<form class="form">
<h2>CONTACT US</h2>
<p type="Name:"><input placeholder="Write your name here.."></input></p>
<p type="Email:"><input placeholder="Let us know how to contact you back.."></input></p>
<p type="Message:"><input placeholder="What would you like to tell us.."></input></p>
<button>Send Message</button>
<div>
<span class="fa fa-phone"></span>001 1023 567
<span class="fa fa-envelope-o"></span> contact@company.com
</div>
</form>
body{background:#59ABE3;margin:0}
.form{width:340px;height:440px;background:#e6e6e6;border-radius:8px;box-shadow:0 0 40px -10px #000;margin:calc(50vh - 220px) auto;padding:20px 30px;max-width:calc(100vw - 40px);box-sizing:border-box;font-family:'Montserrat',sans-serif;position:relative}
h2{margin:10px 0;padding-bottom:10px;width:180px;color:#78788c;border-bottom:3px solid #78788c}
input{width:100%;padding:10px;box-sizing:border-box;background:none;outline:none;resize:none;border:0;font-family:'Montserrat',sans-serif;transition:all .3s;border-bottom:2px solid #bebed2}
input:focus{border-bottom:2px solid #78788c}
p:before{content:attr(type);display:block;margin:28px 0 0;font-size:14px;color:#5a5a5a}
button{float:right;padding:8px 12px;margin:8px 0 0;font-family:'Montserrat',sans-serif;border:2px solid #78788c;background:0;color:#5a5a6e;cursor:pointer;transition:all .3s}
button:hover{background:#78788c;color:#fff}
div{content:'Hi';position:absolute;bottom:-15px;right:-20px;background:#50505a;color:#fff;width:320px;padding:16px 4px 16px 0;border-radius:6px;font-size:13px;box-shadow:10px 10px 40px -14px #000}
span{margin:0 5px 0 15px}
This Pen doesn't use any external JavaScript resources.