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Jan 22nd, 2020
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  1. <!-- Note :
  2. - You can modify the font style and form style to suit your website.
  3. - 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.
  4. - The Mandatory check script can modified as to suit your business needs.
  5. - It is important that you test the modified form before going live.-->
  6. <div id='crmWebToEntityForm' style='width:600px;margin:auto;'>
  7. <META HTTP-EQUIV ='content-type' CONTENT='text/html;charset=UTF-8'>
  8. <form action='https://crm.zoho.com/crm/WebToLeadForm' name=WebToLeads2651468000018212260 method='POST' onSubmit='javascript:document.charset="UTF-8"; return checkMandatory2651468000018212260()' accept-charset='UTF-8'>
  9. <input type='text' style='display:none;' name='xnQsjsdp' value='80c63c5d58e0809f1fe14525f8361bfc04ac47b38cb5c7cc76ede2a551058d60'></input>
  10. <input type='hidden' name='zc_gad' id='zc_gad' value=''></input>
  11. <input type='text' style='display:none;' name='xmIwtLD' value='865c4e56fa648b5efcd3fe61adb2aafdcd7ffa6de55eaded1aa9eb800acb105f'></input>
  12. <input type='text' style='display:none;' name='actionType' value='TGVhZHM='></input>
  13. <input type='text' style='display:none;' name='returnURL' value='https://www.surusin.com/contacto' > </input><br></br>
  14. <!-- Do not remove this code. -->
  15. <style>
  16. #crmWebToEntityForm tr , #crmWebToEntityForm td {
  17. padding:6px;
  18. border-spacing:0px;
  19. border-width:0px;
  20. }
  21. </style>
  22. <table style='width:600px;background-color:#ffffff;background-color:white;color:black'><tr><td colspan='2' align='left' style='color:black;font-family:Arial;font-size:14px;word-break: break-word;'><strong>Quiero vender de forma puntual</strong></td></tr> <br></br><tr><td style='word-break: break-word;text-align:left;font-size:12px;font-family:Arial;width:30%;'>Apellidos<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:left;font-size:12px;font-family:Arial;width:30%;'>Empresa<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:left;font-size:12px;font-family:Arial;width:30%;'>Teléfono<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:left;font-size:12px;font-family:Arial;width:30%;'>Correo electrónico<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:left;font-size:12px;font-family:Arial;width:30%;'>Mas detalles </td><td style='width:40%;'> <textarea name='Description' maxlength='32000' style='width:100%;'>&nbsp;</textarea></td><td style='width:30%;'></td></tr><tr style='display:none;' ><td style='word-break: break-word;text-align:left;font-size:12px;font-family:Arial;width:30%'>Fuente de Posible cliente</td><td style='width:40%;'>
  23. <select style='width:100%;box-sizing:border-box;' name='Lead Source'>
  24. <option value='-None-'>-None-</option>
  25. <option value='Acci&oacute;n&#x20;Comercial'>Acci&oacute;n Comercial</option>
  26. <option value='Acci&oacute;n&#x20;Marketing'>Acci&oacute;n Marketing</option>
  27. <option value='Competencia'>Competencia</option>
  28. <option value='Einforma'>Einforma</option>
  29. <option value='Escrapalia'>Escrapalia</option>
  30. <option value='Feria&#x20;Maintenance&#x20;2019'>Feria Maintenance 2019</option>
  31. <option value='Facebook'>Facebook</option>
  32. <option value='Formulario&#x20;Escrapalia'>Formulario Escrapalia</option>
  33. <option selected value='Formulario&#x20;Surus'>Formulario Surus</option>
  34. <option value='Google&#x20;AdWords'>Google AdWords</option>
  35. <option value='GreenData&#x20;Surus'>GreenData Surus</option>
  36. <option value='Google&#x2b;'>Google&#x2b;</option>
  37. <option value='Info&#x20;Concursal'>Info Concursal</option>
  38. <option value='Kompass'>Kompass</option>
  39. <option value='Lead&#x20;Forensics'>Lead Forensics</option>
  40. <option value='Linkedin'>Linkedin</option>
  41. <option value='Partner'>Partner</option>
  42. <option value='Presencia&#x20;en&#x20;Foros&#x2f;presentaciones&#x2f;ferias'>Presencia en Foros&#x2f;presentaciones&#x2f;ferias</option>
