<p>[text* your-name-price-list id:price-list-name placeholder "Your Name"]</p>

<p> [email* your-email-price-list  id:price-list-email placeholder "Email Address"] </p>

<p>[text* your-company-price-list  id:price-list-company placeholder "Company"]</p>

<p>[tel* tel-38-price-list id:tel-38-price-list placeholder "Phone #"] </p>

<p>[cf7ic]</p>

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