<div class="row">
  <div class="col-sm-12">
  <label>Please select your plan</label>[select menu-334 default:3 "Beginner Plan 40$/m" "Premium Plan 60$/m" "Ultimate Plan 80$/m" "Free personal training 0$"]
</div>  
<div class="col-sm-6">
    <label>First name</label>[text* firstName]
  </div>
  <div class="col-sm-6">
    <label>Name</label>[text* lastname]
  </div>
</div>

<div class="row">
  <div class="col-sm-6">
    <label>Street</label>[text* street]
  </div>
  <div class="col-sm-6">
    <label>Zip code</label>[text* zip]
  </div>
</div>

<div class="row">
  <div class="col-sm-6">
   [text* country placeholder "Country"]
  </div>
  <div class="col-sm-6">
    [text* state placeholder "State"] 
  </div>
</div>

<div class="row">
  <div class="col-sm-6">
    <label>E-Mail</label>[email* email]
  </div>
  <div class="col-sm-6">
    <label>Confirm E-Mail</label>[email* email-confirm] 
  </div>
</div>
<div class="row">
  <div class="col-sm-12">
    <label>Acceptance terms & conditions</label>[acceptance accept-this-1]<span class="terms">Check here if you accept these terms.</span>
  </div>
</div>
<div class="row">
  <div class="col-sm-6">
    [submit "Complete Membership Order"]
  </div>
</div>