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534ot remove this code are required for the form to work properly, make sure that you do not remove these lines of code. - The Mandatory check script can modified as to suit your business needs. - It is important that you test the modified form before going live.--> <div id = 'crmWebToEntityForm' class = 'zcwf_lblLeft crmWebToEntityForm' style = 'background-color: white;color: black;max-width: 600px;'> <meta name = 'viewport' content = 'width=device-width, initial-scale=1.0'> <META HTTP-EQUIV = 'content-type' CONTENT = 'text/html;charset=UTF-8'>
534<script src = 'https://ajax.googleapis.com/ajax/libs/jquery/3.6.4/jquery.min.js'> </script>
534 <style> .wf_customMessageBox{ font-family: Arial, Helvetica, sans-serif; color: #132C14; background: #F5FAF5; box-shadow: 0 2px 6px 0 rgba(0,0,0,0.25); max-width: 90%; width: max-content; word-break: break-word; z-index: 11000; border-radius: 6px; border: 1px solid #A9D3AB; min-width: 100px; padding: 10px 15px; display: flex; align-items: center; position: fixed; top: 20px; left: 50%; transform: translate(-50%, 0); } .wf_customCircle{ position: relative; background-color: #12AA67; border-radius: 100%; width: 20px; height: 20px; flex: none; margin-right: 7px; } .wf_customCheckMark{ box-sizing: unset !important; position: absolute; transform: rotate(45deg)translate(-50%, -50%); left: 6px; top: 9px; height: 8px; width: 3px; border-bottom: 2px solid #fff; border-right: 2px solid #fff; } .wf_customClose{ box-sizing: border-box; position: relative; width: 18px; height: 18px; } .wf_customClose::after, .wf_customClose::before{ content: ''; display: block; box-sizing: border-box; position: absolute; width: 12px; height: 1.5px; background: #616E88; transform: rotate(45deg); border-radius: 5px; top: 8px; left} .wf_customClose::after{ transform: rotate(-45deg)} </style> <div class = 'wf_customMessageBox' id = 'wf_splash' style = 'display:none'> <div class = 'wf_customCircle'> <div class = 'wf_customCheckMark'> </div> </div> <span id = 'wf_splash_info'> </span> </p> </div> <form id = 'webform4517417000023574290' name = WebToLeads4517417000023574290 accept-charset = 'UTF-8'> <input type = 'text' style = 'display:none;' name = 'xnQsjsdp' value = '471f35a3a835a7ff2eb7281163baba9f956b49bbef915cbfd79b732436f10920'> </input> <input type = 'hidden' name = 'zc_gad' id = 'zc_gad' value = ''> </input> <input type = 'text' style = 'display:none;' name = 'xmIwtLD' value = 'a59ae96a1a9d3ea9fe5f49564b52df38ed8721117a34cc4a5bc9333fd05ba5c37381de45ad1b0a137438683296d40d38'> </input> <input type = 'text' style = 'display:none;' name = 'actionType' value = 'TGVhZHM='> </input> <input type = 'text' style = 'display:none;' name = 'returnURL' value = 'null'> </input> <!-- Do not remove this code. --> <style> html,body{ margin: 0px; } .formsubmit.zcwf_button{ color: white !important; background: transparent linear-gradient(0deg, #0279FF 0%, #00A3F3 100%); } #crmWebToEntityForm.zcwf_lblLeft{ width: 100%; padding: 25px; margin: 0 auto; box-sizing: border-box; } #crmWebToEntityForm.zcwf_lblLeft *{ box-sizing: border-box; } #crmWebToEntityForm {text-align: left; } #crmWebToEntityForm *{ direction: ltr; } .zcwf_lblLeft .zcwf_title{ word-wrap: break-word; padding: 0px 6px 10px; font-weight: bold } .zcwf_lblLeft.cpT_primaryBtn:hover{ background: linear-gradient(#02acff 0,#006be4 100%)no-repeat padding-box !important; box-shadow: 0 -2px 0 0 #0159b9 inset !important; border: 0 !important; color: #fff !important; outline: 0 !important; } .zcwf_lblLeft .zcwf_col_fld input[ type = text], input[ type = password], .zcwf_lblLeft .zcwf_col_fld textarea{ width: 100%; border: 1px solid #c0c6cc !important; resize: vertical; border-radius: 