<div class="feedback_form">
    <div class="row">
     
            <div class="col-xs-12">
                [text* text-name placeholder akismet:author "Prénom *"]
            </div>
            <div class="col-xs-12">
                [email* email placeholder akismet:author_email "E-mail *"]
            </div>
        </div>
        <div class="col-xs-12">
                <button type="submit" class="button size-lg icon_right">soumettre <i class="fa fa-chevron-right"></i> 
                 </button>
    </div>
</div>