<p>Your Name (required)<br />
    [text* your-name] </p>

<p>Your Email (required)<br />
    [email* your-email] </p>

<p>Please let us know the nature of your enquiry<br />
   [select* salestype "Sales - New Equipment or Upgrades" "Sales - Order Consumables"] </p>

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

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