<p class="title">Hire Us</p>
<div class="namefile">Name  [text* your-name] </div>
<div class="emialfils">Email   [email* your-email] </div>
<div class="contact">Contact [tel tel-772]  </div>
<div class="servveices">Services
<div class="radio_button">[radio radio-669 default:1 "Web" "Hosting" "Mobile" "E commerce" "Technology Aduit"]</div>
</div>
[submit "Submit"]