<p class=”phoneno”><label for=”your-name”>Name:</label>
[text* your-name] </p>

<p class=”phoneno”><label for=”your-email”>Email:</label>
[email* your-email] </p>
<p class=”phoneno”><label for=”your-phone”>Phone Number:</label>
[tel* your-phone] </p>

<p class=”phoneno”><label for=”your-date”>Select Moving Date:</label>
[date* datefieldclass placeholder “DD/MM/YYYY”] </p>

<p class=”phoneno”><label for=”your-moving-from”>Moving From:</label>
[text* your-moving-from]</p>

<p class=”phoneno”><label for=”your-moving-to”>Moving To:</label>
[text* your-moving-to]</p>

<p class=”textareabanner”><label for=”your-message”>Message:</label>
[textarea* your-message]</p>

<p class=”submitbanner”>[submit “Submit”]
</p>