<div class="form-group">

<input name="username" required="" type="text" placeholder="Emri" />

</div>
<div class="form-group">

<input name="email" required="" type="email" placeholder="Adresa e emailit" />

</div>
<div class="form-group">

<textarea name="message" placeholder="Mesazhi"></textarea>

</div>
<div class="form-group">

<button class="theme-btn btn-style-one" name="Submit" type="submit">submit</button>

</div>