+<div class='well'>
+ <form class="cmxform form-horizontal" id="commentForm" action="#" method="post" role="form">{% csrf_token %}
+ <fieldset>
+ {% for field in form %}
+ <div class="form-group">
+ <label for="{{ field.html_name }}" class="col-xs-4 control-label">{{ field.label }}</label>
+ <div class="col-xs-4"> {{ field.errors }} {{ field }} <p class="form-hint">{{ field.help_text }}</p> </div>
+ </div>
+ {% endfor %}
+ <button class="submit btn btn-default col-md-offset-4 col-xs-4" type="submit">Send to Support</button>
+ </fieldset>
+ </form>
+</div>