2px; float: left; } .zcwf_lblLeft .zcwf_col_lab{ width: 30%; word-break: break-word; padding: 0px 6px 0px; margin-right: 10px; margin-top: 5px; float: left; min-height: 1px; } .zcwf_lblLeft .zcwf_col_fld{ float: left; width: 100%; padding: 0px 6px 0px; position: relative; margin-top: 5px; } .zcwf_lblLeft .zcwf_privacy {padding: 6px; } .zcwf_lblLeft .wfrm_fld_dpNn {display: none; } .dIB {display: inline-block; } .zcwf_lblLeft .zcwf_col_fld_slt{ width: 60%; border: 1px solid #ccc; background: #fff; border-radius: 4px; font-size: 16px; float: left; resize: vertical; padding: 2px 5px; } .zcwf_lblLeft .zcwf_row:after, .zcwf_lblLeft .zcwf_col_fld:after{ content: ''; display: table; clear: both; } .zcwf_lblLeft .zcwf_col_help{ float: left; margin-left: 7px; font-size: 16px; max-width: 35%; word-break: break-word; } .zcwf_lblLeft .zcwf_help_icon{ cursor: pointer; width: 16px; height: 16px; display: inline-block; background: #fff; border: 1px solid #c0c6cc; color: #c1c1c1; text-align: center; font-size: 11px; line-height: 16px; font-weight: bold; border-radius: 50%; } .zcwf_lblLeft .zcwf_row {margin: 15px 0px; } .zcwf_lblLeft .formsubmit{ margin-right: 5px; cursor: pointer; color: #313949; font-size: 16px; min-width:fit-content; } .zcwf_lblLeft .zcwf_privacy_txt{ width: 90%; color: rgb(0, 0, 0); font-size: 16px; font-family: Calibri; display: inline-block; vertical-align: top; color: #313949; padding-top: 2px; margin-left: 6px; } .zcwf_lblLeft .zcwf_button{ font-size: 16px; color: #313949; border: 1px solid #c0c6cc; padding: 3px 9px; border-radius: 4px; cursor: pointer; max-width: 120px; overflow: hidden; text-overflow: ellipsis; white-space: nowrap; } .zcwf_lblLeft .zcwf_tooltip_over{ position: relative; } .zcwf_lblLeft .zcwf_tooltip_ctn{ position: absolute; background: #dedede; padding: 3px 6px; top: 3px; border-radius: 4px; word-break: break-word; min-width: 100px; max-width: 150px; color: #313949; z-index: 100; } .zcwf_lblLeft .zcwf_ckbox{ float: left; } .zcwf_lblLeft .zcwf_file{ width: 55%; box-sizing: border-box; float: left; } .cBoth:after{ content: ''; display: block; clear: both; } @media all and (max-width: 600px){ .zcwf_lblLeft .zcwf_col_lab, .zcwf_lblLeft .zcwf_col_fld{ width: auto; float: none !important; } .zcwf_lblLeft .zcwf_col_help {width: 40%; } } </style> <div class = 'zcwf_row'> <div class = 'zcwf_col_lab' style = 'font-size:16px; font-family: Calibri;'> <label for = 'First_Name'>First Name <span style = 'color:red;'>*</span> </label> </div> <div class = 'zcwf_col_fld'> <input type = 'text' id = 'First_Name' aria-required = 'true' aria-label = 'First Name' name = 'First Name' aria-valuemax = '40' maxlength = '40'> </input> <div class = 'zcwf_col_help'> </div> </div> </div> <div class = 'zcwf_row'> <div class = 'zcwf_col_lab' style = 'font-size:16px; font-family: Calibri;'> <label for = 'Last_Name'>Last Name <span style = 'color:red;'>*</span> </label> </div> <div class = 'zcwf_col_fld'> <input type = 'text' id = 'Last_Name' aria-required = 'true' aria-label = 'Last Name' name = 'Last Name' aria-valuemax = '80' maxlength = '80'> </input> <div class = 'zcwf_col_help'> </div> </div> </div> <div class = 'zcwf_row'> <div class = 'zcwf_col_lab' style = 'font-size:16px; font-family: Calibri;'> <label for = 'Designation'>Title <span style = 'color:red;'>*</span> </label> </div> <div class = 'zcwf_col_fld'> <input type = 'text' id = 'Designation' aria-required = 'true' aria-label = 'Designation' name = 'Designation' aria-valuemax = '100' maxlength = '100'> </input> <div class = 'zcwf_col_help'> </div> </div> </div> <div class = 'zcwf_row'> <div class = 'zcwf_col_lab' style = 'font-size:16px; font-family: Calibri;'> <label for = 'Company'>Company <span style = 