="actions">
<li><input type="submit" value="Send Message" class="primary" /></li>
<li><input type="reset" value="Reset" /></li>
</ul>
</div>
</div>
</form>
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