[fieldset Contact Information]

Full Name: *
[text* full-name placeholder "Please enter your full name."]

Email Address: *
[email* your-email placeholder "We will send a reply to this email."]

Phone Number:
[tel your-phone placeholder "Your phone number will help us reach you faster."]

Company Name (Optional):
[text your-company placeholder "If you're enquiring for a business, let us know your company name."]

[/fieldset] [fieldset Product Information]

Type of Machine: *
[radio* machine-type use_label_element "Coffee Machines" "Tea Machines" "Both"]

Capacity Needed: *
[radio* capacity-needed use_label_element "Small (Home/Office)" "Medium (Café/Restaurant)" "Large (Commercial/Industrial)"]

Usage Purpose:
[checkbox* usage-purpose use_label_element "Personal Use" "Business/Café Use" "Office Use" "Event/Hospitality Use"]

[/fieldset]

[submit "Send"]