<div class="testimonialform">
<h1 style="text-align:center;color: #0c0a49;">Tell us about your WR experience!</h1>
 <div class="testimon">
 <div class="left">
 [text* your-name class:pole1 placeholder "Name"]

 [email* your-email class:pole1 placeholder "Email"]

 [text text class:pole1 placeholder "Institution Name (if applicable)"]
 </div>
 <div class="right">
 [textarea textarea class:pole2 placeholder "Testimonial"]
 </div>
 
</div>
</br>
<div class="undersec">
<p class="ratiomj">I would like to submit an endorsement of Wolfsdorf Rosenthal LLP 
to appear on Wolfsdorf Rosenthal LLP’s media outlets*</p>
<p class="ratiomj">[radio your-ratio class:mjratio use_label_element default:1 "Yes" "No"]</p>
<p class="joyrat"> I agree that the following may be displayed:*</p>
<div class="undersec2">
<p class="ratiojoy">[checkbox your-checkbox class:mjradio "Listing of my name, title and institution"]</p>
<p class="ratiojoy">[checkbox your-checkbox class:mjradio "Listing just my institution"]</p>
<p class="ratiojoy">[checkbox your-checkbox class:mjradio "Appearance of my institution’s logo"]</p>
<p class="ratiojoy">[checkbox your-checkbox class:mjradio "Provision of a quote regarding my experience working with Wolfsdorf Rosenthal LLP"]</p></div>
<p class="joyrat">Your testimonial may be edited for length and fluency.</p>
</div>
<div class="undersec3">[submit class:mjbut "Submit"]</div>
</div>