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

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

<label> Subject
    [text your-subject] </label>

<label> Departemant
    [select menu-178 "Business Departemant" "Personal Departemant" "Support Departemant" "Others"] </label>

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

[submit "Send"]