<div class="big-form">
<ul class="form-title">
   <li><img src="/wp-content/uploads/2018/07/logo-white.png" alt=""></li>
   <li><strong>Get a FREE Quote from us.</strong> <br>Please provide your details to complete your estimate request.</li>
</ul>
<ul>
<li>
<p>Full Name <span>*</span></p><p>[text* your-name]</p>
<p>Phone <span>*</span></p><p>[tel* tel-755]</p>
<p>Service Required <span>*</span></p>
<p>[radio radio-433 default:1 "Plumbing" "Heating" "Renovation"]</p>
</li>
<li>
<p>Email <span>*</span><p>[email* your-email]</p>
<p>Your Message <span>*</span></p><p>[textarea your-message]</p>
<p>Are you landlord? <span>*</span></p><p>[radio radio-286 default:1 "Yes" "No"]</p>
</li>
</ul>
 
<p>[submit "Submit"]</p>
</div>