[contact-field label="Email Bisnis" required="1" requiredtext="(wajib)" id="email" type="email"/]
[contact-field label="Nama Depan" required="1" requiredtext="(wajib)" id="first_name" type="name"/]
[contact-field label="Nama Belakang" required="1" requiredtext="(wajib)" id="last_name" type="name"/]
[contact-field label="Jabatan" required="1" requiredtext="(wajib)" id="title" type="text"/]
[contact-field label="Perusahaan" required="1" requiredtext="(wajib)" id="company" type="text"/]
[contact-field label="Nomor Telepon / Hp" required="1" requiredtext="(wajib)" id="phone" type="telephone"/]
[contact-field label="Isi Permintaan Penawaran :" required="1" requiredtext="(wajib)" type="text"/]
Mohon di isi secara lengkap, team kami akan segera menghubungi anda, Terima kasih.