[contact-form to=’contact@lespiedsalaterre.org’][contact-field label=’Nom’ type=’name’ required=’1’/][contact-field label=’Prénom’ type=’text’ required=’1’/][contact-field label=’Adresse’ type=’text’ required=’1’/][contact-field label=’CP’ type=’text’ required=’1’/][contact-field label=’Ville’ type=’text’ required=’1’/][contact-field label=’Téléphone’ type=’text’ required=’1’/][contact-field label=’E-mail’ type=’email’ required=’1’/][contact-field label=’Règlement’ type=’checkbox-multiple’ required=’1′ options=’Chèque,Virement,Autre’/][contact-field label=’Commentaire’ type=’textarea’/][/contact-form]