<div class="hazel-multiple-fields">
<div class="f-name"><p>Your Name <span class="cforms-required">(required)</span><br />
    [text* your-name] </p></div>

<div class="f-email"><p>Your Email <span class="cforms-required">(required)</span><br />
    [email* your-email] </p></div>

<div class="f-subject"><p>Subject<br />
    [text your-subject] </p></div>

<div class="f-service"><p>Service Desired<br />
[select menu-781 "Web Design" "Branding" "Web APS" "Graphic" "Support"]</div>

<div class="f-message">
<p>Your Message<br />
    [textarea your-message] </p>
</div>

<div class="bt-contact">
   <a class="btn-contact-left"  href="">[submit "SEND EMAIL"]</a>
</div>

</div>