<p>Ihr Name (Pflichtfeld)<br />
    [text* your-name] </p>

<p>Ihre E-Mail-Adresse (Pflichtfeld)<br />
    [email* your-email] </p>

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

<p>Ihre Nachricht<br />
    [textarea your-message] </p>

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