<form id="manual-contact-form" action="/scripts/processContactForm.cfm" class="validate stacked">
<input type="hidden" name="conGroup" value="CE0BC85225507787F195228BCB9E33E4" />
<fieldset>
<div class="control-group">
<label class="control-label" for="conEmail">Email</label>
<div class="controls">
<input type="email" id="conEmail" name="conEmail" class="required email" required="required" />
</div>
</div>
<div class="control-group">
<label class="control-label" for="conFName">First Name</label>
<div class="controls">
<input type="text" id="conFName" name="conFName" class="required" required="required" />
</div>
</div>
<div class="control-group">
<label class="control-label" for="conLName">Last Name</label>
<div class="controls">
<input type="text" id="conLName" name="conLName" class="required" required="required" />
</div>
</div>
<input type="hidden" name="cifLabel1" value="7CD3391110CD756CB4E4432DADED20EA" />
<div class="control-group">
<label class="control-label" for="conInfoField1">Email Address</label>
<div class="controls">
<input type="text" id="conInfoField1" name="conInfoField1" class="required" required="required" />
</div>
</div>
<div class="control-group">
<div class="controls submitter">
<button type="submit">Submit</button>
</div>
</div>
</fieldset>
</form>