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form layout design

I am trying to create a simple form with four fields as in the below screenshot i.e first name and last name in one line, Phone Name and Fax in other line (label on top of input boxes).

 

 

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First NameLast Name
Phone NumberFax Number

 

Image may be NSFW.
Clik here to view.
unnamed.png

 

I currently using the code as below and trying to achieve every variation i can think of to achieve the above.

Code :http://plnkr.co/edit/8xgGk52fPCXds5K0StVj?p=preview

 

Appreciate your suggestions.

 

-Bennett


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