<form action="https://sites-shoosmiths.vuture.net/API/Form/Process" method="post" accept-charset="utf-8" _lpchecked="1" data-prefill="disconnect" class="vx_form">
<p class="single_line_text hidden">
<label for="Vx_FirstSecondOrThirdName">
<textarea name="Vx_FirstSecondOrThirdName" id="Vx_FirstSecondOrThirdName" class="form-control"></textarea>
</label>
</p>
<p class="single_line_text half_width"><label for="vx_form_element_3">First name *</label><input type="text" name="VxForm_vx_form_element_3" value="" id="vx_form_element_3" class="form-control required" /></p>
<p class="single_line_text half_width"><label for="vx_form_element_4">Last name *</label><input type="text" name="VxForm_vx_form_element_4" value="" id="vx_form_element_4" class=" form-control required" /></p>
<p class="single_line_text half_width"><label for="vx_form_element_5">Job title *</label><input type="text" name="VxForm_vx_form_element_5" value="" id="vx_form_element_5" class=" form-control required" /></p>
<p class="single_line_text half_width"><label for="vx_form_element_7">Email *</label><input type="text" name="VxForm_vx_form_element_7" value="" id="vx_form_element_7" class=" form-control required" /></p>
<p class="single_line_text half_width"><label for="vx_form_element_6">Company *</label><input type="text" name="VxForm_vx_form_element_6" value="" id="vx_form_element_6" class=" form-control required" /></p>
<p class="single_line_text half_width"><label for="vx_form_element_8">Telephone *</label><input type="text" name="VxForm_vx_form_element_8" value="" id="vx_form_element_8" class=" form-control required" /></p>
<p class="paragraph_text"><label for="vx_form_element_9">Address *</label><textarea name="VxForm_vx_form_element_9" rows="8" cols="40" id="vx_form_element_9" class="form-control required"></textarea></p>
<p class="single_line_text half_width"><label for="vx_form_element_10">City *</label><input type="text" name="VxForm_vx_form_element_10" value="" id="vx_form_element_10" class=" form-control required" /></p>
<p class="single_line_text half_width"><label for="vx_form_element_11">Postcode *</label><input type="text" name="VxForm_vx_form_element_11" value="" id="vx_form_element_11" class=" form-control required" /></p>
<p class="paragraph_text"><label for="vx_form_element_3">Message *</label><textarea name="VxForm_vx_form_element_3" rows="8" cols="40" id="vx_form_element_3" class="form-control required"></textarea></p>
<p class="single_line_text"><label for="vx_form_element_3">Reference number (if known)</label><input type="text" name="VxForm_" value="" id="vx_form_element_3" class="form-control" /></p>

<p class="submit">
<input value="Submit" type="submit" class="btn btn-sm btn-default" />
</p><input value="Contact us form" id="_strId" name="_strId" type="hidden" class="form-control" /><input value="generalenquiries@shoosmiths.com" id="__vx_email" name="__vx_email" type="hidden" class="form-control" /><input value="/contact-us/thank-you" id="__vx_redirect" name="__vx_redirect" type="hidden" class="form-control" /><input value="108742" id="_intSitePageId" name="_intSitePageId" type="hidden" class="form-control" /><input value="" id="_intEmailHistoryId" name="_intEmailHistoryId" type="hidden" class="form-control" /><input value="" id="_intEmailListId" name="_intEmailListId" type="hidden" class="form-control" /><input value="" id="_intEmailId" name="_intEmailId" type="hidden" class="form-control" /><input value="" id="_strInteraction" name="_strInteraction" type="hidden" class="form-control" /><input name="_intInstanceId" id="_intInstanceId" value="1" type="hidden" class="form-control" /><input name="_autoActivityType" id="_autoActivityType" value="" type="hidden" class="form-control" /><input name="_intIaFolderId" id="_intIaFolderId" value="" type="hidden" class="form-control" /><input name="_formId" id="_formId" value="2776" type="hidden" class="form-control" /><input name="_formName" id="_formName" value="Contact us form" type="hidden" class="form-control" /><input value="" id="_vxUpdateMethod" name="_vxUpdateMethod" type="hidden" class="form-control" /><input value="" id="_selected_FolderForDateId" name="_selected_FolderForDateId" type="hidden" class="form-control" /><input value="" id="_dateProcessedField" name="_dateProcessedField" type="hidden" class="form-control" /><input value="" id="_sourceFolder" name="_sourceFolder" type="hidden" class="form-control" /><input value="" id="_ON24IntegrationEventGUID" name="_ON24IntegrationEventGUID" type="hidden" class="form-control" /><input type="hidden" name="_vx_workflow" value="" /><input type="hidden" name="_available_lists" value="" />

</form>