[md-form]

[md-text label="Uw naam" tabletwidth="4" desktopwidth="6"]

[/md-text]

[md-text label="E-mailadres" tabletwidth="4" desktopwidth="6"]

[/md-text]

[md-text label="Adres"]

[/md-text]

[md-text label="Postcode" tabletwidth="4" desktopwidth="4"]

[/md-text]

[md-text label="Plaats" tabletwidth="4" desktopwidth="8"]

[/md-text]

[md-textarea label="Uw bericht"]

[/md-textarea]

[md-submit]

[/md-submit]

[/md-form]