Central

<div class="wpforms-container wpforms-container-full" id="wpforms-1118649"><form id="wpforms-form-1118649" class="wpforms-validate wpforms-form" data-formid="1118649" method="post" enctype="multipart/form-data" action="/category/central/"><noscript class="wpforms-error-noscript">Please enable JavaScript in your browser to complete this form.</noscript><div class="wpforms-field-container"><div id="wpforms-1118649-field_0-container" class="wpforms-field wpforms-field-name" data-field-id="0"><div class="wpforms-field-row wpforms-field-large"><div class="wpforms-field-row-block wpforms-first wpforms-one-half"><input type="text" id="wpforms-1118649-field_0" class="wpforms-field-name-first wpforms-field-required" name="wpforms[fields][0][first]" placeholder="First Name" required><label for="wpforms-1118649-field_0" class="wpforms-field-sublabel after wpforms-sublabel-hide">First</label></div><div class="wpforms-field-row-block wpforms-one-half"><input type="text" id="wpforms-1118649-field_0-last" class="wpforms-field-name-last wpforms-field-required" name="wpforms[fields][0][last]" placeholder="Last Name" required><label for="wpforms-1118649-field_0-last" class="wpforms-field-sublabel after wpforms-sublabel-hide">Last</label></div></div></div><div id="wpforms-1118649-field_1-container" class="wpforms-field wpforms-field-email" data-field-id="1"><label class="wpforms-field-label wpforms-label-hide" for="wpforms-1118649-field_1">Email <span class="wpforms-required-label">*</span></label><input type="email" id="wpforms-1118649-field_1" class="wpforms-field-large wpforms-field-required" name="wpforms[fields][1]" placeholder="Email" required></div><div id="wpforms-1118649-field_3-container" class="wpforms-field wpforms-field-text" data-field-id="3"><input type="text" id="wpforms-1118649-field_3" class="wpforms-field-large" name="wpforms[fields][3]" placeholder="City Neighbourhood/Municipality" ></div><div id="wpforms-1118649-field_4-container" class="wpforms-field wpforms-field-textarea" data-field-id="4"><textarea id="wpforms-1118649-field_4" class="wpforms-field-medium" name="wpforms[fields][4]" ></textarea></div></div><div class="wpforms-field wpforms-field-hp"><label for="wpforms-1118649-field-hp" class="wpforms-field-label">Message</label><input type="text" name="wpforms[hp]" id="wpforms-1118649-field-hp" class="wpforms-field-medium"></div><div class="wpforms-submit-container" ><input type="hidden" name="wpforms[id]" value="1118649"><input type="hidden" name="wpforms[author]" value="0"><button type="submit" name="wpforms[submit]" class="wpforms-submit " id="wpforms-submit-1118649" value="wpforms-submit" aria-live="assertive" data-alt-text="Sending..." data-submit-text="Submit">Submit</button></div></form></div> <!-- .wpforms-container -->