'color:red;'>*</span> </label> </div> <div class = 'zcwf_col_fld'> <input type = 'text' id = 'Company' aria-required = 'true' aria-label = 'Company' name = 'Company' aria-valuemax = '200' maxlength = '200'> </input> <div class = 'zcwf_col_help'> </div> </div> </div> <div class = 'zcwf_row'> <div class = 'zcwf_col_lab' style = 'font-size:16px; font-family: Calibri;'> <label for = 'Email'>Email <span style = 'color:red;'>*</span> </label> </div> <div class = 'zcwf_col_fld'> <input type = 'text' ftype = 'email' autocomplete = 'false' id = 'Email' aria-required = 'true' aria-label = 'Email' name = 'Email' aria-valuemax = '100' crmlabel = '' maxlength = '100'> </input> <div class = 'zcwf_col_help'> </div> </div> </div> <div class = 'zcwf_row'> <div class = 'zcwf_col_lab' style = 'font-size:16px; font-family: Calibri;'> <label for = 'Phone'>Phone</label> </div> <div class = 'zcwf_col_fld'>
534 <input type = 'text' id = 'Phone' aria-required = 'false' aria-label = 'Phone' name = 'Phone' aria-valuemax = '30' maxlength = '30'> </input> <div class = 'zcwf_col_help'> </div> </div> </div> <div class = 'zcwf_row'> <div class = 'zcwf_col_lab' style = 'font-size:16px; font-family: Calibri;'> <label for = 'Description'>Request <span style = 'color:red;'>*</span> </label> </div> <div class = 'zcwf_col_fld'> <textarea style = 'font-family: Arial, sans-serif;' aria-multiline = 'true' id = 'Description' aria-required = 'true' aria-label = 'Description' name = 'Description'> </textarea> <div class = 'zcwf_col_help'> </div> </div> </div> <div class = 'zcwf_row'> <div class = 'zcwf_col_lab' style = 'font-size:16px; font-family: Calibri;'> <label for = 'LEADCF102'>Privacy Policy Consent <span style = 'color:red;'>*</span> </label> </div> <div class = 'zcwf_col_fld'> <input type = 'checkbox' aria-checked = 'false' class = 'zcwf_ckbox' id = 'LEADCF102' aria-required = 'true' aria-label = 'LEADCF102' name = 'LEADCF102' aria-valuemax = '3' maxlength = '3' onclick = 'addAriaChecked4517417000023574290()'> </input> <div class = 'zcwf_col_help'> <a href = 'https://4impactdata.com/policies/privacy-policy/' target = '_blank'>Privacy Policy</a> </div> </div> </div> <div class = 'zcwf_row wfrm_fld_dpNn'> <div class = 'zcwf_col_lab' style = 'font-size:16px; font-family: Calibri;'> <label for = 'Lead_Source'>Lead Source</label> </div> <div class = 'zcwf_col_fld'> <select class = 'zcwf_col_fld_slt' role = 'combobox' aria-expanded = 'false' aria-haspopup = 'listbox' id = 'Lead_Source' onChange = 'addAriaSelected4517417000023574290()' aria-required = 'false' aria-label = 'Lead Source' name = 'Lead Source'> <option value = '-None-'>-None-</option> <option value = 'Advertisement'>Advertisement</option> <option value = 'Advisor Referral'>Advisor Referral</option> <option value = 'CEO-Membership Group'>CEO-Membership Group</option> <option value = 'Conference'>Conference</option> <option selected value = 'Contact Us Webform'>Contact Us Webform</option> <option value = 'Demo Attended'>Demo Attended</option> <option value = 'Employee Referral'>Employee Referral</option> <option value = 'External Referral'>External Referral</option> <option value = 'LinkedIn'>LinkedIn</option> <option value = 'LinkedIn Ad'>LinkedIn Ad</option> <option value = 'Partner'>Partner</option> <option value = 'Podcast'>Podcast</option> <option value = 'RevGro'>RevGro</option> <option value = 'Seminar Partner'>Seminar Partner</option> <option value = 'Twitter'>Twitter</option> <option value = 'Web Download'>Web Download</option> <option value = 'Web Opt In'>Web Opt In</option> <option value = 'Web Research'>Web Research</option> <option value = 'Zoho Webinar'>Zoho Webinar</option> <option value = 'Zoominfo'>Zoominfo</option> </select> <div class = 'zcwf_col_help'> </div> </div> </div> <div class = 'zcwf_row'> 535 <div class = 'zcwf_col_lab'><label for = 'captchaField4517417000023574290'>Enter the Captcha</label></div> 536 <div class = 'zcwf_col_fld'><input type = 'text' maxlength = '10' name = 'enterdigest' id = 'captchaField4517417000023574290' aria-required = 'true'/> 537 <div id = 'captchaErr4517417000023574290' style = 'font-size:14px; color:red; padding-left:1px; visibility:hidden; position:absolute; padding-top:25px'></div> 538 </div> 539</div> 540<div class = 'zcwf_row'> 541 <div class = 'zcwf_col_lab'></div> 542 <div class = 'zcwf_col_fld'><img id = 'imgid4517417000023574290' alt = 'Captcha image' src = 'https://crm.zoho.com/crm/CaptchaServlet?formId=a59ae96a1a9d3ea9fe5f49564b52df38ed8721117a34cc4a5bc9333fd05ba5c37381de45ad1b0a137438683296d40d38&grpid=471f35a3a835a7ff2eb7281163baba9f956b49bbef915cbfd79b732436f10920'> <a href = 'javascript:;' onclick = 'reloadImg4517417000023574290()'>Reload</a></div> 543</div> 544 <input type = 'text' type = 'hidden' style = 'display: none;' name = 'aG9uZXlwb3Q' value = ''/> <div class = 'zcwf_row'> <div class = 'zcwf_col_lab'> </div> <div class = 'zcwf_col_fld'> <input type = 'submit' id = 'formsubmit' role = 'button' class = 'formsubmit zcwf_button' value = 'Submit' aria-label = 'Submit' title = 'Submit'> <input type = 'reset' class = 'zcwf_button' role = 'button' name = 'reset' value = 'Re
544set' aria-label = 'Reset' title = 'Reset'> </div> </div>
544<script> function addAriaChecked4517417000023574290(){ var checkboxElem = event.target; if( checkboxElem != undefined && checkboxElem.checked ){ checkboxElem.ariaChecked = 'true'; } else if( checkboxElem != undefined && !checkboxElem.checked ){ checkboxElem.ariaChecked = 'false'; } } function addAriaSelected4517417000023574290(){ var optionElem = event.target; var previousSelectedOption = optionElem.querySelector('[aria-selected=true]'); if( previousSelectedOption ){ previousSelectedOption.removeAttribute('aria-selected'); } optionElem.querySelectorAll('option')[ optionElem.selectedIndex ].ariaSelected = 'true'; } /* Do not remove this code. */ function rccallback4517417000023574290(){ if( document.getElementById( 'recap4517417000023574290' ) != undefined ){ document.getElementById('recap4517417000023574290').setAttribute('captcha-verified', true); } if( document.getElementById( 'recapErr4517417000023574290' ) != undefined && document.getElementById( 'recapErr4517417000023574290' ).style.visibility == 'visible' ){ document.getElementById('recapErr4517417000023574290').style.visibility = 'hidden'; } } function reCaptchaAlert4517417000023574290(){ var recap = document.getElementById('recap4517417000023574290'); if( recap != undefined && recap.getAttribute( 'captcha-verified' ) == 'false' ){ document.getElementById('recapErr4517417000023574290').style.visibility = 'visible'; return false; } return true; } function validateEmail4517417000023574290(){ var form = document.forms[ 'WebToLeads4517417000023574290' ]; var emailFld = form.querySelectorAll('[ftype=email]'); var i; for( i = 0; i < emailFld.length; i++ ){ var emailVal = emailFld[ i ].value; if((emailVal.replace( /^\s+|\s+$/g,'' )).length != 0 ){ var atpos = emailVal.indexOf('@'); var dotpos = emailVal.lastIndexOf('.'); if( atpos < 1 || dotpos < atpos + 2 || dotpos + 2 >= emailVal.length ){ alert('Please enter a valid email address. '); emailFld[ i ].focus(); return false; } } } return true; } function checkMandatory4517417000023574290(){ var mndFileds = new Array('Company', 'First Name', 'Last Name', 'Designation', 'Email', 'Description', 'LEADCF102'); var fldLangVal = new Array('Company', 'First\x20Name', 'Last\x20Name', 'Title', 'Email', 'Request', 