<h2>Contact Us</h2>
<p>Swing by for a cup of coffee, or leave us a message:</p>
</div>
<div class="row">
<div class="column">
<img src="/w3images/map.jpg" style="width:100%">
</div>
<div class="column">
<form action="/action_page.php">
<label for="fname">First Name</label>
<input type="text" id="fname" name="firstname" placeholder="Your name..">
<label for="lname">Last Name</label>
<input type="text" id="lname" name="lastname" placeholder="Your last name..">
<label for="country">Country</label>
<select id="country" name="country">
<option value="australia">Australia</option>
<option value="canada">Canada</option>
<option value="usa">USA</option>
</select>
<label for="subject">Subject</label>
<textarea id="subject" name="subject" placeholder="Write something.." style="height:170px"></textarea>
<input type="submit" value="Submit">
</form>