Contact Techined

[contact-form subject="Technology in (Spl) Education Contact Techined" to="siva@techinspecialed.com"] [contact-field label="Name" type="name" required="true" /] [contact-field label="Email" type="email" required="true" /] [contact-field label="Website" type="url" /] [contact-field label="Profession" type="radio" options="Parent,Teacher,SLP,OT,Developer,Media,Other" /] [contact-field label="Reference" type="radio" required="true" options="Users - Collect Promocode won during Giveaway,First option,Users - Signup as Guest Reviewer,Developers - Want to submit Apps,Other" /] [contact-field label="App Name (if you won code or if you want us to include in appymall directory)" type="text" /] [contact-field label="Comment" type="textarea" required="true" /] [/contact-form]

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