[hfe_template id='59']		
					<h2>Contact Us</h2>				
							<form method="post" name="New Form" page="Contacts" page_id="677" novalidate>
			<input type="hidden" name="post_id" value="677"/>
			<input type="hidden" name="form_id" value="653d31b"/>
			<input type="hidden" name="referer_title" value="" />
														<label for="form-field-name">
									Name								</label>
							<input size="1 "type="text" name="form_fields[name]" id="form-field-name" placeholder="John" required="required" aria-required="true">					
														<label for="form-field-email">
									Email								</label>
							<input size="1 "type="email" name="form_fields[email]" id="form-field-email" placeholder="John@mysite.com" required="required" aria-required="true">					
														<label for="form-field-message">
									Message								</label>
							<textarea name="form_fields[message]" id="form-field-message" rows="7" placeholder="Type your text here"></textarea>					
							<button type="submit">
																Send
			</button>
		</form>
		[hfe_template id='429']