Sample of the Response form we need to 4DownswithDylan.com
[contact-form to=’boilingspringsfirstbaptist@gmail.com’ subject=’4DownwithDylan Response’][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Today%26#x002c; I have trusted Jesus Christ as my Savior and Lord.’ type=’checkbox’/][contact-field label=’I have rededicated my life to Christ.’ type=’checkbox’/][contact-field label=’I am looking for a church home.’ type=’checkbox’/][contact-field label=’I would like to speak to a minister.’ type=’checkbox’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Address’ type=’text’ required=’1’/][contact-field label=’City’ type=’text’ required=’1’/][contact-field label=’State’ type=’text’ required=’1’/][contact-field label=’Zip Code’ type=’text’ required=’1’/][contact-field label=’Phone’ type=’text’ required=’1’/][contact-field label=’Age’ type=’text’/][contact-field label=’Message or Comment’ type=’textarea’/][/contact-form]