[contact-form] [contact-field label=”Name” type=”name” required=”true” /] [contact-field label=”Email” type=”email” required=”true” /] [contact-field label=”Date of Birth (mm/dd/yyyy)” type=”text” /] [contact-field label=”Time of Birth (AM/ PM)” type=”text” /] [contact-field label=”Place of Birth” type=”text” /] [/contact-form]
