HTML5

<html>
<head>
    <title></title>
</head>
<body>

<form>
    <fieldset>
    <h1>Contact Form</h1>
    <label for="first-name">First Name: </label>
    <input type="text" name="first-name"><br>
    <label for="last-name">Last Name: </label>
    <input type="text" name="last-name"><br>
    <label for="email">Email: </label>
    <input type="text" name="email"><br>
    <h4>Send us an email!</h4>
    <textarea cols="30" rows="10" placeholder="Enter a message here"></textarea><br>
    <input type="submit">
    </fieldset>
</form>

</body>
</html>