<h2>Заказать бесплатную консультацию</h2>
<form class="myform">
  <img src="https://www.flaticon.com/svg/static/icons/svg/3011/3011121.svg">
  <input placeholder="Ваше имя...">
  <input placeholder="Ваш номер телефона...">
  <input placeholder="Ваш e-mail...">
  <br/>
  <button>Отправить заявку</button>
</form>

h2 {
  text-align: center;
  position: relative;
  margin-bottom: 80px;
  color: #484848;
  font-weight: 500;
}
.myform {
  position: relative;
  display: flex;
  Justify-content: center;
  padding: 90px 20px 60px 20px;
  border: 1px solid #c7c7c7;
  width: 100%;
  max-width: 100%;
  box-sizing: border-box;
}
.myform img {
  position: absolute;
  width: 80px;
  top: -45px;
  left: 50%;
  transform: translateX(-50%);
  border: 1px solid #eb644d;
  border-radius: 50%;
  padding: 5px;
  background: #fff;
  box-shadow: 0 0 0 15px #fff;
}
.myform input {
  flex: 0 1 auto;
  padding: 15px 20px;
  margin: 0 10px;
  border-radius: 20px;
  border: 1px solid #c7c7c7;
  outline: none;
}
.myform button {
  position: absolute;
  bottom: -24px;
  left: 50%;
  transform: translateX(-50%);
  background: #eb644d;
  padding: 15px 30px;
  font-size: 14px;
  color: #fff;
  border-radius: 20px;
  border: none;
  text-transform: uppercase;
  box-shadow: 0 0 0 15px #fff;
}