<!-- 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.--><!-- [et_pb_line_break_holder] --><div id="crmWebToEntityForm" style="width: 600px; margin: auto;"><form accept-charset="UTF-8" action="https://crm.zoho.com/crm/WebToLeadForm" method="POST" name="WebToLeads2241259000005871102"><!-- Do not remove this code. --><!-- [et_pb_line_break_holder] --><input style="display: none;" name="xnQsjsdp" type="text" value="2f05ec880cec4bec71639d0435dadd44c6f0ebb06fe7cbffc0ad88f1ce3fb4c4" /><!-- [et_pb_line_break_holder] --><input id="zc_gad" name="zc_gad" type="hidden" value="" /><!-- [et_pb_line_break_holder] --><input style="display: none;" name="xmIwtLD" type="text" value="dbb155e4ccce67ea17a442c049626cf5db5a2fbbec1ee18b827e53eb6672ce68" /><!-- [et_pb_line_break_holder] --><input style="display: none;" name="actionType" type="text" value="TGVhZHM=" /><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><input style="display: none;" name="returnURL" type="text" value="https://zplug.in/*" /><!-- [et_pb_line_break_holder] --><!-- Do not remove this code. --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><style><!-- [et_pb_line_break_holder] --> tr , td {<br /><!-- [et_pb_line_break_holder] --> padding:6px;<br /><!-- [et_pb_line_break_holder] --> border-spacing:0px;<br /><!-- [et_pb_line_break_holder] --> border-width:0px;<br /><!-- [et_pb_line_break_holder] --> }<br /><!-- [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] --><tbody><!-- [et_pb_line_break_holder] --><tr><!-- [et_pb_line_break_holder] --><td style="text-align: left; color: black; font-family: Arial; font-size: 14px;" colspan="2"><strong>zPlugin Contato</strong></td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --><tr style="display: none;"><!-- [et_pb_line_break_holder] --><td style="nowrap: nowrap; text-align: left; font-size: 12px; font-family: Arial; width: 50%;">Marcas</td><!-- [et_pb_line_break_holder] --><td style="width: 250px;"><select style="width: 250px;" multiple="multiple" name="LEADCF45"><!-- [et_pb_line_break_holder] --><option value="Stor7">Stor7</option><!-- [et_pb_line_break_holder] --><option value="CRM7">CRM7</option><!-- [et_pb_line_break_holder] --><option value="SocialBrand">SocialBrand</option><!-- [et_pb_line_break_holder] --><option value="Likepipe">Likepipe</option><!-- [et_pb_line_break_holder] --><option value="fixomobi">fixomobi</option><!-- [et_pb_line_break_holder] --><option value="MindSummit">MindSummit</option><!-- [et_pb_line_break_holder] --><option selected="selected" value="zPlugin">zPlugin</option><!-- [et_pb_line_break_holder] --><option value="TheBrand">TheBrand</option><!-- [et_pb_line_break_holder] --></select></td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --><tr style="display: none;"><!-- [et_pb_line_break_holder] --><td style="nowrap: nowrap; text-align: left; font-size: 12px; font-family: Arial; width: 50%;">Fonte de Lead.</td><!-- [et_pb_line_break_holder] --><td style="width: 250px;"><select style="width: 250px;" name="Lead Source"><!-- [et_pb_line_break_holder] --><option value="-None-">-None-</option><!-- [et_pb_line_break_holder] --><option value="Prospecção">Prospecção</option><!-- [et_pb_line_break_holder] --><option value="Chat">Chat</option><!-- [et_pb_line_break_holder] --><option value="Importação">Importação</option><!-- [et_pb_line_break_holder] --><option value="Telefone">Telefone</option><!-- [et_pb_line_break_holder] --><option value="Google">Google</option><!-- [et_pb_line_break_holder] --><option selected="selected" value="Formulário Site">Formulário Site</option><!-- [et_pb_line_break_holder] --><option value="Cadastro no Zoho via Site">Cadastro no Zoho via Site</option><!-- [et_pb_line_break_holder] --><option value="Facebook">Facebook</option><!-- [et_pb_line_break_holder] --><option value="Twitter">Twitter</option><!-- [et_pb_line_break_holder] --><option value="Google +">Google +</option><!-- [et_pb_line_break_holder] --><option value="Eventos">Eventos</option><!-- [et_pb_line_break_holder] --><option value="Indicação">Indicação</option><!-- [et_pb_line_break_holder] --><option value="Palestra">Palestra</option><!-- [et_pb_line_break_holder] --><option value="WebSite Visit">WebSite Visit</option><!-- [et_pb_line_break_holder] --><option value="Site Zoho">Site Zoho</option><!-- [et_pb_line_break_holder] --><option value="Google+">Google+</option><!-- [et_pb_line_break_holder] --><option value="Contato por e-mail">Contato por e-mail</option><!-- [et_pb_line_break_holder] --><option value="Formulário Suporte Free">Formulário Suporte Free</option><!-- [et_pb_line_break_holder] --></select></td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --><tr style="display: none;"><!