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Simple 2 Column Quick Contact form

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Hello - please can you help!!

I would like a form that firstly, has the titles hidden. I'm using this code for that:

.form-wrapper .field-list .field {
 margin: 0px 0px 11px 0%;
}

     .form-wrapper .field-list .field .option {
       /* Show radio buttons side-by-side */
       display: inline;
       margin-right: 5px;
   }

.sqs-block-form .field-list .title
  {
    display: none;
  }

which works perfectly.

What I'd then like is:

Left Column:
Text Field (for name, but I dont want the First Name, Last name, so just a text box is fine)
Text Field (for phone number, but the SS phone number doesn't validate UK numbers)
Email

Right Column:
Text Area
Captcha
Submit button

Help is greatfully received!!! Thanks in advance, I've been pulling my spanners out about this!!!!

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