WP sidebar template page

<?php
/**
 * The Sidebar containing the main widget area.
 */
 ?>

 <div class="span6">
          <h2>Wilt u een offerte aanvragen?</h2>
          <p>Vul dan het formulier hieronder in en wij zullen binnen 48 uur contact met u opnemen.  </p>

          <!-- REQUEST QUOTE FORM -->

          <form action="<?php bloginfo('template_directory'); ?>/contact.php" id="contact-form" class="form-horizontal">
            <fieldset>

            <!-- Form Name -->
            <legend></legend>

            <!-- Text input-->
            <div class="control-group">
              <label class="control-label" for="name">Uw naam</label>
              <div class="controls">
                <input id="name" name="name" placeholder="Uw naam" class="input-xlarge" type="text">
                <p class="help-block">Hier kunt u uw naam invullen</p>
              </div>
            </div>

            <!-- Error input-->


            <!-- Text input-->
            <div class="control-group">
              <label class="control-label" for="email">Uw e-mailadres</label>
              <div class="controls">
                <input id="email" name="email" placeholder="Uw e-mailadres" class="input-xlarge" type="text">
                <p class="help-block">Hier kunt u uw e-mailadres invullen</p>
              </div>
            </div>

            <!-- Text input-->
            <div class="control-group">
              <label class="control-label" for="tel">Uw telefoonnummer</label>
              <div class="controls">
                <input id="tel" name="tel" placeholder="Uw telefoonnummer" class="input-xlarge" type="text">
                <p class="help-block">Hier kunt u uw telefoonnummer invullen</p>
              </div>
            </div>


            <!-- Error input-->


            <!-- Select Basic -->
            <div class="control-group">
              <label class="control-label" for="subject">Kies onderwerp</label>
              <div class="controls">
                <select id="subject" name="subject" class="input-xlarge">
                  <option>Alarmopvolging</option>
                  <option>Collectieve surveillance</option>
                  <option>Objectbewaking</option>
                  <option>Ordehandhaving</option>
                  <option>Veiligheidsplan</option>
                </select>
              </div>
            </div>

            <!-- Textarea -->
            <div class="control-group">
              <label class="control-label" for="message">Uw bericht</label>
              <div class="controls">
                <textarea id="message" name="message"></textarea>
              </div>
            </div>

            <!-- Button -->
            <div class="control-group">
              <label class="control-label">Formulier verzenden</label>
              <div class="controls">
                <button type="submit" class="btn btn-large btn-primary">Verzenden</button>
              </div>
            </div>

            </fieldset>
          </form>


       </div>



      </div>

      <hr class="featurette-divider">

    <!-- /END THE FEATURETTES -->