Working form:
<p>Your Name*
[text* your-name] </p>
<p>Your Email
[email your-email] </p>
<p>Your Phone*
[text* text-520]</p>
<p>Area of interest:
[select menu-955 "Alcohol/Drug Rehab Programs" "Christian Drug Abuse Programs" "Family Focused Therapies" "Co-Occurring/Dual Diagnosis Treatments" "Detox Placement" "Inpatient Programs"]</p>
<p>Questions / Comments
[textarea comments 1x2/900] </p>
[honeypot honeypot-429]
<input type="hidden" name="visitorId" id="visitorId" value="" />
<p>[submit "Send"]</p>
[Please use the code buttons when posting code on these forums]