[contact-form to="kevin\@kevindublin.com" subject="Service Inquiry at Your Website"][contact-field label="Name" type="name" required="1"][contact-field label="Email" type="email" required="1"][contact-field label="Website" type="url"][contact-field label="Service Interest" type="radio" required="1" options="Teaching & Workshop Facilitation,Workplace Events,Critique & Editing Services,Manuscript Consultation,Mentoring & Coaching,MFA Guidance,Literary Journal Submission Help,Poetry on Demand Booth"][contact-field label="Nature of Service" type="checkbox-multiple" required="1" options="Poetry,Fiction,Creative Nonfiction,Multigenre,Screenwriting & Playwriting,Academic Writing,Professional & Teckevinal Writing,Public Speaking or Performance,Web Development (HTML CSS Javascript React Python Django Wordpress)"][contact-field label="Available Dates" type="select" required="1" options="Immediately,Within the Next Week,Within the Next Two Weeks,Within the Next Month,In the Near Future"][contact-field label="Questions or Additional Information" type="textarea" required="1"][/contact-form]