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

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

<p>Phone (required)<br />
    [tel* tel-575 /10] </p>

<p>Subject (required)<br />
    [text* your-subject] </p>

<p>Your Message (required)<br />
    [textarea* your-message] </p>

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