<p>Votre Nom (required)<br />
    [text* your-name] </p>

<p>Votre adresse maill (required)<br />
    [email* your-email] </p>

<p>Sujet<br />
    [text your-subject] </p>

<p>Votre Message<br />
    [textarea your-message] </p>

<p>[submit "Envoyer"]</p>