[contact-form][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’What%26#039;s 1¹?’ type=’select’ required=’1′ options=’10,11,12,13,14,15,1,2’/][contact-field label=’Website’ type=’url’/][contact-field label=’Message’ type=’textarea’ required=’1’/][/contact-form]

There is a rather obvious question for verification..