Your name * [text* your-name id:contact-name class:form-control]

Your email address * [email* your-email id:contact-email class:form-control]

Subject [select your-subject id:contact-subject class:form-control "" "Option 1" "Option 2" "Option 3" "Option 4" "Option 5"]

Checkboxes [checkbox your-checkboxes id:contact-checkboxes "1" "2" "3" "4" "5"]

Radios [radio your-radios id:contact-radios "1" "2" "3" "4" "5"]

Attachment [file your-attachment id:contact-attachment]

Message * [textarea* your-message id:contact-message class:form-control ]

[captchar your-captcha id:contact-captcha class:form-control]

[captchac your-captcha]

[submit class:btn class:btn-primary class:btn-lg "Send Message"]