helpmeout.php

<div id="helpmeout">
    <h3>Contact Author</h3>

    <form method="post" action="">
        <label for="subject">Regarding</label><br/>
        <select id="subject" name="subject">
            <option>Feedback</option>
            <option>Consultation Request</option>
            <option>Bug Report</option>
            <option>Feature Request</option>
        </select><br/>
        <label for="comments">Message</label><br/><textarea id="comments" style="width:400px; height:100px"
                                                            name="comments"></textarea>
        <input type="submit" class="submitbutton" value="Send Email" name="subscribe">
    </form>
    <br/>

    <div class="fsl-contact-box">
        <a class="fsl-urgent-rating" href="http://wordpress.org/extend/plugins/facebook-simple-like/"><h1
            style=>Rate this plugin, <em>please.</em></h1></a>

        <p style="text-align:center;">Say hello to me on <a href="http://twitter.com/mdpatrick">Twitter</a>, or <a
            href="http://www.linkedin.com/in/mdanielpatrick">LinkedIn</a>.
        </p>
    </div>
    <div style="clear:both;height:0;">&nbsp;</div>