<span class="huge-contact-form-part">1.</span>
<br />
<label> Email:* 
    [email* your-email] </label>

<label> First name: 
    [text firstname] </label>

<label> Last name: *
    [text* lastname] </label>

<label> Company: *
    [text* company] </label>

<label> Telephone: *
    [text* telephone] </label>

<label> Country: *
    [select* country "United Kingdom" "United States" "France" "Belgium" "Netherlands" "Germany" "(please select a country)" "Afghanistan" "Albania" "Algeria" "American Samoa" "Andorra" "Angola" "Anguilla" "Antarctica" "Antigua and Barbuda" "Argentina" "Armenia" "Aruba" "Australia" "Austria" "Azerbaijan" "Bahamas" "Bahrain" "Bangladesh" "Barbados" "Belarus" "Belize" "Benin" "Bermuda" "Bhutan" "Bolivia" "Bosnia and Herzegowina" "Botswana" "Bouvet Island" "Brazil" "British Indian Ocean Territory" "Brunei Darussalam" "Bulgaria" "Burkina Faso" "Burundi" "Cambodia" "Cameroon" "Canada" "Cape Verde" "Cayman Islands" "Central African Republic" "Chad" "Chile" "China" "Christmas Island" "Cocos (Keeling) Islands" "Colombia" "Comoros" "Congo" "Congo-the Democratic Republic of the" "Cook Islands" "Costa Rica" "Cote d'Ivoire" "Croatia (Hrvatska)" "Cuba" "Cyprus" "Czech Republic" "Denmark" "Djibouti" "Dominica" "Dominican Republic" "East Timor" "Ecuador" "Egypt" "El Salvador" "Equatorial Guinea" "Eritrea" "Estonia" "Ethiopia" "Falkland Islands (Malvinas)" "Faroe Islands" "Fiji" "Finland" "French Guiana" "French Polynesia" "French Southern Territories" "Gabon" "Gambia" "Georgia" "Ghana" "Gibraltar" "Greece" "Greenland" "Grenada" "Guadeloupe" "Guam" "Guatemala" "Guinea" "Guinea-Bissau" "Guyana" "Haiti" "Heard and Mc Donald Islands" "Holy See (Vatican City State)" "Honduras" "Hong Kong" "Hungary" "Iceland" "India" "Indonesia" "Iran (Islamic Republic of)" "Iraq" "Ireland" "Israel" "Italy" "Jamaica" "Japan" "Jordan" "Kazakhstan" "Kenya" "Kiribati" "Korea" "Kosovo" "Kuwait" "Kyrgyzstan" "Lao People's Democratic Republic" "Latvia" "Lebanon" "Lesotho" "Liberia" "Libyan Arab Jamahiriya" "Liechtenstein" "Lithuania" "Luxembourg" "Macau" "Macedonia-the Former Yugoslav Republic of" "Madagascar" "Malawi" "Malaysia" "Maldives" "Mali" "Malta" "Marshall Islands" "Martinique" "Mauritania" "Mauritius" "Mayotte" "Mexico" "Micronesia- Federated States of" "Moldova- Republic of" "Monaco" "Mongolia" "Montserrat" "Morocco" "Mozambique" "Myanmar" "Namibia" "Nauru" "Nepal" "Netherlands Antilles" "New Caledonia" "New Zealand" "Nicaragua" "Niger" "Nigeria" "Niue" "Norfolk Island" "Northern Mariana Islands" "Norway" "Oman" "Pakistan" "Palau" "Panama" "Papua New Guinea" "Paraguay" "Peru" "Philippines" "Pitcairn" "Poland" "Portugal" "Puerto Rico" "Qatar" "Reunion" "Romania" "Russian Federation" "Rwanda" "Saint Kitts and Nevis" "Saint Lucia" "Saint Vincent and the Grenadines" "Samoa" "San Marino" "Sao Tome and Principe" "Saudi Arabia" "Senegal" "Seychelles" "Sierra Leone" "Singapore" "Slovakia (Slovak Republic)" "Slovenia" "Solomon Islands" "Somalia" "South Africa" "South Georgia and the South Sandwich Islands" "Spain" "Sri Lanka" "St Helena" "St Pierre and Miquelon" "Sudan" "Suriname" "Svalbard and Jan Mayen Islands" "Swaziland" "Sweden" "Switzerland" "Syrian Arab Republic" "Taiwan- Province of China" "Tajikistan" "Tanzania- United Republic of" "Thailand" "Togo" "Tokelau" "Tonga" "Trinidad and Tobago" "Tunisia" "Turkey" "Turkmenistan" "Turks and Caicos Islands" "Tuvalu" "Uganda" "Ukraine" "United Arab Emirates" "United States Minor Outlying Islands" "Uruguay" "Uzbekistan" "Vanuatu" "Venezuela" "Viet Nam" "Virgin Islands (British)" "Virgin Islands (U.S.)" "Wallis and Futuna Islands" "Western Sahara" "Yemen" "Yugoslavia" "Zambia" "Zimbabwe"] </label>

<label> Where did you here about us ?: 
    [select* hear-about-us "Already a client" "Referral from colleague" "Brochure" "Internet search" "Contacted by your team" "Magazine article" "Other"]</label>

<span class="huge-contact-form-part">2.</span>
<br />

<label> Job type (translation, interpreting, editing...):
    [text job-type] </label>

<label> Target language(s):*
    [text* target-languages] </label>

<label> Deadline:
    [select* deadline "Standard (2000 words per day)" "Urgent-Accelerated translation service"]</label>


<span class="huge-contact-form-part">3.</span>
<br />


<label> File to translate:
    [file* file-input limit:50331648 filetypes:doc|pdf|txt|gif|jpg|png|docx|ppt]</label>

<label> Specific instructions regarding your project:
    [textarea special-instructions]</label>

[recaptcha size:compact]

[submit "Yes ! Send me a quick quote"]
1
Lexcelera Quote
[your-name] <no-reply@lexcelera.com>
lexcelera@lexcelera.com
First name:
[firstname]

Lastname:
[lastname]
 
Company:
[company]

Telephone:
[telephone]

Where did you here about us?
[hear-about-us]

Country:
[country]

Job type:
[job-type]

Target language(s):
[target-languages]
 
Deadline:
[deadline]

Specific instructions regarding your project:
[special-instructions]
Reply-To: [your-email]
[file-input]



Lexcelera "[your-subject]"
Lexcelera <wordpress@51.15.134.16>
[your-email]
Message Body:
[your-message]

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