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<!– Note :
   – You can modify the font style and form style to suit your website.
   – Code lines with comments Do not 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′>
<form id=’webform709726000000319866′ action=’https://crm.zoho.in/crm/WebToLeadForm’ name=WebToLeads709726000000319866 method=’POST’ onSubmit=’javascript:document.charset=”UTF-8″; return checkMandatory709726000000319866()’ accept-charset=’UTF-8′>
 <input type=’text’ style=’display:none;’ name=’xnQsjsdp’ value=’fe0edec59139f9fa1b5db13582e26be43cd6f8c69d18349953c653be765e744f’></input>
 <input type=’hidden’ name=’zc_gad’ id=’zc_gad’ value=”></input>
 <input type=’text’ style=’display:none;’ name=’xmIwtLD’ value=’45595dcd29a362bb0c1b05d05a22dd9a416c64b40620142a3163e470287964d1e38c2e3a2c1b59836fb50030fbd3957b’></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;
}
#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: 60%;
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: 68%;
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: 12px;
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: 12px;
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: var(–baseColor);
font-size: 12px;
}
.zcwf_lblLeft .zcwf_privacy_txt {
width: 90%;
color: rgb(0, 0, 0);
font-size: 12px;
font-family: Arial;
display: inline-block;
vertical-align: top;
color: var(–baseColor);
padding-top: 2px;
margin-left: 6px;
}
.zcwf_lblLeft .zcwf_button {
font-size: 12px;
color: var(–baseColor);
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: var(–baseColor);
z-index: 100;
}
.zcwf_lblLeft .zcwf_ckbox{
float: left;
}
.zcwf_lblLeft .zcwf_file{
width: 55%;
box-sizing: border-box;
float: left;
}
.clearB: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_title’ style=’max-width: 600px;color: black; font-family:Arial;’>Ad Landing Page</div><div class=’zcwf_row’><div class=’zcwf_col_lab’ style=’font-size:12px; font-family: Arial;’><label for=’Last_Name’>Name<span style=’color:red;’>*</span></label></div><div class=’zcwf_col_fld’><input type=’text’ id=’Last_Name’ name=’Last Name’ maxlength=’80’></input><div class=’zcwf_col_help’></div></div></div><div class=’zcwf_row’><div class=’zcwf_col_lab’ style=’font-size:12px; font-family: Arial;’><label for=’Mobile’>Mobile<span style=’color:red;’>*</span></label></div><div class=’zcwf_col_fld’><input type=’text’ id=’Mobile’ name=’Mobile’ maxlength=’30’></input><div class=’zcwf_col_help’></div></div></div><div class=’zcwf_row’><div class=’zcwf_col_lab’></div><div class=’zcwf_col_fld’><input type=’submit’ id=’formsubmit’ class=’formsubmit zcwf_button’ value=’Submit’ title=’Submit’><input type=’reset’ class=’zcwf_button’ name=’reset’ value=’Reset’ title=’Reset’></div></div>
<script>
function checkMandatory709726000000319866() {
var mndFileds = new Array(‘Last Name’,’Mobile’);
var fldLangVal = new Array(‘Name’,’Mobile’);
for(i=0;i<mndFileds.length;i++) {
  var fieldObj=document.forms[‘WebToLeads709726000000319866’][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) {}
    }
}
var urlparams = new URLSearchParams( window.location.search);
if(urlparams.has(‘service’) && (urlparams.get(‘service’)===’smarturl’)){
var webform = document.getElementById(‘webform709726000000319866’);
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);
}
function tooltipShow709726000000319866(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>
<!– Do not remove this — Analytics Tracking code starts –><script id=’wf_anal’ src=’https://crm.zohopublic.in/crm/WebFormAnalyticsServeServlet?rid=9296c150fa107b5c559a186fa7e274aa9b33ce010dfbab12d2a88b444b65fcc3e271275eaf2225260038e06f719a5f23gid22260c94ff6e9cc22b8c315cae09b3d862f18abe295088f1bf995a0e963cd268gid022e7360f38ba2b689e43947778443a1c02b64d5bd1e89a5db114992aec89c09gidf22123d04a633d85276dc3d1f14dc7682019fe12b101de4e6f43cdb476f231b9&tw=88ddf31897eb85d11eb6068e036ef65760b28a926936d4eb09c460717ac4b906′></script><!– Do not remove this — Analytics Tracking code ends. –></form>
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