<div class="donation-details__amount-form contact-one__form contact-form-validated">
                                    <label>Personal Info</label>
                                    <div class="row">
                                        <div class="col-md-6">
                                            [text fname placeholder "First Name"]
                                        </div><!-- /.col-md-6 -->
                                        <div class="col-md-6">
                                            [text lname placeholder "Last Name"]
                                        </div><!-- /.col-md-6 -->
                                        <div class="col-md-6">
                                            [email email placeholder "Email"]
                                        </div><!-- /.col-md-6 -->
                                        <div class="col-md-6">
                                            [text address placeholder "Address"]
                                        </div><!-- /.col-md-6 -->
                                        <div class="col-md-6">
                                            [text city placeholder "City"]
                                        </div><!-- /.col-md-6 -->
                                        <div class="col-md-6">
                                            [text country placeholder "Country"]
                                        </div><!-- /.col-md-6 -->
                                        <div class="col-md-12">
                                            </textarea>[textarea message "Leave a Comment"]
                                        </div><!-- /.col-md-12 -->
                                        <div class="col-md-12">
                                            [submit class:thm-btn class:donation-details__btn "Donate Now"]
                                        </div><!-- /.col-md-12 -->
                                    </div><!-- /.row -->
                                </div>