*, *:before, *:after {box-sizing: border-box;-webkit-font-smoothing: antialiased;-moz-osx-font-smoothing: grayscale;}body {background: linear-gradient(to right, #ea1d6f 0%, #eb466b 100%);font-size: 12px;}body, button, input {font-family: 'Montserrat', sans-serif;font-weight: 700;letter-spacing: 1.4px;}.background {display: flex;min-height: 100vh;}.container {flex: 0 1 700px;margin: auto;padding: 10px;}.screen {position: relative;background: #3e3e3e;border-radius: 15px;}.screen:after {content: '';display: block;position: absolute;top: 0;left: 20px;right: 20px;bottom: 0;border-radius: 15px;box-shadow: 0 20px 40px rgba(0, 0, 0, .4);z-index: -1;}.screen-header {display: flex;align-items: center;padding: 10px 20px;background: #4d4d4f;border-top-left-radius: 15px;border-top-right-radius: 15px;}.screen-header-left {margin-right: auto;}.screen-header-button {display: inline-block;width: 8px;height: 8px;margin-right: 3px;border-radius: 8px;background: white;}.screen-header-button.close {background: #ed1c6f;}.screen-header-button.maximize {background: #e8e925;}.screen-header-button.minimize {background: #74c54f;}.screen-header-right {display: flex;}.screen-header-ellipsis {width: 3px;height: 3px;margin-left: 2px;border-radius: 8px;background: #999;}.screen-body {display: flex;}.screen-body-item {flex: 1;padding: 50px;}.screen-body-item.left {display: flex;flex-direction: column;}.app-title {display: flex;flex-direction: column;position: relative;color: #ea1d6f;font-size: 26px;}.app-title:after {content: '';display: block;position: absolute;left: 0;bottom: -10px;width: 25px;height: 4px;background: #ea1d6f;}.app-contact {margin-top: auto;font-size: 8px;color: #888;}.app-form-group {margin-bottom: 15px;}.app-form-group.message {margin-top: 40px;}.app-form-group.buttons {margin-bottom: 0;text-align: right;}.app-form-control {width: 100%;padding: 10px 0;background: none;border: none;border-bottom: 1px solid #666;color: #ddd;font-size: 14px;text-transform: uppercase;outline: none;transition: border-color .2s;}.app-form-control::placeholder {color: #666;}.app-form-control:focus {border-bottom-color: #ddd;}.app-form-button {background: none;border: none;color: #ea1d6f;font-size: 14px;cursor: pointer;outline: none;}.app-form-button:hover {color: #b9134f;}.credits {display: flex;justify-content: center;align-items: center;margin-top: 20px;color: #ffa4bd;font-family: 'Roboto Condensed', sans-serif;font-size: 16px;font-weight: normal;}.credits-link {display: flex;align-items: center;color: #fff;font-weight: bold;text-decoration: none;}.dribbble {width: 20px;height: 20px;margin: 0 5px;}@media screen and (max-width: 520px) {.screen-body {flex-direction: column;}.screen-body-item.left {margin-bottom: 30px;}.app-title {flex-direction: row;}.app-title span {margin-right: 12px;}.app-title:after {display: none;}}@media screen and (max-width: 600px) {.screen-body {padding: 40px;}.screen-body-item {padding: 0;}}{codeBox}
<div class="background">
<div class="container">
<div class="screen">
<div class="screen-header">
<div class="screen-header-left">
<div class="screen-header-button close"></div>
<div class="screen-header-button maximize"></div>
<div class="screen-header-button minimize"></div>
</div>
<div class="screen-header-right">
<div class="screen-header-ellipsis"></div>
<div class="screen-header-ellipsis"></div>
<div class="screen-header-ellipsis"></div>
</div>
</div>
<div class="screen-body">
<div class="screen-body-item left">
<div class="app-title">
<span>CONTACT</span>
<span>US</span>
</div>
<div class="app-contact">CONTACT INFO : +62 81 314 928 595</div>
</div>
<div class="screen-body-item">
<div class="app-form">
<div class="app-form-group">
<input class="app-form-control" placeholder="NAME" value="Krisantus Wanandi">
</div>
<div class="app-form-group">
<input class="app-form-control" placeholder="EMAIL">
</div>
<div class="app-form-group">
<input class="app-form-control" placeholder="CONTACT NO">
</div>
<div class="app-form-group message">
<input class="app-form-control" placeholder="MESSAGE">
</div>
<div class="app-form-group buttons">
<button class="app-form-button">CANCEL</button>
<button class="app-form-button">SEND</button>
</div>
</div>
</div>
</div>
</div>
<div class="credits">
inspired by
<a class="credits-link" href="https://dribbble.com/shots/2666271-Contact" target="_blank">
<svg class="dribbble" viewBox="0 0 200 200">
<g stroke="#ffffff" fill="none">
<circle cx="100" cy="100" r="90" stroke-width="20"></circle>
<path d="M62.737004,13.7923523 C105.08055,51.0454853 135.018754,126.906957 141.768278,182.963345" stroke-width="20"></path>
<path d="M10.3787186,87.7261455 C41.7092324,90.9577894 125.850356,86.5317271 163.474536,38.7920951" stroke-width="20"></path>
<path d="M41.3611549,163.928627 C62.9207607,117.659048 137.020642,86.7137169 189.041451,107.858103" stroke-width="20"></path>
</g>
</svg>
Gururaj
</a>
</div>
</div>
</div>{codeBox}