please kindly fill this form
<p>[text* “firstname” firstname]
[text* “lastname” last- name]</p></br>
[text* “titleposition” title]
[text* “companyorganization” title]
</p></br>
[text* “address” placeholder]
[text* “zip/postalcode” placeholder]
[text* “country”placeholder]
[text* “telephone” placeholder]
[text* “email” placeholder]
dietary requirement
[checkbox* “diabetic” exclusive]
[checkbox* “glutenfree” exclusive]
[checkbox* “halalfriendly” exclusive]
[checkbox* “kosher” exclusive]
[checkbox* “nonlactose” exclusive]
[checkbox* “vegan” exclusive]
[checkbox* “vegetarian” exclusive]
[checkbox* “otherfoodallergies” exclusive]
[textarea* “orthers” placeholder]
ada request for accommodation
[checkbox* “audio” exclusive][checkbox* “visual” exclusive][checkbox* “mobile” exclusive]
[submit “send”]
this are my code but it dont work can somebody tell me what is wrong
