-<address>
- <strong>Support:</strong> <a href="mailto:Support@example.com">Support@example.com</a><br />
- <strong>Marketing:</strong> <a href="mailto:Marketing@example.com">Marketing@example.com</a>
-</address>
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+ <address>
+ Rafał Długołęcki<br />
+ ABCDEFGHIJ 1/2<br />
+ Warszawa
+ </address>
+
+ <div class="form-horizontal">
+ <div class="form-group">
+ <label class="control-label col-md-2" for="email">Twój adres email</label>
+ <div class="col-md-10">
+ <input class="form-control text-box single-line" id="email" name="email" type="email" value="" />
+ </div>
+ </div>
+ <div class="form-group">
+ <label class="control-label col-md-2" for="message">Wiadomość</label>
+ <div class="col-md-10">
+ <textarea class="form-control text-box multi-line" id="message" name="message"></textarea>
+ </div>
+ </div>
+
+ <div class="form-group">
+ <div class="col-md-offset-2 col-md-10">
+ <input type="submit" value="Wyślij" class="btn btn-default" />
+ </div>
+ </div>
+
+ </div>
+</form>
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