[av_contact title=’To enquire about becoming a wholesale customer, please complete the form below’ button=’Submit’ on_send=” sent=’Thank you for your enquiry!’ link=’manually,http://’ captcha=’recaptcha_v2′ captcha_theme=’light’ captcha_size=’normal’ captcha_score=’0.5′ email=’sales@jensal.ie’ from_email=” subject=’Website Wholesale Customer Enquiry’ autoresponder_email=’sales@jensal.ie’ autoresponder_reply_to=” autorespond=” form_align=” color=” heading_tag=” heading_class=” alb_description=” id=” custom_class=” aria_label=” av_uid=’av-kksa7893′ admin_preview_bg=”]
[av_contact_field label=’Name’ type=’text’ check=’is_empty’ options=” multi_select=” av_contact_preselect=” width=” av_uid=’av-v2eap’][/av_contact_field]
[av_contact_field label=’Phone Number’ type=’text’ options=” check=’is_phone’ width=” av_uid=’av-t113d’ multi_select=” av_contact_preselect=”][/av_contact_field]
[av_contact_field label=’E-Mail’ type=’text’ check=’is_email’ options=” multi_select=” av_contact_preselect=” width=” av_uid=’av-jeik1′][/av_contact_field]
[av_contact_field label=’Company’ type=’text’ options=” check=’is_empty’ width=” av_uid=’av-f36qh’ multi_select=” av_contact_preselect=”][/av_contact_field]
[av_contact_field label=’Add your message (Please feel free to let us know about the products you are interested in) ‘ type=’textarea’ options=” check=’is_empty’ width=”][/av_contact_field]
[/av_contact]