site/_src/_includes/form-enterprise.html

<form id="form-enterprise" class="form form--enterprise js-parsley" action="" method="POST" accept-charset="UTF-8">

    <div class="grid grid--full grid-small--half">

        <div class="grid__col">
            <p class="form-group">
                <input class="form-control" type="text" id="name_first" name="name_first" required>
                <label class="form-label" for="name_first">First Name</label>
            </p>
        </div>
        <div class="grid__col">
            <p class="form-group">
                <input class="form-control" type="text" id="name_last" name="name_last" required>
                <label class="form-label" for="name_last">Last Name</label>
            </p>
        </div>
        <div class="grid__col">
            <p class="form-group">
                <input class="form-control" type="text" id="company" name="company" required>
                <label class="form-label" for="company">Company</label>
            </p>
        </div>
        <div class="grid__col">
            <p class="form-group">
                <input class="form-control" type="email" id="email" name="_replyto" required>
                <label class="form-label" for="email">Email</label>
            </p>
        </div>
        <div class="grid__col">
            <p class="form-group">
                <input class="form-control" type="tel" id="phone" name="phone" required>
                <label class="form-label" for="phone">Phone</label>
            </p>
        </div>
        <div class="grid__col">
            <p class="form-group">
                <select class="form-control" id="country" name="country" required data-required="true">
                    <option value="">&nbsp;</option>
                    {% for country in site.data.countries %}
                        <option value="{{ country.cca2 }}">{{ country.name.common }}</option>
                    {% endfor %}
                </select>
                <label class="form-label" for="country">Country</label>
            </p>
        </div>
        <div class="grid__col">
            <p class="form-group">
                <select class="form-control" id="industry" name="industry" required data-required="true">
                    <option value="">&nbsp;</option>
                    <option value="Automotive">Automotive</option>
                    <option value="Banking">Banking</option>
                    <option value="Consulting">Consulting</option>
                    <option value="Data">Data</option>
                    <option value="Energy">Energy</option>
                    <option value="Government">Government</option>
                    <option value="Healthcare">Healthcare</option>
                    <option value="Identity">Identity &amp; Security</option>
                    <option value="Insurance">Insurance</option>
                    <option value="Information Technology">Information Technology</option>
                    <option value="Logistics">Logistics &amp; Shipping</option>
                    <option value="Manufacturing">Manufacturing</option>
                    <option value="Media">Media &amp; Content</option>
                    <option value="other">Other</option>
                </select>
                <label class="form-label" for="industry">Industry</label>
            </p>
        </div>
        <div class="grid__col">
            <p class="form-group">
                <select class="form-control" id="interest" name="interest" required data-required="true">
                    <option value="">&nbsp;</option>
                    <option value="Education">Education</option>
                    <option value="Partnership">Partnership</option>
                    <option value="Prototype">Proof-of-Concept / Prototype / Pilot</option>
                    <option value="Implementation">Implementation</option>
                    <option value="BigchainDB Enterprise Edition">BigchainDB Enterprise Subscription</option>
                </select>
                <label class="form-label" for="interest">Interested in</label>
            </p>
        </div>
    </div>

    <p class="form-group">
        <textarea class="form-control" id="comment" name="comment" rows="1"></textarea>
        <label class="form-label" for="comment">Comments</label>
    </p>
    <p class="form-group text-dimmed mini">
        Fields marked with an <span class="required">*</span> are required.
    </p>
    <p class="form-group">
        <input class="btn btn-primary" type="submit" value="Send">
    </p>

    <div class="alert alert-success animation-slide-in-from-bottom hide">
        <svg class="alert__icon icon icon-success">
            <use xlink:href="/assets/img/sprite.svg#icon-success"></use>
        </svg>
        <p>
            <strong class="alert__title">Great to hear you’re interested!</strong>
            We’ll get in touch soon.
        </p>
    </div>
    <div class="alert alert-danger hide">
        <svg class="alert__icon icon icon-fail">
            <use xlink:href="/assets/img/sprite.svg#icon-fail"></use>
        </svg>
        <p>
            <strong class="alert__title">Ops, there was an error</strong>
            Would you mind trying again?
        </p>
    </div>

    <input type="hidden" name="_subject" value="New contact form submission" />
</form>