captcha_snippet

<!-- 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.
   - Do not remove captcha and other form elements that are necessary for the form to work.  -->
<div id='crmWebToEntityForm' style='width:600px;margin:auto;'>
   <META HTTP-EQUIV ='content-type' CONTENT='text/html;charset=UTF-8'>
   <form action='https://crm.zoho.eu/crm/WebToLeadForm' name=WebToLeads87715000003842019 method='POST' onSubmit='javascript:document.charset="UTF-8"; return checkMandatory87715000003842019()' accept-charset='UTF-8'>

<!-- Do not remove this code. -->
<input type='text' style='display:none;' name='xnQsjsdp' value='60ac0ac0397c07c52d9395ae5b98b5979f36f00bcea2503db63edf207dab027e'/>
<input type='hidden' name='zc_gad' id='zc_gad' value=''/>
<input type='text' style='display:none;' name='xmIwtLD' value='279c70e500813ab734d77ea616ff494145d8e36a647e8a7e584f4d6718659caf'/>
<input type='text' style='display:none;'  name='actionType' value='TGVhZHM='/>

<input type='text' style='display:none;' name='returnURL' value='https&#x3a;&#x2f;&#x2f;acj.rolbac.org&#x2f;thanks-for-message' />
<!-- Do not remove this code. -->
<style>
tr , td {
padding:6px;
border-spacing:0px;
border-width:0px;
}
</style>
<table style='width:600px;background-color:white;color:black'>

<tr><td colspan='2' style='text-align:left;color:black;font-family:Arial;font-size:14px;'><strong>ACJ Contact Form</strong></td></tr>

<tr><td  style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>First Name</td><td style='width:250px;' ><input type='text' style='width:250px;'  maxlength='40' name='First Name' /></td></tr>

<tr><td  style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>Last Name<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;'  maxlength='80' name='Last Name' /></td></tr>

<tr><td  style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>Email<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;'  maxlength='100' name='Email' /></td></tr>

<tr><td  style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>Message </td><td> <textarea name='Description' maxlength='32000' style='width:250px;'>&nbsp;</textarea></td></tr>

<tr style='display:none;' ><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:50%'>Lead Source</td><td style='width:250px;'>
<select style='width:250px;' name='Lead Source'>
<option value='-None-'>-None-</option>
<option value='Advertisement'>Advertisement</option>
<option value='Inbound&#x20;Enquiry'>Inbound Enquiry</option>
<option value='Cold&#x20;Call'>Cold Call</option>
<option value='Employee&#x20;Referral'>Employee Referral</option>
<option value='External&#x20;Referral'>External Referral</option>
<option value='Partner'>Partner</option>
<option value='Public&#x20;Relations'>Public Relations</option>
<option value='Trade&#x20;Show'>Trade Show</option>
<option value='Web&#x20;Form'>Web Form</option>
<option value='Search&#x20;Engine'>Search Engine</option>
<option value='Facebook'>Facebook</option>
<option value='Twitter'>Twitter</option>
<option value='Online&#x20;Store'>Online Store</option>
<option value='Seminar&#x20;Partner'>Seminar Partner</option>
<option value='Web&#x20;Download'>Web Download</option>
<option value='LB&#x20;Database'>LB Database</option>
<option selected value='ACJ&#x20;Webform'>ACJ Webform</option>
</select></td></tr>

<tr><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>Enter the Captcha</td>
   <td><input type='text' style='width:250px;' maxlength='80' name='enterdigest' /></td>
</tr>

<tr><td></td>
<!-- Do not remove this code. -->
   <td><img id='imgid' src='https://crm.zoho.eu/crm/CaptchaServlet?formId=279c70e500813ab734d77ea616ff494145d8e36a647e8a7e584f4d6718659caf&grpid=60ac0ac0397c07c52d9395ae5b98b5979f36f00bcea2503db63edf207dab027e'>
   <a href='javascript:;' onclick='reloadImg()'>Reload</a></td>
</tr>

<tr><td colspan='2' style='text-align:center; padding-top:15px;font-size:12px;'>
<input style='font-size:12px;color:black'  type='submit' value='Submit' />
<input  type='reset' style='font-size:12px;color:black' value='Reset' />
   </td>
</tr>
   </table>
<script>
   var mndFileds=new Array('Last Name','Email');
   var fldLangVal=new Array('Last Name','Email');
var name='';
var email='';

  /* Do not remove this code. */
   function reloadImg() {
if(document.getElementById('imgid').src.indexOf('&d') !== -1 ) {

 document.getElementById('imgid').src=document.getElementById('imgid').src.substring(0,document.getElementById('imgid').src.indexOf('&d'))+'&d'+new Date().getTime();
}  else {

 document.getElementById('imgid').src = document.getElementById('imgid').src+'&d'+new Date().getTime();
}
  }

   function checkMandatory87715000003842019() {
for(i=0;i<mndFileds.length;i++) {
 var fieldObj=document.forms['WebToLeads87715000003842019'][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) {}
   }
}
    }

</script>
</form>
  <!-- Do not remove this code. -->
     <iframe name='captchaFrame' style='display:none;'></iframe>
</div>