<div class="row orange-bg-1 bg--dark"><div class="input-with-icon name-icon col-sm-12">[text* first-name class:user-name placeholder "First Name"]</div><div class="input-with-icon name-icon col-sm-12">[text* last-name class:user-name placeholder "Last Name"]</div><div class="input-with-icon name-icon col-sm-12">[email* your-email class:user-email placeholder "Email"]</div><div class="input-with-icon textarea-1 col-sm-12">[textarea sociallink1 40x40 placeholder "Please provide links to both your social media handles and your portfolio" ]</div><div class="input-with-icon textarea-2 col-sm-12">[textarea sociallink2 placeholder "Additional information about yourself / your brand"]</div><div class="col-sm-12 signup-send-btn">[submit id:send class:send-btn "Enter"]</div></div>