<div class="form-control">
  [text* text-804 placeholder "Nombre y Apellido"]
</div>

<div class="form-control">
  [text* text-930 placeholder "Empresa"]
</div>

<div class="form-control">
  [email* correo  placeholder "Correo"]
</div>

<div class="form-control">
  [number* number-9 placeholder "Celular"]
</div>

<div class="form-control">
  [textarea* your-message placeholder "Mensaje"]
</div>

<div class="center">
[submit "Consultar ahora"]
</div>