HTML
<div class="tb-contact-form-widget"> <form name="contact-form"> <div class="form-name"><span><i class="fa fa-pencil-square-o"></i> Your Name: </span><br /><input class="c-form-name" id="ContactForm1_contact-form-name" name="name" size="30" type="text" value="" /></div> <div class="form-email"><span><i class="fa fa-envelope-o"></i> E-mail Address *: </span><br /><input class="c-form-email" id="ContactForm1_contact-form-email" name="email" size="30" type="text" value="" /></div><div style="clear: both;"></div><div class="form-message"> <span><i class="fa fa-keyboard-o"></i> Message *:</span><br />
<textarea class="c-form-email-message" cols="25" id="ContactForm1_contact-form-email-message" name="email-message" rows="5"></textarea><div class="srbtn"><input class="cform-button" id="ContactForm1_contact-form-submit" type="button" value="Submit" /><input type="reset" class="btn-reset" value="Clear" /></div><div class="contact-form-error-message" id="ContactForm1_contact-form-error-message"> </div> <div class="contact-form-success-message" id="ContactForm1_contact-form-success-message"> </div>
<h3>Our Social Sites</h3>
<ul class="b-social-buttons">
<li><a href="#" class="btn-lg"><i class="fa fa-twitter"> <span class="network-name">Twitter</span></i></a></li>
<li><a href="#" class="btn-lg"><i class="fa fa-facebook"> <span class="network-name">Facebook</span></i></a></li>
<li><a href="#" class="btn-lg"><i class="fa fa-youtube-play"> <span class="network-name">Youtube</span></i></a></li>
</ul></div><div style="float:right;margin:0;padding:0;opacity:0.1;"></div></form></div>{codeBox}
CSS
.tb-contact-form-widget{background-color:#A4A4A4;background-image: url("http://trylity.blogspot.in/wp-content/uploads/2017/04/to-contact-img-2.jpg");background-repeat: repeat;background-position: 100% 100%;color:white;padding:25px;}
.srbtn{display:inline-block;}
.cform-button, .btn-reset{background-color:#f1f1f1;padding:5px 30px;}
.cform-button:hover {background-color: #2980b9;color: #fff;}
.btn-reset:hover {background-color: red;color: #fff;}
.tb-contact-form-widget h3{text-align:center;margin:20px 0;padding:10px 0;border-top: 1px dotted #f5f5f5;}
.c-form-name, .c-form-email { width: 50%; max-width: 50%; margin-bottom: 10px;padding: 10px;border: 1px solid #CCC;border-radius: 5px;
-moz-border-radius: 5px;
-webkit-border-radius: 5px;
-moz-box-shadow: 0 1px 1px #ccc inset, 0 1px 0 #fff;
-webkit-box-shadow: 0 1px 1px #CCC inset, 0 1px 0 #FFF;
box-shadow: 0 1px 1px #CCC inset, 0 1px 0 #FFF;}
.c-form-email-message { width: 95%; max-width: 95%; margin-bottom: 10px;padding: 10px;border: 1px solid #CCC;border-radius: 5px;box-shadow: 0 1px 1px #CCC inset, 0 1px 0 #FFF;
-moz-border-radius: 5px;
-webkit-border-radius: 5px;
-moz-box-shadow: 0 1px 1px #ccc inset, 0 1px 0 #fff;
-webkit-box-shadow: 0 1px 1px #CCC inset, 0 1px 0 #FFF;}
.c-form-name, .c-form-email, .c-form-email-message input:focus{background-color: #FFF;box-shadow: 0 0 0 1px #E8C291 inset;border-color: #E8C291;outline: none;
-moz-box-shadow: 0 0 0 1px #e8c291 inset;
-webkit-box-shadow: 0 0 0 1px #E8C291 inset;}
.b-social-buttons{list-style-type:none;text-align:center;}
.b-social-buttons li{display:inline-block;padding:15px;background-color:#f5f5f5;border-radius:5px;}
.b-social-buttons li a{color:#333;text-decoration:none;}
#ContactForm1_contact-form-success-message, #ContactForm1_contact-form-error-message{width:100%;margin-top:35px;}{codeBox}