<div class="email-form">
	<p class="text required"><label for="name">{name}*</label><br>
	<input type="text" name="name" id="name" value="$name$"></p>
	
	<p class="text required"><label for="email">{email}*</label><br>
	<input type="text" name="email" id="email" value="$email$"></p>
	
	<p class="required textarea"><label for="message">{message}*</label><br>
	<textarea name="message" cols="50" rows="10">$message$</textarea></p>
	
	<p class="note"><small>{required fields}</small></p>
	
	<p class="submit"><input type="submit" name="send" value="{submit}"></p>
</div>

<!-- SETTINGS -->
<input type="hidden" name="submit-fields" value="name,email,message">
<input type="hidden" name="required-fields" value="name,email,message">