<div class="fui-container mt-2">
  <div class="row">
    
    <div class="col-md-6 col-12 mx-auto">
      
      <p class="text-center mb-4 text-gray">Lorem ipsum dolor sit amet consectetur adipisicing elit. Accusamus
        est sint minus temporibus hic. Mollitia?</p>
        
        <form action="">
          <!-- ROW -->
          <div class="row">
            <div class="col-md-6 col-12 mb-2">
              <input type="text" class="fui-input" placeholder="Your Name">
            </div>
            
            <div class="col-md-6 col-12 mb-2">
              <input type="email" class="fui-input" placeholder="Your Email">
            </div>
            
            <div class="col-md-12 col-12 mb-2">
              <input type="url" class="fui-input" placeholder="Website Url">
            </div>
            
            <div class="col-md-12 col-12 mb-2">
              <select class="fui-input">
                <option value="Choose an option" selected disabled>Choose an option</option>
                <option value="Personal">Personal</option>
                <option value="Report">Report Bug</option>
                <option value="Job" disabled>Job Request</option>
              </select>
            </div>
            
            <div class="col-md-12 col-12 mb-2">
              <textarea name="" id="" class="fui-input" placeholder="Message"></textarea>
            </div>
            
            <div class="col-md-12 col-12">
              <button class="fui-btn fui-btn-gold btn-lg d-block w-100 py-1 h4">Send</button>
            </div>
            
          </div>
        </form>
      </div>
      
    </div>
  </div>