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

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

<p>Phone* (Field)<br />
    [text your-phone] </p>

<p>Information (Box)<br />
    [textarea your-message] </p>

<p>[submit "Send"]</p>
<br>
<p>* = Manditory Fields</p>
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