<p>* Name <br />
    [text* your-name] </p>

<p>* Email <br />
    [email* your-email] </p>

<p>Phone<br />
    [text your-phone] </p>

<p>Comments<br />
    [textarea your-message] </p>

[honeypot Address-630]

<p>[submit "Send"]</p>