Lining up Callback Request

Hi is there anyway to line up the Callback Request plugin.

I am using it on my contact page and as a widget in my footer but they are not currently displaying correctly.

In the footer I would like it if possible to be displayed as,
Name:
Number:
Suitable Time:

http://tcarterltd.com/contact-us/

Thanks in advance

Will

https://wordpress.org/plugins/callback-request/