Elementor #1015

<!– 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’ style=’width:900px;margin:auto;’>
<META HTTP-EQUIV =’content-type’ CONTENT=’text/html;charset=UTF-8′>
<form action=’https://crm.zoho.eu/crm/WebToLeadForm’ name=WebToLeads270765000000405009 method=’POST’ onSubmit=’javascript:document.charset=”UTF-8″; return checkMandatory270765000000405009()’ accept-charset=’UTF-8′>
<input type=’text’ style=’display:none;’ name=’xnQsjsdp’ value=’77e4dbeb35dba3a86634d0e972bd8dd6a792475dec398a9ec1b97b15c2dd8b7c’></input>
<input type=’hidden’ name=’zc_gad’ id=’zc_gad’ value=”></input>
<input type=’text’ style=’display:none;’ name=’xmIwtLD’ value=’21c4b5790fdc785b75c7ddcf4f1a43d4e4e960e30711bbe8d5126aacf0df6e4d’></input>
<input type=’text’ style=’display:none;’ name=’actionType’ value=’TGVhZHM=’></input>
<input type=’text’ style=’display:none;’ name=’returnURL’ value=’https://womawomacoffee.co.uk’ > </input><br></br>
<!– Do not remove this code. –>
<input type=’text’ style=’display:none;’ id=’ldeskuid’ name=’ldeskuid’></input>
<input type=’text’ style=’display:none;’ id=’LDTuvid’ name=’LDTuvid’></input>
<!– Do not remove this code. –>
<style>
#crmWebToEntityForm tr , #crmWebToEntityForm td {
padding:6px;
border-spacing:0px;
border-width:0px;
}
</style>
<table style=’width:900px;background-color:#ffffff;background-color:white;color:&#x23;000000′><tr><td colspan=’2′ align=’left’ style=’color:#000000;font-family:Arial;font-size:18px;word-break: break-word;’><strong>Contact Us</strong></td></tr> <br></br><tr><td style=’word-break: break-word;text-align:right;font-size:16px;font-family:Arial;width:30%;’>Title</td><td style=’width:40%;’ ><input type=’text’ style=’width:100%;box-sizing:border-box;’ maxlength=’100′ name=’Designation’ /></td><td style=’width:30%;’></td></tr><tr><td style=’word-break: break-word;text-align:right;font-size:16px;font-family:Arial;width:30%;’>Company Name<span style=’color:red;’>*</span></td><td style=’width:40%;’ ><input type=’text’ style=’width:100%;box-sizing:border-box;’ maxlength=’100′ name=’Company’ /></td><td style=’width:30%;’></td></tr><tr><td style=’word-break: break-word;text-align:right;font-size:16px;font-family:Arial;width:30%;’>No of Employees</td><td style=’width:40%;’ ><input type=’text’ style=’width:100%;box-sizing:border-box;’ maxlength=’9′ name=’No of Employees’ /></td><td style=’width:30%;’></td></tr><tr><td style=’word-break: break-word;text-align:right;font-size:16px;font-family:Arial;width:30%;’>First Name<span style=’color:red;’>*</span></td><td style=’width:40%;’ ><input type=’text’ style=’width:100%;box-sizing:border-box;’ maxlength=’40’ name=’First Name’ /></td><td style=’width:30%;’></td></tr><tr><td style=’word-break: break-word;text-align:right;font-size:16px;font-family:Arial;width:30%;’>Last Name<span style=’color:red;’>*</span></td><td style=’width:40%;’ ><input type=’text’ style=’width:100%;box-sizing:border-box;’ maxlength=’80’ name=’Last Name’ /></td><td style=’width:30%;’></td></tr><tr><td style=’word-break: break-word;text-align:right;font-size:16px;font-family:Arial;width:30%;’>Email<span style=’color:red;’>*</span></td><td style=’width:40%;’ ><input type=’text’ style=’width:100%;box-sizing:border-box;’ maxlength=’100′ name=’Email’ /></td><td style=’width:30%;’></td></tr><tr><td style=’word-break: break-word;text-align:right;font-size:16px;font-family:Arial;width:30%;’>Email Opt Out </td><td style=’width:40%;’ ><input type=’checkbox’ name=’Email Opt Out’ /></td><td style=’width:30%;’></td></tr><tr><td style=’word-break: break-word;text-align:right;font-size:16px;font-family:Arial;width:30%;’>Phone<span style=’color:red;’>*</span></td><td style=’width:40%;’ ><input type=’text’ style=’width:100%;box-sizing:border-box;’ maxlength=’30’ name=’Phone’ /></td><td style=’width:30%;’></td></tr><tr><td style=’word-break: break-word;text-align:right;font-size:16px;font-family:Arial;width:30%;’>How Can we help you<span style=’color:red;’>*</span> </td><td style=’width:40%;’> <textarea name=’Description’ maxlength=’32000′ style=’width:100%;’>&nbsp;</textarea></td><td style=’width:30%;’></td></tr>

