Zoho Poggesi

<!-- 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:600px;margin:auto;'>
   <META HTTP-EQUIV ='content-type' CONTENT='text/html;charset=UTF-8'>
   <form action='https://crm.zoho.com/crm/WebToLeadForm' name=WebToLeads2413896000001031029 method='POST' onSubmit='javascript:document.charset="UTF-8"; return checkMandatory()' accept-charset='UTF-8'>

     <!-- Do not remove this code. -->
    <input type='text' style='display:none;' name='xnQsjsdp' value='e09e4faf2e284aa2468c13f176aa523b308f127b4720e54993895804ef8794ef'/>
    <input type='hidden' name='zc_gad' id='zc_gad' value=''/>
    <input type='text' style='display:none;' name='xmIwtLD' value='e69c7d18b17f52e726b11e2fa5a21563a0cdb4f79e16ba9313e88f239455c3ac'/>
    <input type='text' style='display:none;'  name='actionType' value='TGVhZHM='/>

    <input type='text' style='display:none;' name='returnURL' value='https&#x3a;&#x2f;&#x2f;www.poggesiusa.com&#x2f;photo-gallery&#x2f;' />
     <!-- 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>Quote Design Form</strong></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='Cold&#x20;Call'>Cold Call</option>
            <option value='Cold&#x20;Call&#x20;from&#x20;Web'>Cold Call from Web</option>
            <option value='Inbound&#x20;Call'>Inbound Call</option>
            <option value='Past&#x20;Customer'>Past Customer</option>
            <option value='Referral'>Referral</option>
            <option value='Online&#x20;Store'>Online Store</option>
            <option value='Holiday'>Holiday</option>
            <option value='QB&#x20;Cristna'>QB Cristna</option>
            <option value='Social&#x20;Media'>Social Media</option>
        <option selected value='Poggesi&#x20;Web&#x20;Site'>Poggesi Web Site</option>
            <option value='Unosider'>Unosider</option>
        </select></td></tr>

    <tr style='display:none;' ><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:50%'>Lead Source Name</td><td style='width:250px;' ><input type='text' style='width:250px;'  maxlength='255' name='LEADCF3' value='Custom&#x20;Design&#x20;Quote&#x20;Form'></input></td></tr>

    <tr><td  style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>First Name<span style='color:red;'>*</span></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;'>Company<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;'  maxlength='100' name='Company' /></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;'>Phone<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;'  maxlength='30' name='Phone' /></td></tr>

    <tr><td colspan='2' style='text-align:center; padding-top:15px;'>
        <input style='font-size:12px;color:#131307' type='submit' value='Submit' />
        <input type='reset' style='font-size:12px;color:#131307' value='Reset' />
        </td>
    </tr>
   </table>
    <script>
      var mndFileds=new Array('Company','First Name','Last Name','Email','Phone');
      var fldLangVal=new Array('Company','First Name','Last Name','Email','Phone');
        var name='';
        var email='';

      function checkMandatory() {
        for(i=0;i<mndFileds.length;i++) {
          var fieldObj=document.forms['WebToLeads2413896000001031029'][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>
</div>