Contact form 1

First Name (required)
[text* firstname]

Last Name (required)
[text* lastname]

Email (required)
[email* youremail]

Please Confirm Email (required)
[email* confirmemail]

Phone
[text phone]

How did you hear about us? (required)
[select* findus include_blank “Returning Customer” “Search Engine – Google” “Search Engine – Bing” “Search Engine – Yahoo” “Social Media Site” “Television” “Radio” “Yellow Pages” “Newspaper” “Billboard” “Referral” “Saw Your Truck” “Other”]

How Can We Help You? (required)
[textarea* message]

[honeypot stop]

[submit “Submit”]

New submission from Contact form
[firstname] [lastname]
First Name: [firstname]
Last Name: [lastname]
Email: [youremail]
Confirm Email: [confirmemail]
Phone: [phone]
How did you hear about us: [findus]
How Can We Help You: [message]

—-
This e-mail was sent from a contact form on – /contact/
homeappliancemd@gmail.com
Reply-To: <[youremail]>

1
Your message for Home Appliance MD has been received
Home Appliance MD
Dear [firstname],

Thank you for contacting us. We will reply to your message as soon as possible.

Regards,
Home Appliance MD

—-
This e-mail was sent from a contact form on – /contact/
[youremail]
Reply-To: info@homeappliancemd.com

Thank you for your message. It has been sent.
There was an error trying to send your message. Please try again later.
One or more fields have an error. Please check and try again.
There was an error trying to send your message. Please try again later.
You must accept the terms and conditions before sending your message.
The field is required.
The field is too long.
The field is too short.
The date format is incorrect.
The date is before the earliest one allowed.
The date is after the latest one allowed.
There was an unknown error uploading the file.
You are not allowed to upload files of this type.
The file is too big.
There was an error uploading the file.
The number format is invalid.
The number is smaller than the minimum allowed.
The number is larger than the maximum allowed.
The answer to the quiz is incorrect.
Your entered code is incorrect.
The e-mail address entered is invalid.
The URL is invalid.
The telephone number is invalid.