<!– 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’ class=’zcwf_lblLeft crmWebToEntityForm’ style=’background-color: white;color: black;max-width: 600px;’>

<meta name=’viewport’ content=’width=device-width, initial-scale=1.0′>

<META HTTP-EQUIV =’content-type’ CONTENT=’text/html;charset=UTF-8′>

<form action=’https://crm.zoho.com/crm/WebToContactForm’ name=WebToContacts2899152000007703036 method=’POST’ onSubmit=’javascript:document.charset=”UTF-8″; return checkMandatory2899152000007703036()’ accept-charset=’UTF-8′>

<input type=’text’ style=’display:none;’ name=’xnQsjsdp’ value=’ce00cd232417c5921aa12cd9082920c1f1e484b416670261527dbde71af77249′></input>

<input type=’hidden’ name=’zc_gad’ id=’zc_gad’ value=”></input>

<input type=’text’ style=’display:none;’ name=’xmIwtLD’ value=’ffc682d5707ab84979dc16f5ffe77c690f557e69b68350350a69e74cb91de3fd’></input>

<input type=’text’ style=’display:none;’ name=’actionType’ value=’Q29udGFjdHM=’></input>

<input type=’text’ style=’display:none;’ name=’returnURL’ value=’https://www.harmonhayofi.com/zohocrm/’ > </input>

<!– Do not remove this code. –>

<style>

html,body{

margin: 0px;

}

#crmWebToEntityForm.zcwf_lblLeft {

width:100%;

padding: 25px;

margin: 0 auto;

box-sizing: border-box;

}

#crmWebToEntityForm.zcwf_lblLeft * {

box-sizing: border-box;

}

#crmWebToEntityForm{text-align: left;}

#crmWebToEntityForm * {

direction: ltr;

}

.zcwf_lblLeft .zcwf_title {

word-wrap: break-word;

padding: 0px 6px 10px;

font-weight: bold;

}

.zcwf_lblLeft .zcwf_col_fld input[type=text], .zcwf_lblLeft .zcwf_col_fld textarea {

width: 60%;

border: 1px solid #ccc;

resize: vertical;

border-radius: 2px;

float: left;

}

.zcwf_lblLeft .zcwf_col_lab {

width: 30%;

word-break: break-word;

padding: 0px 6px 0px;

margin-right: 10px;

margin-top: 5px;

float: left;

min-height: 1px;

}

.zcwf_lblLeft .zcwf_col_fld {

float: left;

width: 68%;

padding: 0px 6px 0px;

position: relative;

margin-top: 5px;

}

.zcwf_lblLeft .zcwf_privacy{padding: 6px;}

.zcwf_lblLeft .wfrm_fld_dpNn{display: none;}

.dIB{display: inline-block;}

.zcwf_lblLeft .zcwf_col_fld_slt {

width: 60%;

border: 1px solid #ccc;

background: #fff;

border-radius: 4px;

font-size: 12px;

float: left;

resize: vertical;

}

.zcwf_lblLeft .zcwf_row:after, .zcwf_lblLeft .zcwf_col_fld:after {

content: ”;

display: table;

clear: both;

}

.zcwf_lblLeft .zcwf_col_help {

float: left;

margin-left: 7px;

font-size: 12px;

max-width: 35%;

word-break: break-word;

}

.zcwf_lblLeft .zcwf_help_icon {

cursor: pointer;

width: 16px;

height: 16px;

display: inline-block;

background: #fff;

border: 1px solid #ccc;

color: #ccc;

text-align: center;

font-size: 11px;

line-height: 16px;

font-weight: bold;

border-radius: 50%;

}

.zcwf_lblLeft .zcwf_row {margin: 15px 0px;}

.zcwf_lblLeft .formsubmit {

margin-right: 5px;

cursor: pointer;

color: #333;

font-size: 12px;

}

.zcwf_lblLeft .zcwf_privacy_txt {

color: rgb(0, 0, 0);

font-size: 12px;

font-family: Arial;

display: inline-block;

vertical-align: top;

color: #333;

padding-top: 2px;

margin-left: 6px;

}

.zcwf_lblLeft .zcwf_button {

font-size: 12px;

color: #333;

border: 1px solid #ccc;

padding: 3px 9px;

border-radius: 4px;

cursor: pointer;

max-width: 120px;

overflow: hidden;

text-overflow: ellipsis;

white-space: nowrap;

}

.zcwf_lblLeft .zcwf_tooltip_over{

position: relative;

}

.zcwf_lblLeft .zcwf_tooltip_ctn{

position: absolute;

background: #dedede;

padding: 3px 6px;

top: 3px;

border-radius: 4px;word-break: break-all;

min-width: 50px;

max-width: 150px;

color: #333;

}

.zcwf_lblLeft .zcwf_ckbox{

float: left;

}

.zcwf_lblLeft .zcwf_file{

width: 55%;

box-sizing: border-box;

float: left;

}

.clearB:after{

content:”;

display: block;

clear: both;

}

@media all and (max-width: 600px) {

.zcwf_lblLeft .zcwf_col_lab, .zcwf_lblLeft .zcwf_col_fld {

width: auto;

float: none !important;

