<div class="support">
<form method="POST">
<div class="fieldgroup fieldgroup-name">
<label>Name</label>
<input type="text" placeholder="First" name="first"/>
<input type="text" placeholder="Last" name="last"/>
</div>
<div class="fieldgroup fieldgroup-site">
<label>Email</label>
<input type="text" placeholder="Email Address"/>
</div>
<div class="fieldgroup fieldgroup-site">
<label>Site</label>
<input type="text" placeholder="Home URL"/>
</div>
<div class="fieldgroup fieldgroup-issue-url">
<label>Issue</label>
<input type="text" placeholder="Issue URL"/>
</div>
<div class="fieldgroup fieldgroup-issue-url">
<label>Product</label>
<select>
<option>UberMenu</option>
</select>
</div>
<div class="fieldgroup fieldgroup-license">
<label>License</label>
<input type="text" placeholder="License Code"/>
</div>
<div class="fieldgroup fieldgroup-question">
<label>Question</label>
<textarea></textarea>
</div>
<input type="submit" value="Submit Ticket" />
</form>
</div>
body{
background:#eee;
font-family:Roboto;
}
.support{
max-width:650px;
margin:50px auto;
}
.support *{
-webkit-box-sizing:border-box;
-ms-box-sizing:border-box;
-moz-box-sizing:border-box;
box-sizing:border-box;
}
.support label{
width:100px;
color:#aaa;
display:block;
float:left;
vertical-align:top;
padding:16px 0;
}
.support .fieldgroup{
margin-bottom:10px;
}
.support input,
.support textarea,
.support select{
padding:20px;
font-size:13px;
width:550px;
border:none;
float:left;
background:#f9f9f9;
border-radius:2px;
}
.support input:focus,
.support textarea:focus{
outline-color:#0064FF;
}
.fieldgroup{
display:block;
clear:both;
margin-bottom:10px;
}
.fieldgroup:after{
content:'';
display:block;
clear:both;
}
.fieldgroup-name input{
width:270px;
}
.fieldgroup-name input[name="first"]{
margin-right:10px;
}
.support textarea{
height:200px;
}
.support input[type="submit"]{
float:right;
color:#fff;
font-weight:bold;
background:#0064FF;
font-size:16px;
}
This Pen doesn't use any external CSS resources.