[contact-form to=’maedeley@gmail.com’ subject=’Sugerencias y/o Quejas’][contact-field label=’Nombre’ type=’name’ required=’1′ placeholder=»Juan Pérez»/][contact-field label=’Cuenta’ type=’number’ required=’1′ placeholder=»123″/][contact-field label=’Correo electrónico’ type=’email’ required=’1′ placeholder=»cuenta@email.com»/][contact-field label=’Teléfono’ type=»number» required=’1′ placeholder=»ej:2654987″/][contact-field label=’Comentario’ type=’textarea’ required=’1’/][/contact-form]
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