}

.zcwf_lblLeft .zcwf_col_help {width: 40%;}

}

</style>

<div class=’zcwf_title’ style=’max-width: 600px;color: black;’>Client info</div>

<div class=’zcwf_row’><div class=’zcwf_col_lab’ style=’font-size:12px; font-family: Arial;’><label for=’First_Name’>First Name<span style=’color:red;’>*</span></label></div><div class=’zcwf_col_fld’><input type=’text’ id=’First_Name’ name=’First Name’ maxlength=’40’></input><div class=’zcwf_col_help’></div></div></div>

<div class=’zcwf_row’><div class=’zcwf_col_lab’ style=’font-size:12px; font-family: Arial;’><label for=’Last_Name’>Last Name<span style=’color:red;’>*</span></label></div><div class=’zcwf_col_fld’><input type=’text’ id=’Last_Name’ name=’Last Name’ maxlength=’80’></input><div class=’zcwf_col_help’></div></div></div>

<div class=’zcwf_row’><div class=’zcwf_col_lab’ style=’font-size:12px; font-family: Arial;’><label for=’Mobile’>Mobile<span style=’color:red;’>*</span></label></div><div class=’zcwf_col_fld’><input type=’text’ id=’Mobile’ name=’Mobile’ maxlength=’30’></input><div class=’zcwf_col_help’></div></div></div>

<div class=’zcwf_row’><div class=’zcwf_col_lab’ style=’font-size:12px; font-family: Arial;’><label for=’Lead_Source’>Lead Source<span style=’color:red;’>*</span></label></div><div class=’zcwf_col_fld’><select class=’zcwf_col_fld_slt’ id=’Lead_Source’ name=’Lead Source’ >

<option value=’-None-‘>-None-</option>

<option value=’&#x5e4;&#x5d9;&#x5d9;&#x5e1;&#x5d1;&#x5d5;&#x5e7;’>&#x5e4;&#x5d9;&#x5d9;&#x5e1;&#x5d1;&#x5d5;&#x5e7;</option>

<option value=’&#x5d0;&#x5d9;&#x5e0;&#x5e1;&#x5d8;&#x5d2;&#x5e8;&#x5dd;’>&#x5d0;&#x5d9;&#x5e0;&#x5e1;&#x5d8;&#x5d2;&#x5e8;&#x5dd;</option>

<option value=’&#x5e2;&#x5d9;&#x5ea;&#x5d5;&#x5e0;&#x5d5;&#x5ea;’>&#x5e2;&#x5d9;&#x5ea;&#x5d5;&#x5e0;&#x5d5;&#x5ea;</option>

<option value=’&#x5d7;&#x5e0;&#x5d5;&#x5ea;&#x20;&#x5de;&#x5e7;&#x5d5;&#x5d5;&#x5e0;&#x5ea;’>&#x5d7;&#x5e0;&#x5d5;&#x5ea; &#x5de;&#x5e7;&#x5d5;&#x5d5;&#x5e0;&#x5ea;</option>

<option value=’&#x5d7;&#x5d1;&#x5e8;&#x20;&#x5de;&#x5d1;&#x5d9;&#x5d0;&#x20;&#x5d7;&#x5d1;&#x5e8;’>&#x5d7;&#x5d1;&#x5e8; &#x5de;&#x5d1;&#x5d9;&#x5d0; &#x5d7;&#x5d1;&#x5e8;</option>

</select><div class=’zcwf_col_help’></div></div></div><div class=’zcwf_row’><div class=’zcwf_col_lab’></div><div class=’zcwf_col_fld’><input type=’submit’ id=’formsubmit’ class=’formsubmit zcwf_button’ value=’Submit’ title=’Submit’><input type=’reset’ class=’zcwf_button’ name=’reset’ value=’Reset’ title=’Reset’></div></div>

<script>

function checkMandatory2899152000007703036() {

var mndFileds = new Array(‘Lead Source’,’First Name’,’Last Name’,’Mobile’);

var fldLangVal = new Array(‘Lead Source’,’First Name’,’Last Name’,’Mobile’);

for(i=0;i<mndFileds.length;i++) {

var fieldObj=document.forms[‘WebToContacts2899152000007703036’][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) {}

}

}document.querySelector(‘.crmWebToEntityForm .formsubmit’).setAttribute(‘disabled’, true);

}

function tooltipShow2899152000007703036(el){

var tooltip = el.nextElementSibling;

var tooltipDisplay = tooltip.style.display;

if(tooltipDisplay == ‘none’){

var allTooltip = document.getElementsByClassName(‘zcwf_tooltip_over’);

for(i=0; i<allTooltip.length; i++){

allTooltip[i].style.display=’none’;

}

tooltip.style.display = ‘block’;

}else{

tooltip.style.display=’none’;

}

}

</script>

<!– Do not remove this — Analytics Tracking code starts –><script id=’wf_anal’ src=’https://crm.zohopublic.com/crm/WebFormAnalyticsServeServlet?rid=ffc682d5707ab84979dc16f5ffe77c690f557e69b68350350a69e74cb91de3fdgidce00cd232417c5921aa12cd9082920c1f1e484b416670261527dbde71af77249gid5cf99212d7958dbcd176c761c6ce0a4d7e43e277bdc5d8b9c12010015418942cgid14f4ec16431e0686150daa43f3210513′></script><!– Do not remove this — Analytics Tracking code ends. –></form>

</div>