<div class="container">
<div class="row">
	<div class="col-sm-12 col-md-3 col-lg-3 "></div>
	<div class="col-sm-12 col-md-6 col-lg-6 ">
		<div class="whitebox marg40col pad25px_left pad25px_right forgotform">
				<div class="form-top">
	        		<div class="form-top-left">
	        			<h3>Contact Us</h3>
	        		</div>
	        		<div class="form-top-right">
	        			<!--<i class="fa fa-envelope-o"></i>-->
	        		</div>
	            </div>
	            <div class="form-bottom signup_form">
	            	<!--<p>To reset your password, enter the email address you use to login in to {PageContext::$response->siteName} </p>-->
	            	<div class="{PageContext::$response->message['msgClass']}">{PageContext::$response->message['msg']}</div>
	                <form name="frmContact" id="frmContact" action="" method="post" role="form">
	                	
	                    <div class="form-group relative">
	                    	<!--<i class="fa fa-envelope"></i>-->
                            {literal}
                            <input type="email"  name="sender_email" class="form-email form-control" placeholder="Your Email" required="true" pattern="[a-z0-9._%+-]+@[a-z0-9.-]+\.[a-z]{2,63}$" >
                            {/literal}
	                                <label class="error" style="display:none;" generated="true" for="user_email"></label>
                                        <input type="text"  name="email_subject" class="margtop10 form-control" placeholder="Subject" required="true" >
                                <textarea name="email_description" class="margtop10 form-control" placeholder="Content" required="true"></textarea>
	                    </div>
	                    <input type="submit" name="btnSubmit" data-loading-text="Loading..." class="btn btn-primary yellow_btn2" value="Send">
	                </form>
	            </div>
	    </div>
	</div>
	<div class="col-sm-12 col-md-3 col-lg-3 "></div>
	</div>
</div>