[fu-upload-form class=”validate” title=”Submit Your Horror Story Video” form_layout=”media” category=”manage_frontend_uploader” success_page=”https://whitehouse.org/2017/03/horror-story-received”]
[input type=”text” name=”firstname_lastname” id=”title” class=”required” description=”Name:”]
[input type=”text” name=”post_title” id=”ug_email” class=”required” description=”Email:”]
[input type=”file” name=”horror_video” class=”required” description=”My Obamacare Horror Story Video:”] [.mov, .mp4, .mpg – 200MB max]

[checkboxes values=”” class=”required”] I accept the WHITEHOUSE.ORG Material Release

[input type=”submit” class=”btn” value=”Submit”]
[Upload speed may vary. Please be patient.]
[/fu-upload-form]