<tr><td colspan=’2′ style=’text-align:center; padding-top:15px;font-size:16px;’>
<input style=’margin-right: 5px;cursor: pointer;font-size:16px;color:#000000′ id=’formsubmit’ type=’submit’ value=’Submit’ ></input> <input type=’reset’ name=’reset’ style=’cursor: pointer;font-size:16px;color:#000000′ value=’Reset’ ></input> </td></tr></table>
<script>
var mndFileds=new Array(‘Company’,’First Name’,’Last Name’,’Email’,’Phone’,’Description’);
var fldLangVal=new Array(‘Company Name’,’First Name’,’Last Name’,’Email’,’Phone’,’How Can we help you’);
var name=”;
var email=”;

function checkMandatory270765000000405009() {
for(i=0;i<mndFileds.length;i++) {
var fieldObj=document.forms[‘WebToLeads270765000000405009’][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) {}
}
}
trackVisitor();
document.getElementById(‘formsubmit’).disabled=true;
}
</script><script type=’text/javascript’ id=’VisitorTracking’>var $zoho= $zoho || {};$zoho.salesiq = $zoho.salesiq || {widgetcode:’ef5e876403cf57d064a3b29b96b7d332ae867013774491d781923b9c2916a4fb04deb86047e4fdedf202172afe1471b4′, values:{},ready:function(){}};var d=document;s=d.createElement(‘script’);s.type=’text/javascript’;s.id=’zsiqscript’;s.defer=true;s.src=’https://salesiq.zoho.eu/widget’;t=d.getElementsByTagName(‘script’)[0];t.parentNode.insertBefore(s,t);function trackVisitor(){try{if($zoho){var LDTuvidObj = document.forms[‘WebToLeads270765000000405009’][‘LDTuvid’];if(LDTuvidObj){LDTuvidObj.value = $zoho.salesiq.visitor.uniqueid();}var firstnameObj = document.forms[‘WebToLeads270765000000405009’][‘First Name’];if(firstnameObj){name = firstnameObj.value +’ ‘+name;}$zoho.salesiq.visitor.name(name);var emailObj = document.forms[‘WebToLeads270765000000405009’][‘Email’];if(emailObj){email = emailObj.value;$zoho.salesiq.visitor.email(email);}}} catch(e){}}</script>
<input type=’hidden’ name=’eo’ value=’c4408f450319003e0c12e54df63a8632’/> <input type=’hidden’ name=’te’ value=’true’/><img id=’tr_img_21c4b5790fdc785b75c7ddcf4f1a43d4e4e960e30711bbe8d5126aacf0df6e4d’ src=’https://crm.zohopublic.eu/crm/WebFormAnalyticsServlet?rid=21c4b5790fdc785b75c7ddcf4f1a43d4e4e960e30711bbe8d5126aacf0df6e4dgid77e4dbeb35dba3a86634d0e972bd8dd6a792475dec398a9ec1b97b15c2dd8b7cgid7a7d7e1dfa94aae15e0c6a222eb6deabgidd5d4836131045889aacd8ee89fe126degidc4408f450319003e0c12e54df63a8632′ style=’display: none;’ /> <script> if(typeof wfTRKey==’undefined’){wfTRKey = {};}wfTRKey[‘url_21c4b5790fdc785b75c7ddcf4f1a43d4e4e960e30711bbe8d5126aacf0df6e4d’]=’https://crm.zohopublic.eu/crm/WebFormAnalyticsServlet?rid=21c4b5790fdc785b75c7ddcf4f1a43d4e4e960e30711bbe8d5126aacf0df6e4dgid77e4dbeb35dba3a86634d0e972bd8dd6a792475dec398a9ec1b97b15c2dd8b7cgid8971390206e3d92717a1f4ef83ddc81fgidd5d4836131045889aacd8ee89fe126degidc4408f450319003e0c12e54df63a8632′;wfTRKey[‘rs_21c4b5790fdc785b75c7ddcf4f1a43d4e4e960e30711bbe8d5126aacf0df6e4d’]=false; function sf(ev){var te = ev.target ? ev.target : ev.srcElement; var nd = te.nodeName ? te.nodeName.toLowerCase() : ”; var fm; if (te.form) { fm = te.form.elements.xmIwtLD.value; } if (fm && !wfTRKey[‘rs_’ + fm] && ((nd == ‘input’ && te.type != ‘file’) || (nd == ‘input’ && te.type == ‘file’ && ev.type == ‘click’) || nd == ‘select’ || nd == ‘textarea’ || nd == ‘div’)) { document.getElementById(‘tr_img_’+fm).setAttribute(‘src’, wfTRKey[‘url_’+fm]); wfTRKey[‘rs_’+fm] = true }} if(document.addEventListener){document.addEventListener(‘click’, sf);document.addEventListener(‘change’, sf);}else{document.attachEvent(‘onclick’, sf);document.attachEvent(‘onchange’, sf);}</script></form>
</div>