diff --git a/layouts/shortcodes/contact.html b/layouts/shortcodes/contact.html
new file mode 100644
index 0000000..522afc3
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+++ b/layouts/shortcodes/contact.html
@@ -0,0 +1,32 @@
+<form class="m-10" method="POST" action="">
+  <h2 class=" text-xl text-mms-nightblue my-4 text-center">Prendre contact avec la MMS</h2>
+  <div class="grid grid-cols-1 sm:grid-cols-2 mt-4">
+    <div class="flex flex-row align-middle">
+      <label for="first_name" class="text-sm p-1">Prénom :</label>
+      <input type="text" name="first_name" class="flex-1 border-mms-nightblue border-2 rounded-lg mx-2 text-sm px-2 text-mms-darkgray" />
+    </div>
+    <div class="flex flex-row align-middle mt-4 sm:mt-0">
+      <label for="last_name" class="text-sm p-1">Nom :</label>
+      <input type="text" name="last_name" class="flex-1 border-mms-nightblue border-2 rounded-lg mx-2 text-sm px-2 text-mms-darkgray" />
+    </div>
+  </div>
+  <div class="grid grid-cols-1 sm:grid-cols-2 mt-4">
+    <div class="flex flex-row align-middle">
+      <label for="first_name" class="text-sm p-1">Email :</label>
+      <input type="email" name="email" class="flex-1 border-mms-nightblue border-2 rounded-lg mx-2 text-sm px-2 text-mms-darkgray" />
+    </div>
+    <div class="flex flex-row align-middle mt-4 sm:mt-0">
+      <label for="phone_number" class="text-sm p-1">Téléphone :</label>
+      <input type="tel" name="phone_number" class="flex-1 border-mms-nightblue border-2 rounded-lg mx-2 text-sm px-2 text-mms-darkgray" />
+    </div>
+  </div>
+  <div class="flex flex-row align-middle mt-4">
+    <label for="phone_number" class="text-sm p-1">Message :</label>
+    <textarea name="message" class="flex-1 border-mms-nightblue border-2 rounded-lg mx-2 text-sm px-2 text-mms-darkgray w-full min-h-50"></textarea>
+  </div>
+  <div class="mt-8 text-center">
+    <button type="submit" class="relative inline-flex items-center gap-x-1.5 rounded-lg bg-mms-nightblue px-2 py-1 text-sm font-semibold text-white shadow-xs hover:bg-mms-darkgray focus-visible:outline-2 focus-visible:outline-offset-2 focus-visible:outline-mms-nightblue">
+       Envoyer
+    </button>
+  </div>
+</form>