hackpoint/plugin/example/page.quick.example.php

<form id="example-form" data-id="" data-action="contact_save" class="quickform-example-form">
	<div class="form-group">
		<label for="label"  class="form-control-label font-weight-bold">Libellé : </label>
		<input required type="text" value="<?php echo $myUser->login ?>" placeholder="Raison sociale ou nom" class="form-control" id="label" name="label"/>
	</div>
	<div class="form-group">
		<label for="phone"><strong>Téléphone : </strong></label>
		<input type="text" value="" placeholder="N° Téléphone" class="form-control" id="phone" name="phone"/>
	</div>
</form>