tact:name">Full Name *</label>
												<input required type="text" value="" class="form-control" name="contact[name][required]" id="contact:name">
											</div>
											<div class="col-md-4">
												<label for="contact:email">E-mail Address *</label>
												<input required type="email" value="" class="form-control" name="contact[email][required]" id="contact:email">
											</div>
											<div class="col-md-4">
												<label for="contact:phone">Phone</label>
												<inpu