Contact Dan

<h4>Contact Dan:</h4>
  <select id="contact_topic">
    <option value="none"> What Topic? </option>
    <option value="none" disabled>--- Sellers ---</option>
    <option >Selling a Home</option>
    <option >Selling Property</option>
    <option >Selling a Business</option>
    <option >Other</option>
    <option value="none" disabled>--- Buyers ---</option>
    <option >Looking for a Home</option>
    <option >Looking for a Cabin</option>
    <option >Looking for Property</option>
    <option >Other</option>
  </select><br>
  <input type="text" placeholder="Your Name" id="contact_name" /><br>
  <input type="text" placeholder="Email Address" id="contact_email" /><br>
  <input type="text" placeholder="Phone Number" id="contact_phone" /><br>
  <input type="text" id="contact_detail" placeholder="Your detail request here..."/><br>
  <input type="button" value="Send Request" id="btn_contact_send_request" onclick="on_send_contact_request()"/><br>
  
  <span id="contact_alert" style="color:red; display: none;"> </span>