<label> <b>First and Last Name</b>
    [text* your-name] </label>

<label> <b>Email</b>
    [email* your-email] </label>

<label> <b>Phone</b>
    [tel phone] </label>

<label> <b>Zip Code</b>
    [text zipcode] </label>

<label> <b>Select Service</b>
[select services "Kitchen Remodel" "Bathroom Remodel" "Basement Remodel" "Home Addition" "Full Home Renovation" "New Home Construction " "Deck" "Other"]

<br />
<br />
[submit "Request Free Estimate"]