ard">Heard us by *:</label>
												<select id="heard" class="form-control" required>
													<option value="">Choose..</option>
													<option value="press">Press</option>
													<option value="net">Internet</option>
													<option value="mouth">Word of mouth</option>
												</select>

												<label for="message">Message (20 chars min, 100 max) :</label>
												<textarea id="message" required="required" class="form-control" name="message" data-parsley-trigger="keyu