<form id="send_menssage" data-form-output="form-output-global" data-form-type="contact" method="post">
<div>
<div>
<p >Your Name</p>
<div>
<input id="name" type="text" name="name" data-constraints="@Required">
<label for="name">Your Full Name</label>
</div>
</div>
<div>
<p >Your Email</p>
<div class="form-wrap">
<input id="contactmail" type="mail" name="contactmail" data-constraints="@Email @Required">
<label for="contactmail">Your Email</label>
</div>
</div>
<div>
<p>Your Phone</p>
<div>
<input id="contactphone" type="text" name="contactphone" data-constraints="@Numeric">
<label for="phone">Your Phone number</label>
</div>
</div>
<div>
<p>Date</p>
<div>
<label for="dateserv"><span class="icon icon-primary fa-calendar"></span><span>Service Date</span></label>
<input id="dateserv" type="text" name="dateserve" data-constraints="@Required">
</div>
</div>
<div>
<p>Day Time</p>
<div>
<!--Select 2-->
<select id="timeserv" name="timeserv" data-minimum-results-search="-1" data-placeholder="Desired time" data-constraints="@Required">
<option> </option>
<option value="11">11:00</option>
<option value="12">12:00</option>
<option value="13">13:00</option>
<option value="14">14:00</option>
<option value="15">15:00</option>
<option value="16">16:00</option>
<option value="17">17:00</option>
<option value="18">18:00</option>
<option value="19">19:00</option>
<option value="20">20:00</option>
</select>
</div>
</div>
<div>
<p>Service</p>
<div>
<select id="service" name="service" data-minimum-results-search="-1" data-placeholder="Select your service" data-constraints="@Required">
<option> </option>
<option value="prana">Prana Massage</option>
<option value="hot-stones">Hot Stones Massage</option>
<option value="relaxing">Relaxing or Swedish</option>
<option value="tired-legs">Tired Legs</option>
<option value="deep-tissue">Deep Tissue Massage</option>
<option value="back">Back Massage</option>
<option value="reflexology">Reflexology</option>
<option value="prenatal">Prenatal</option>
<option value="sport">Sport</option>
<option value="facials">Facials</option>
<option value="body-wrap">Body Wrap</option>
<option value="Body-Exfoliation">Body-Exfoliation</option>
</select>
</div>
</div>
<div>
<p>Persons</p>
<div>
<!--Select 2-->
<select id="persons" name="persons" data-minimum-results-search="-1" data-placeholder="Persons" data-constraints="@Required">
<option> </option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
</select>
</div>
</div>
<div>
</div>
</div>
<button id="send_message" ><span>Enviar Whatsapp</span></button>
</form>