[av_contact email=’richard@consciousmarketer.com’ title=’Send us mail’ button=’Submit’ on_send=” sent=’Your message has been sent!’ link=’manually,http://’ subject=” autorespond=” captcha=’active’ form_align=” color=”]
[av_contact_field label=’Name’ type=’text’ options=” check=’is_empty’ width=’element_half’ multi_select=”][/av_contact_field]
[av_contact_field label=’E-Mail’ type=’text’ options=” check=’is_email’ width=’element_half’ multi_select=”][/av_contact_field]
[av_contact_field label=’Subject’ type=’text’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Message’ type=’textarea’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’I have read and understood your reasonable terms’ type=’checkbox’ options=” check=’is_empty’ width=’element_half’ multi_select=”][/av_contact_field]
[/av_contact]
