[contact-form][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Profession’ type=’select’ required=’1′ options=’Doctor,Distributor,Other’/][contact-field label=’Other (specify)’ type=’text’/][contact-field label=’Mobile No.’ type=’text’ required=’1’/][contact-field label=’Website’ type=’url’/][contact-field label=’Comment’ type=’textarea’ required=’1’/][/contact-form]