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Written by Bill Hunt
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Monday, 12 October 2009 16:09 |
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<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html xmlns="http://www.w3.org/1999/xhtml"> <head> <meta http-equiv="Content-Type" content="text/html; charset=UTF-8" /> <title>Contact Form</title> </head>
<body> <div id='zohoWebToLead' align=center><META HTTP-EQUIV ='content-type' CONTENT='text/html;charset = UTF-8'> <form action='http://crm.zoho.com/crm/WebToLeadForm' method='POST' onSubmit='javascript:document.charset="UTF-8";' accept-charset='UTF-8'><table border=0 cellspacing=0 cellpadding=5 width=480 style='border-top:2px solid #999999;border-bottom:1px solid #999999;background-color:#ffffff;'> <input type='hidden' name='xnQsjsdp' value=Iylfw98Hqk4$/> <input type='hidden' name='xmIwtLD' value=O3s1hSuojXSuEKVs8aqWZPlHQBx3hY8-/> <input type='hidden' name='actionType' value=TGVhZHM=/> <input type='hidden' name='returnURL' value='http://www.oc4.com' /> <br><tr><td colspan='2' align='left' style='background-color:#f5f5f5;border-bottom:2px dotted #dadada; color:#000000;font-family:sans-serif;font-size:14px;'><strong>Web Form</strong></td></tr><tr><td nowrap style='font-family:sans-serif;font-size:12px;font-weight:bold' align='right' width='25%'>Company :</td><td width='75%'><input type='text' maxlength='100' name='Company' /> </td></tr><tr><td nowrap style='font-family:sans-serif;font-size:12px;font-weight:bold' align='right' width='25%'>First Name :</td><td width='75%'><input type='text' maxlength='40' name='First Name' /> </td></tr><tr><td nowrap style='font-family:sans-serif;font-size:12px;font-weight:bold' align='right' width='25%'>Last Name :</td><td width='75%'><input type='text' maxlength='80' name='Last Name' /> </td></tr><tr><td nowrap style='font-family:sans-serif;font-size:12px;font-weight:bold' align='right' width='25%'>Email :</td><td width='75%'><input type='text' maxlength='100' name='Email' /> </td></tr><tr><td nowrap style='font-family:sans-serif;font-size:12px;font-weight:bold' align='right' width='25%'>Phone :</td><td width='75%'><input type='text' maxlength='30' name='Phone' /> </td></tr><tr><td nowrap style='font-family:sans-serif;font-size:12px;font-weight:bold' align='right' width='25%'>Website :</td><td width='75%'><input type='text' maxlength='120' name='Website' /> </td></tr><tr><td nowrap style='font-family:sans-serif;font-size:12px;font-weight:bold' align='right' width='25%'>Comments :</td><td width='75%'> <textarea name='LEADCF1' maxlength='1000' width='250' height='250'></textarea> </td></tr><tr><td nowrap style='font-family:sans-serif;font-size:12px;font-weight:bold' align='right' width='25%'>Interest :</td><td width='75%' ><select name='LEADCF2' multiple/> <option value='Managed Service'>Managed Service</option> <option value='Cloud Consulting'>Cloud Consulting</option> <option value='Application Development'>Application Development</option> <option value='Managed eMail'>Managed eMail</option> <option value='eMail Migration'>eMail Migration</option> <option value='Trouble Ticket System'>Trouble Ticket System</option> <option value='Voice of Consumer'>Voice of Consumer</option> </select></td></tr><tr><td colspan=2 align=center style='background-color:#eaeaea'> <input type='submit' name='save' value=Save /> <input type='reset' name='reset' value=Reset /> </td></tr></table> </form></div> </body> </html>
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