<div class="form-group">
<label class="sr-only" for="email">Email</label>
<input class="form-control" name="email" placeholder="Email" value="" type="email">
</div>
<div class="form-group">
<textarea class="form-control" placeholder="Message" rows="3"></textarea>
</div>
<select class="form-control">
<option disabled="" selected="">Select an option...</option>
<option>1</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5</option>
</select>