<div class="form__row">
		            <div class="form__col form__col--left">
		              <label for="telefono" class="form__label">What do you want to talk about?*</label>
		            </div>

		            <div class="form__col form__col--right">
		            	
		            			            	[select* Department "Consumer Care|consulta.consumidor@cuetara1951.es" "Promotions|consumidor@granjasanfrancisco.es" "Human Resources|gestion.personas@cuetara1951.es" "Commercial|consumidor@granjasanfrancisco.es" "International|aisquel.martin@cuetara1951.es" "Nutritional information|consulta.consumidor@cuetara1951.es"]

		            </div>
		          </div>

		          <div class="form__row">
		            <div class="form__col form__col--left">
		              <label for="nombre" class="form__label">What is your name?*</label>
		            </div>

		            <div class="form__col form__col--right">
		            	[text* nombre]
		            </div>
		          </div>

		          <div class="form__row">
		            <div class="form__col form__col--left">
		              <label for="apellidos" class="form__label">Your last name?*</label>
		            </div>

		            <div class="form__col form__col--right">
		            	[text* apellidos]
		            </div>
		          </div>

		          <div class="form__row">
		            <div class="form__col form__col--left">
		              <label for="email" class="form__label">Your email*</label>
		            </div>

		            <div class="form__col form__col--right">
		            	[email* email]
		            </div>
		          </div>

		          <div class="form__row">
		            <div class="form__col form__col--left">
		              <label for="telefono" class="form__label">Your telephone*</label>
		            </div>

		            <div class="form__col form__col--right">
		            	[text* telefono]
		            </div>
		          </div>

                           <div class="form__row">
		            <div class="form__col form__col--left">
		              <label for="poblacion" class="form__label">Population*</label>
		            </div>

		            <div class="form__col form__col--right">
		            	[text* poblacion]
		            </div>
		          </div>

		          <div class="form__row form__row--block">
		            <label for="mensaje" class="form__label">Enter your query here * <small> (maximum 500 characters)</small></label>
		            
		         	[textarea mensaje]
		          </div>
		          <div class="form__row group">
		            <div class="form__col form__col--left">
		              <label for="telefono" class="form__label">What do you want to send us? (Límite: 2Mb. Type of files accepted: pdf, doc, txt, jpg)</label>
		            </div>
		                
		            <div class="form__col form__col--right">
		            	[file adjunto filetypes:pdf|doc|txt|jpg|jpeg limit:2mb]
		            </div>
		          </div>

		          <div class="form__row politica">
		            [acceptance policy id:accept-checkbox class:custom-checkbox]<label for="accept-checkbox" class="custom-checkbox-label">I have read and accept the processing of my personal data for the indicated purpose as well as the <a href="/en/privacy-and-personal-data-protection-policy/">Privacy Policy</a> and <a href="/en/legal-note/">Legal note</a>.*</label>
		          </div>
[submit "Send"]