[contact-form subject=” Domain/Hosting service reservation” to=”info@jicreatives.com”] [contact-field label=”Name” type=”name” required=”true” /] [contact-field label=”Email” type=”email” required=”true” /] [contact-field label=”Website” type=”url” /] [contact-field label=”I am in need of” type=”select” required=”true” options=”,Domain Registration,Web Hosting,Domain Registration & Hosting” /] [contact-field label=”Package Option” type=”radio” required=”true” options=”For a full year (Save P1,800.00),Month-to-Month basis” /] [contact-field label=”I intend to pay through” type=”select” required=”true” options=”Paypal,Debit / Credit Card,Bank / Wire Transfer,Cash” /] [contact-field label=”Please contact me at (phone)” type=”text” required=”true” /] [/contact-form]