Advertisement
Not a member of Pastebin yet?
Sign Up,
it unlocks many cool features!
- <!-- ---------------------------------------------------------------------- -->
- <!-- NOTE: Please add the following <META> element to your page <HEAD>. -->
- <!-- If necessary, please modify the charset parameter to specify the -->
- <!-- character set of your HTML page. -->
- <!-- ---------------------------------------------------------------------- -->
- <META HTTP-EQUIV="Content-type" CONTENT="text/html; charset=UTF-8">
- <!-- ---------------------------------------------------------------------- -->
- <!-- NOTE: Please add the following <FORM> element to your page. -->
- <!-- ---------------------------------------------------------------------- -->
- <form action="" method="POST">
- <input type=hidden name="oid" value="">
- <input type=hidden name="retURL" value="http://">
- <!-- ---------------------------------------------------------------------- -->
- <!-- NOTE: These fields are optional debugging elements. Please uncomment -->
- <!-- these lines if you wish to test in debug mode. -->
- <!-- <input type="hidden" name="debug" value=1> -->
- <!-- <input type="hidden" name="debugEmail" value=""> -->
- <!-- ---------------------------------------------------------------------- -->
- <label for="first_name">First Name</label><input id="first_name" maxlength="40" name="first_name" size="20" type="text" /><br>
- <label for="last_name">Last Name</label><input id="last_name" maxlength="80" name="last_name" size="20" type="text" /><br>
- <label for="title">Title</label><input id="title" maxlength="40" name="title" size="20" type="text" /><br>
- <label for="company">Company</label><input id="company" maxlength="40" name="company" size="20" type="text" /><br>
- <label for="lead_source">Lead Source</label><select id="lead_source" name="lead_source"><option value="">--None--</option><option value=""></option>
- <option value=""></option>
- <option value=""></option>
- <option value=""></option>
- <option value=""></option>
- <option value=""></option>
- <option value=""></option>
- <option value=""></option>
- <option value=""></option>
- <option value=""></option>
- <option value=""></option>
- <option value=""></option>
- <option value=""></option>
- <option value=""></option>
- <option value=""></option>
- <option value=""></option>
- <option value=""></option>
- <option value=""></option>
- <option value=""></option>
- </select><br>
- <label for="phone">Phone</label><input id="phone" maxlength="40" name="phone" size="20" type="text" /><br>
- <label for="email">Email</label><input id="email" maxlength="80" name="email" size="20" type="text" /><br>
- <label for="country">Country</label><input id="country" maxlength="40" name="country" size="20" type="text" /><br>
- <label for="description">Description</label><textarea name="description"></textarea><br>
- <input type="submit" name="submit">
- </form>
Advertisement
Add Comment
Please, Sign In to add comment
Advertisement