'Privacy\x20Policy\x20Consent'); for( i = 0; i < mndFileds.length; i++ ){ var fieldObj = document.forms[ 'WebToLeads4517417000023574290' ][ mndFileds[ i ]]; if( fieldObj ){ if(((fieldObj.value ).replace( /^\s+|\s+$/g,'' )).length == 0 ){ if( fieldObj.type == 'file' ){ alert('Please select a file to upload.'); fieldObj.focus(); return false; } alert(fldLangVal[ i ] + ' cannot be empty.'); fieldObj.focus(); return false; } else if( fieldObj.nodeName == 'SELECT' ){ if( fieldObj.options[fieldObj.selectedIndex].value == '-None-' ){ alert(fldLangVal[ i ] + ' cannot be none.'); fieldObj.focus(); return false; } } else if( fieldObj.type == 'checkbox' ){ if( fieldObj.checked == false ){ alert('Please accept ' + fldLangVal[ i ]); fieldObj.focus(); return false; } } try{ if( fieldObj.name == 'Last Name' ){ name = fieldObj.value; } } catch(e){} } } if( !validateEmail4517417000023574290()){ return false; } if( !reCaptchaAlert4517417000023574290()){ return false; } var urlparams = new URLSearchParams(window.location.search); if( urlparams.has( 'service' ) && ( urlparams.get( 'service' ) === 'smarturl' )){ var webform = document.getElementById('webform4517417000023574290'); var service = urlparams.get('service'); var smarturlfield = document.createElement('input'); smarturlfield.setAttribute('type', 'hidden'); smarturlfield.setAttribute('value', service); smarturlfield.setAttribute('name', 'service'); webform.appendChild(smarturlfield); } document.querySelector('.crmWebToEntityForm .formsubmit').setAttribute('disabled', true); return true; } $( document).ready(function(){ $( '#webform4517417000023574290').submit(function(e){ var ismandatory = checkMandatory4517417000023574290(); e.preventDefault(); if( ismandatory ){ if( typeof _wfa_track != 'undefined' && _wfa_track.wfa_submit ){ _wfa_track.wfa_submit(e); } var formData = new FormData(this ); $.ajax({ url:'https://crm.zoho.com/crm/WebToLeadForm', type:'POST', data:formData, cache: false, contentType: false, processData: false, success: function(data){ var splashinfodom = document.getElementById('wf_splash_info'); splashinfodom.innerText = data.actionvalue; var splashdom = document.getElementById('wf_splash'); document.getElementById('webform4517417000023574290').reset.click(); splashdom.style.display = ''; setTimeout(function(){ splashdom.style.display = 'none'; }, 5000); document.querySelector('.crmWebToEntityForm .formsubmit').removeAttribute('disabled'); }, error: function(data){ alert('an error occurred'); } }); } }); }); function tooltipShow4517417000023574290(el){ var tooltip = el.nextElementSibling; var tooltipDisplay = tooltip.style.display; if( tooltipDisplay == 'none' ){ var allTooltip = document.getElementsByClassName('zcwf_tooltip_over'); for( i = 0; i < allTooltip.length; i++ ){ allTooltip[ i ].style.display = 'none'; } tooltip.style.display = 'block'; } else{ tooltip.style.display = 'none'; } } </script>
544 <!-- Do not remove this --- Analytics Tracking code starts -->
544<script type="text/plain" data-4id-consent id = 'wf_anal' src = 'https://crm.zohopublic.com/crm/WebFormAnalyticsServeServlet?rid=ed7748ec9c146bd806f3849ec23837dfb6d5a3790993ab8a9d507157b297c5845983c833ec2761e97bd112e426f1089egid13cd289fea8ff8f9d0443aa56c55632945a1e79b1aebb6eadfceeb964fa68cdbgid705677494daf5e73bee769965cf54b7e739c03a857e1b4b39cb374398a8df3cagid219f637eaf0ae0607435b5a1967c70e25319276781662126911a034478525ea9&tw=74fe8a2d0805ae104cc718ab84438978b92325035bc0f230487110a9a778c8d2'> </script>
544 <!-- Do not remove this --- Analytics Tracking code ends. --> </form> </div>
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930
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991 992 993</body> 994</html>
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