<div class="row">
<div class="col-sm-8 col-sm-offset-2 col-md-6 col-md-offset-3 text-center">
<h3>Say you'll be there…</h3>

<p>Please let us know if you can make it by July 10th at the latest, preesh!</p>

<form class="form--square">
<div class="col-sm-12 input-with-icon"><i class="icon-MaleFemale">&nbsp;</i> <input name="name" placeholder="Name / Names" type="text" /></div>

<div class="col-sm-6 input-with-icon">
<div class="input-radio">
<div class="inner">&nbsp;</div>
<input name="rsvp" type="radio" value="Attending" /></div>
<label>Can't wait!</label></div>

<div class="col-sm-6 input-with-icon">
<div class="input-radio">
<div class="inner">&nbsp;</div>
<input name="rsvp" type="radio" value="Not Attending" /></div>
<label>Can't Come!</label></div>

<div class="col-sm-12 input-with-icon"><i class="icon-Music-Note2">&nbsp;</i> <input name="music" placeholder="Song Requests?" type="text" /></div>

<div class="col-sm-12 input-with-icon"><button class="btn btn--primary" type="submit">Send RSVP</button></div>
</form>
</div>
</div>
