[contact-form to=”wine@centuryfarmwinery.com” subject=”Wine Of The Month Order”][contact-field label=”Name” type=”name” required=”1″][contact-field label=”Email” type=”email” required=”1″][contact-field label=”Phone Number” type=”text” required=”1″][contact-field label=”How many bottles would you like to order?” type=”select” options=”3,6,9,12″][/contact-form]