<img src="https://laser-cnc.co.il/wp-content/uploads/2017/06/ILENDING-PAGE_LAZER_19.06.17.jpg" alt="" />
				<hr style="border-color:#999999;border-width:1px" />
					<form action="" method="post">
			<input type="hidden" name="action" value="pojo_form_contact_submit" />
			<input type="hidden" name="form_id" value="566" />
			<input type="hidden" name="_wp_http_referer" value="/wp-admin/post.php" />
							<label for="form-field-1-1">שם</label>
							<input type="text" id="form-field-1-1" name="form_field_1" placeholder="שם" aria-required="true" />
							<label for="form-field-1-2">דוא״ל</label>
							<input type="email" id="form-field-1-2" name="form_field_2" placeholder="דוא״ל" />
							<label for="form-field-1-3">טלפון</label>
							<input type="tel" id="form-field-1-3" name="form_field_3" placeholder="טלפון" aria-required="true" pattern="[0-9.+-()*#]+" title="רק מספרי טלפון מותרים." />
					<button type="submit">שלח</button>
			</form>
				<hr style="border-color:#999999;border-width:1px" />
			