<!-- Note :<!-- [et_pb_line_break_holder] --> - You can modify the font style and form style to suit your website. <!-- [et_pb_line_break_holder] --> - 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. <!-- [et_pb_line_break_holder] --> - The Mandatory check script can modified as to suit your business needs. <!-- [et_pb_line_break_holder] --> - It is important that you test the modified form before going live.--><!-- [et_pb_line_break_holder] --><div id='crmWebToEntityForm' style='width:600px;margin:auto;'><!-- [et_pb_line_break_holder] --> <META HTTP-EQUIV ='content-type' CONTENT='text/html;charset=UTF-8'><!-- [et_pb_line_break_holder] --> <form action='https://crm.zoho.com/crm/WebToLeadForm' name=WebToLeads3338873000000173009 method='POST' onSubmit='javascript:document.charset="UTF-8"; return checkMandatory()' accept-charset='UTF-8'><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <!-- Do not remove this code. --><!-- [et_pb_line_break_holder] --> <input type='text' style='display:none;' name='xnQsjsdp' value='9b4629970472b9171550a70651b5b798f5f15b0a3b63959ea7458c05c1efc85c'/><!-- [et_pb_line_break_holder] --> <input type='hidden' name='zc_gad' id='zc_gad' value=''/><!-- [et_pb_line_break_holder] --> <input type='text' style='display:none;' name='xmIwtLD' value='b9975f1b70b32554dc9b58ad459100dfdd71cfbcdc410ce416feac0ad2aea8e2'/><!-- [et_pb_line_break_holder] --> <input type='text' style='display:none;' name='actionType' value='TGVhZHM='/><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <input type='text' style='display:none;' name='returnURL' value='https://www.absoluteholdingsgroup.com/' /> <!-- [et_pb_line_break_holder] --> <!-- Do not remove this code. --><!-- [et_pb_line_break_holder] --> <input type='text' style='display:none;' id='ldeskuid' name='ldeskuid'></input><!-- [et_pb_line_break_holder] --> <input type='text' style='display:none;' id='LDTuvid' name='LDTuvid'></input><!-- [et_pb_line_break_holder] --> <!-- Do not remove this code. --><!-- [et_pb_line_break_holder] --> <style><!-- [et_pb_line_break_holder] --> tr , td { <!-- [et_pb_line_break_holder] --> padding:6px;<!-- [et_pb_line_break_holder] --> border-spacing:0px;<!-- [et_pb_line_break_holder] --> border-width:0px;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> </style><!-- [et_pb_line_break_holder] --> <table style='width:600px;background-color:white;color:black'><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td colspan='2' style='text-align:left;color:black;font-family:Arial;font-size:14px;'><strong>Curious? Learn More.</strong></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <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><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>Website<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='255' name='Website' /></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <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><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <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><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <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><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>Phone</td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='30' name='Phone' /></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>Service(s) Interested In<span style='color:red;'>*</span> </td><td> <textarea name='Description' maxlength='32000' style='width:250px;'> </textarea></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td colspan='2' style='text-align:center; padding-top:15px;font-size:12px;'><!-- [et_pb_line_break_holder] --> <input style='font-size:12px;color:black' type='submit' value='Submit' /><!-- [et_pb_line_break_holder] --> <input type='reset' style='font-size:12px;color:black' value='Reset' /><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </table><!-- [et_pb_line_break_holder] --> <script><!-- [et_pb_line_break_holder] --> var mndFileds=new Array('Company','First Name','Last Name','Email','Website','Description');<!-- [et_pb_line_break_holder] --> var fldLangVal=new Array('Company','First Name','Last Name','Email','Website','Service(s) Interested In');<!-- [et_pb_line_break_holder] --> var name='';<!-- [et_pb_line_break_holder] --> var email='';<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> function checkMandatory() {<!-- [et_pb_line_break_holder] --> for(i=0;i<mndFileds.length;i++) {<!-- [et_pb_line_break_holder] --> var fieldObj=document.forms['WebToLeads3338873000000173009'][mndFileds[i]];<!-- [et_pb_line_break_holder] --> if(fieldObj) {<!-- [et_pb_line_break_holder] --> if (((fieldObj.value).replace(/^\s+|\s+$/g, '')).length==0) {<!-- [et_pb_line_break_holder] --> if(fieldObj.type =='file')<!-- [et_pb_line_break_holder] --> { <!-- [et_pb_line_break_holder] --> alert('Please select a file to upload.'); <!-- [et_pb_line_break_holder] --> fieldObj.focus(); <!-- [et_pb_line_break_holder] --> return false;<!-- [et_pb_line_break_holder] --> } <!-- [et_pb_line_break_holder] --> alert(fldLangVal[i] +' cannot be empty.'); <!-- [et_pb_line_break_holder] --> fieldObj.focus();<!-- [et_pb_line_break_holder] --> return false;<!-- [et_pb_line_break_holder] --> } else if(fieldObj.nodeName=='SELECT') {<!-- [et_pb_line_break_holder] --> if(fieldObj.options[fieldObj.selectedIndex].value=='-None-') {<!-- [et_pb_line_break_holder] --> alert(fldLangVal[i] +' cannot be none.'); <!-- [et_pb_line_break_holder] --> fieldObj.focus();<!-- [et_pb_line_break_holder] --> return false;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> } else if(fieldObj.type =='checkbox'){<!-- [et_pb_line_break_holder] --> if(fieldObj.checked == false){<!-- [et_pb_line_break_holder] --> alert('Please accept '+fldLangVal[i]);<!-- [et_pb_line_break_holder] --> fieldObj.focus();<!-- [et_pb_line_break_holder] --> return false;<!-- [et_pb_line_break_holder] --> } <!-- [et_pb_line_break_holder] --> } <!-- [et_pb_line_break_holder] --> try {<!-- [et_pb_line_break_holder] --> if(fieldObj.name == 'Last Name') {<!-- [et_pb_line_break_holder] --> name = fieldObj.value;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> } catch (e) {}<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> trackVisitor();<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --></script><script type='text/javascript' id='VisitorTracking'>var $zoho= $zoho || {};$zoho.salesiq = $zoho.salesiq || {widgetcode:'9d26752906880ec0ae77617b80818672e3e88306b6ea3c56554ac5a2b39477b7b235f72157dcc75a0499d1438c74e393', values:{},ready:function(){$zoho.salesiq.floatbutton.visible('hide');}};var d=document;s=d.createElement('script');s.type='text/javascript';s.id='zsiqscript';s.defer=true;s.src='https://salesiq.zoho.com/widget';t=d.getElementsByTagName('script')[0];t.parentNode.insertBefore(s,t);function trackVisitor(){try{if($zoho){var LDTuvidObj = document.forms['WebToLeads3338873000000173009']['LDTuvid'];if(LDTuvidObj){LDTuvidObj.value = $zoho.salesiq.visitor.uniqueid();}var firstnameObj = document.forms['WebToLeads3338873000000173009']['First Name'];if(firstnameObj){name = firstnameObj.value +' '+name;}$zoho.salesiq.visitor.name(name);var emailObj = document.forms['WebToLeads3338873000000173009']['Email'];if(emailObj){email = emailObj.value;$zoho.salesiq.visitor.email(email);}}} catch(e){}}</script><!-- [et_pb_line_break_holder] --> </form><!-- [et_pb_line_break_holder] --></div>