Thanks for Your Testimonial!

[av_contact email=’heidi.weeda@yahoo.com’ button=’Submit’ title=’Thank You for Your Testimonial’ sent=’Thank you for your feedback!’ autorespond=” captcha=”]
[av_contact_field label=’Name’ type=’text’ options=” check=’is_empty’ width=”]
[av_contact_field label=’E-Mail’ type=’text’ options=” check=” width=”]
[av_contact_field label=’Testimonial’ type=’textarea’ options=” check=’is_empty’ width=”]
[av_contact_field label=’I give permission to reprint my testimonial.’ type=’checkbox’ options=” check=” width=”]
[av_contact_field label=’I give permission to include my name.’ type=’checkbox’ options=” check=” width=”]
[/av_contact]