[select* Howdidyoufindus class:form-control first_as_label "How did you find us?" "Google" "Bing" "Word
                of mouth"]
            
            
                
            
         
        
            
                [textarea your-message class:form-control placeholder "Additional comments"]
            
         
        
            
                [checkbox* RequestDemo use_label_element class:checkbox "Request a demonstration/sample."]