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Customize Contact Form Layout

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Hi, I have a client who's hoping to create something like this for her contact form. How would I go about creating the lines around the captions? Is it possible? No website yet, just theoretical at this point. 

 

Thanks!

matisse-contact-form.jpg

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In theory this should be possible, but will take some work in CSS to remove all of the styling you don't want and then finding ways to put lines in the right places. A little flexibility with the design criteria would be helpful!

Please like and upvote if my comments were helpful to you. Cheers!

Zygmunt Spray
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