  43. <option value='Publicidad'>Publicidad</option>
  44. <option value='Referencia&#x20;externa'>Referencia externa</option>
  45. <option value='Referencia&#x20;interna'>Referencia interna</option>
  46. <option value='Surus&#x20;Web'>Surus Web</option>
  47. <option value='Twitter'>Twitter</option>
  48. </select></td><td style='width:30%;'></td></tr><tr style='display:none;' ><td style='word-break: break-word;text-align:left;font-size:12px;font-family:Arial;width:30%'>Tipo de cliente</td><td style='width:40%;'>
  49. <select style='width:100%;box-sizing:border-box;' name='LEADCF1'>
  50. <option value='-None-'>-None-</option>
  51. <option value='01Admin&#x20;P&uacute;blica'>01Admin P&uacute;blica</option>
  52. <option value='02Gran&#x20;Cuenta'>02Gran Cuenta</option>
  53. <option value='03Admin&#x20;Concursal'>03Admin Concursal</option>
  54. <option value='04Pyme'>04Pyme</option>
  55. <option value='07Cliente&#x20;Mediano'>07Cliente Mediano</option>
  56. <option value='08Internacional'>08Internacional</option>
  57. <option value='09&#x20;Autogesti&oacute;n'>09Autogesti&oacute;n</option>
  58. </select></td><td style='width:30%;'></td></tr><tr style='display:none;' ><td style='word-break: break-word;text-align:left;font-size:12px;font-family:Arial;width:30%'>Estado de Posible cliente</td><td style='width:40%;'>
  59. <select style='width:100%;box-sizing:border-box;' name='Lead Status'>
  60. <option value='-None-'>-None-</option>
  61. <option selected value='No&#x20;Contactado'>No Contactado</option>
  62. <option value='Contactado'>Contactado</option>
  63. <option value='Llamado'>Llamado</option>
  64. <option value='Solicitud&#x20;Reuni&oacute;n'>Solicitud Reuni&oacute;n</option>
  65. <option value='Reunido'>Reunido</option>
  66. <option value='Contactar&#x20;en&#x20;el&#x20;futuro'>Contactar en el futuro</option>
  67. <option value='Ganado'>Ganado</option>
  68. <option value='Perdido'>Perdido</option>
  69. <option value='Posible&#x20;cliente&#x20;no&#x20;solicitado'>Posible cliente no solicitado</option>
  70. <option value='Desestimado'>Desestimado</option>
  71. <option value='No&#x20;habilitado'>No habilitado</option>
  72. </select></td><td style='width:30%;'></td></tr>
  73.  
  74. <tr><td colspan='2' style='text-align:center; padding-top:15px;font-size:12px;'>
  75. <input style='margin-right: 5px;cursor: pointer;font-size:12px;color:black' id='formsubmit' type='submit' value='Enviar' ></input> <input type='reset' name='reset' style='cursor: pointer;font-size:12px;color:black' value='Restablecer' ></input> </td></tr></table>
  76. <script>
  77. var mndFileds=new Array('Company','Phone','Email','Last Name');
  78. var fldLangVal=new Array('Empresa','Teléfono','Correo electrónico','Apellidos');
  79. var name='';
  80. var email='';
  81.  
  82. function checkMandatory2651468000018212260() {
  83. for(i=0;i<mndFileds.length;i++) {
  84. var fieldObj=document.forms['WebToLeads2651468000018212260'][mndFileds[i]];
  85. if(fieldObj) {
  86. if (((fieldObj.value).replace(/^\s+|\s+$/g, '')).length==0) {
  87. if(fieldObj.type =='file')
  88. {
  89. alert('Seleccione un archivo para cargar.');
  90. fieldObj.focus();
  91. return false;
  92. }
  93. alert(fldLangVal[i] +' no puede estar vacío.');
  94. fieldObj.focus();
  95. return false;
  96. } else if(fieldObj.nodeName=='SELECT') {
  97. if(fieldObj.options[fieldObj.selectedIndex].value=='-None-') {
  98. alert(fldLangVal[i] +' no puede ser nulo.');
  99. fieldObj.focus();
  100. return false;
  101. }
  102. } else if(fieldObj.type =='checkbox'){
  103. if(fieldObj.checked == false){
  104. alert('Please accept '+fldLangVal[i]);
  105. fieldObj.focus();
  106. return false;
  107. }
  108. }
  109. try {
  110. if(fieldObj.name == 'Last Name') {
  111. name = fieldObj.value;
  112. }
  113. } catch (e) {}
  114. }
  115. }
  116. document.getElementById('formsubmit').disabled=true;
  117. }
  118. </script>
  119. </form>
  120. </div>
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