<div class="form-7 contact-form"><div class="row">

<div class="col-lg-12">
	<div class="form-group"><label>Full Name*</label>[text* your-name] </div>
</div>

<div class="col-lg-12">
	<div class="form-group"><label>Address*</label>[text* address] </div>
</div>

<div class="col-md-12">
	<div class="form-group"><label>Email*</label>[email* email] </div>
</div>

<div class="col-md-12">
	<div class="form-group"><label>Phone Number*</label>[text* phone-number] </div>
</div>

<div class="col-md-12">
	<div class="form-group"><label>Type of Service*</label>[select* TypeofServices include_blank "General Mobile Notary Service" "Apostille Service" "Remote Online Notary Service" "Real Estate Signing"] </div>
</div>

<div class="col-lg-12">
	<div class="form-group"><label>Type of Document*</label>[text* TypeofDocument] </div>
</div>

<div class="col-md-12">
	<div class="form-group"><label>What Type Of ID Will You Be Using?*</label>[select* WhattypeofIDwillyoubeusing include_blank "State-issued driver's license" "State-issued ID card" "U.S. passport" "U.S. military ID" "Valid driver's license or ID card issued in Mexico or Canada" "Resident alien identification card (green card)"] </div>
</div>

<div class="col-md-12">
	<div class="form-group"><label>Preferred Date*</label>[date* PreferredDate] </div> <div class="form-group"><label>Preferred Time*</label>[text* PreferredTime] </div>
</div> 

<div class="col-md-12">
	<div class="form-group"><label>Provide Us Any Further Information Here</label>[textarea Provideusanyfurtherinformationhere] </div>
</div>

<div class="col-md"><div class="btn-group">[submit "Send Message"]</div></div>

</div>
</div>