<div class="four_columns clearfix">
<div class="column1">
<div class="column_inner">
[text* first-name placeholder "Name"]
</div>
</div>
<div class="column2">
<div class="column_inner">
[email* email placeholder "Email"]
</div>
</div>
<div class="column3">
<div class="column_inner">
[text* company-name placeholder "Company Name"]
</div>
</div>
<div class="column4">
<div class="column_inner">
[submit "Start Your Free Trial"]
</div>
</div>
</div>