fill out with the contact name, or leave blank if no name
fill out with the contact email, or leave blank if no email
fill out with the contact phone, or leave blank if no phone



set this to 1 if they enter an email, or 0 if they don't
set this to 1 if they enter a phone number, or 0 if they don't
If you set it to ajax, it will return a JSON success object; otherwise you can set it to a URL that you want it to redirect to afterwards