<label> Name
    [text your-name] </label>

<label> eMail*
    [email* your-email] </label>
[honeypot website-538]
<label> Phone number
    [tel tel-21] </label>

<label> Your request is about
    [select menu-584 "Please chose in the dropdown" "Visit of the cookies factory" "Order online (precise your order number)" "Request a price offer (for professionals)" "Suggestion" "Comment on a product" "Other"] </label>

<label> Message*
    [textarea* your-message] </label>

<label>[acceptance acceptance-463] I understand and accept that my information will be sent by eMail to Maison Bruyère [/acceptance]</label>

[submit "Send"]