JSFiddle - React, Tailwind, and code Playground

HTML

<div class="container">
    <div class="row">
        <section class="span9">
            <h2>Our Theme</h2>
            <p>lorem ipsum...</p>
        </section>
        <div class="span3">
            <section class="patch-well">
                <h2>Contact Us</h2>
                <p>Send a message......lorem ipsum...</p>
                <form>
                    <fieldset class="control-group">                        
                        <div class="input-prepend">
                            <span class="add-on">
                                <i class="icon-user"></i>
                            </span><input type="text">
                        </div>
                        <div class="input-prepend">
                            <span class="add-on">
                                <i class="icon-envelope"></i>
                            </span><input type="text">
                        </div>
                        <textarea></textarea>
                        <button type="submit" class="btn btn-default">Send message</button>
                    </fieldset>
                </form>
            </section>
        </div>
    </div><!-- row -->
</div>

CSS

@import url('http://twitter.github.com/bootstrap/assets/css/bootstrap.css');
@import url('http://twitter.github.com/bootstrap/assets/css/bootstrap-responsive.css');

body { padding: 10px }

.patch-well {
  color: #FFF;
  background: url('http://subtlepatterns.com/patterns/darkdenim3.png') repeat;
  padding: 20px;
  text-align: left;
  float:left;
  -moz-border-radius: 10px;
  -webkit-border-radius: 10px;
  border-radius: 10px;

  -moz-box-shadow: 0 0 5px #000;
  -webkit-box-shadow: 0 0 5px #000;
  box-shadow: 0 0 5px #000;
}

.input-prepend {
    
}

.input-prepend .add-on {
    
}

.input-prepend input {
    width:87%;
}

textarea {
    width:96%;
}