<div class="popup-logo"><img src="/wp-content/uploads/2019/12/Group-1229.png" alt="Tam Dinar" /></div>
<div class="form-input"><label> Company Name</label>[text* text-company]</div>
<div class="form-input"><label>First Name</label>[text* first-name]</div>
<div class="form-input"><label>Last Name</label> [text* last-name]</div>
<div class="form-input mobile-n"><label> Mobile Number</label><div class="mobile-code">+973</div>[tel* tel-464] <img src="/wp-content/uploads/2020/01/bah-flag.png" alt="Bahrain Flag" /></div>
<div class="form-input"><label>Your Email</label>[email* email]</div>
<div class="form-submit">[submit "Submit"]</div>