<div style="margin-bottom: 25px; margin-right:25px;" class="fusion-one-fourth fusion-layout-column fusion-spacing-no">[text* your-name placeholder "Name"]</div>
<div style="margin-bottom: 25px; margin-right:25px;" class="fusion-one-fourth fusion-layout-column fusion-spacing-no">[email* your-email placeholder "Email"]</div>
<div style="margin-bottom: 25px; margin-right:25px;" class="fusion-one-fourth fusion-layout-column fusion-spacing-no">[text your-subject placeholder "Phone"]</div>
<p class="fusion-button" style="text-align:center;">[submit "Apply Now"]</p>