[select type_1 class:type_1 "-Paper Type" "DOBULE ADHESIVE TAPE - WHITE - D0058W" "DOBULE ADHESIVE TAPE - RED - D5065" "ADHESIVE TAPE - BROWN - P45251 - 36 Rollls/Ctns" "ADHESIVE TAPE - CLEAR - P45251"]
[select type_3 class:type_3 "-Size" "6MM X50M" "8MM X50M" "10MM X50M" "12MM X50M" "19MM X50M" "24MM X50M" "48MM X50M" "50MM X50M" "12MM X500M"]
[text* quantity class:form-quantity placeholder "Enter Quantity*"]
<div class="form_divider">
</div>
[text* enq_name class:enquiry_name placeholder "Name*"]
[email* enq_email class:enquiry_email placeholder "E-mail*"]
[text* enq_phone class:enquiry_phone placeholder "Phone Number*"]
[textarea enq_message class:enquiry_message placeholder "Message"]
[submit class:enquiry_submit "Submit"]