-- [et_pb_line_break_holder] --><td style="nowrap: nowrap; text-align: left; font-size: 12px; font-family: Arial; width: 50%;">Situação de Lead.</td><!-- [et_pb_line_break_holder] --><td style="width: 250px;"><select style="width: 250px;" name="Lead Status"><!-- [et_pb_line_break_holder] --><option value="-None-">-None-</option><!-- [et_pb_line_break_holder] --><option selected="selected" value="Prospecção">Prospecção</option><!-- [et_pb_line_break_holder] --><option value="Apresentação enviada">Apresentação enviada</option><!-- [et_pb_line_break_holder] --><option value="Aguardar retorno">Aguardar retorno</option><!-- [et_pb_line_break_holder] --><option value="Reunião Realizada">Reunião Realizada</option><!-- [et_pb_line_break_holder] --><option value="Standby">Standby</option><!-- [et_pb_line_break_holder] --><option value="Perdido para concorrência">Perdido para concorrência</option><!-- [et_pb_line_break_holder] --><option value="Lead desqualificado">Lead desqualificado</option><!-- [et_pb_line_break_holder] --><option value="Tentativa de Contato">Tentativa de Contato</option><!-- [et_pb_line_break_holder] --><option value="Contatar no Futuro">Contatar no Futuro</option><!-- [et_pb_line_break_holder] --><option value="None">None</option><!-- [et_pb_line_break_holder] --><option value="Cliente potencial lixo">Cliente potencial lixo</option><!-- [et_pb_line_break_holder] --><option value="Não qualificado">Não qualificado</option><!-- [et_pb_line_break_holder] --></select></td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --><tr style="display: none;"><!-- [et_pb_line_break_holder] --><td style="nowrap: nowrap; text-align: left; font-size: 12px; font-family: Arial; width: 50%;">Serviço de Interesse</td><!-- [et_pb_line_break_holder] --><td style="width: 250px;"><select style="width: 250px;" multiple="multiple" name="LEADCF10"><!-- [et_pb_line_break_holder] --><option value="CRM7 Sales & Marketing">CRM7 Sales & Marketing</option><!-- [et_pb_line_break_holder] --><option value="Desconhecido">Desconhecido</option><!-- [et_pb_line_break_holder] --><option value="Desenvolvimento de E-Commerce">Desenvolvimento de E-Commerce</option><!-- [et_pb_line_break_holder] --><option value="Desenvolvimento de Site">Desenvolvimento de Site</option><!-- [et_pb_line_break_holder] --><option value="Gestão de Redes Sociais e Conteúdo">Gestão de Redes Sociais e Conteúdo</option><!-- [et_pb_line_break_holder] --><option value="Gestão Google Adwords">Gestão Google Adwords</option><!-- [et_pb_line_break_holder] --><option value="Hospedagem">Hospedagem</option><!-- [et_pb_line_break_holder] --><option value="Implantação Google for Work">Implantação Google for Work</option><!-- [et_pb_line_break_holder] --><option value="Implementação Marketing Digital">Implementação Marketing Digital</option><!-- [et_pb_line_break_holder] --><option value="Implementação Zoho">Implementação Zoho</option><!-- [et_pb_line_break_holder] --><option value="Licenças Zoho">Licenças Zoho</option><!-- [et_pb_line_break_holder] --><option value="Likepipe">Likepipe</option><!-- [et_pb_line_break_holder] --><option value="Site">Site</option><!-- [et_pb_line_break_holder] --><option value="Suporte">Suporte</option><!-- [et_pb_line_break_holder] --><option value="Zoho">Zoho</option><!-- [et_pb_line_break_holder] --><option selected="selected" value="zPlugin">zPlugin</option><!-- [et_pb_line_break_holder] --><option value="Outros">Outros</option><!-- [et_pb_line_break_holder] --></select></td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --><tr><!-- [et_pb_line_break_holder] --><td style="nowrap: nowrap; text-align: left; font-size: 12px; font-family: Arial; width: 200px;">Primeiro Nome<span style="color: red;">*</span></td><!-- [et_pb_line_break_holder] --><td style="width: 250px;"><input style="width: 250px;" maxlength="40" name="First Name" type="text" /></td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --><tr><!-- [et_pb_line_break_holder] --><td style="nowrap: nowrap; text-align: left; font-size: 12px; font-family: Arial; width: 200px;">Sobrenome<span style="color: red;">*</span></td><!-- [et_pb_line_break_holder] --><td style="width: 250px;"><input style="width: 250px;" maxlength="80" name="Last Name" type="text" /></td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --><tr><!-- [et_pb_line_break_holder] --><td style="nowrap: nowrap; text-align: left; font-size: 12px; font-family: Arial; width: 200px;">Empresa</td><!-- [et_pb_line_break_holder] --><td style="width: 250px;"><input style="width: 250px;" maxlength="100" name="Company" type="text" /></td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --><tr><!-- [et_pb_line_break_holder] --><td style="nowrap: nowrap; text-align: left; font-size: 12px; font-family: Arial; width: 200px;">Telefone<span style="color: red;">*</span></td><!-- [et_pb_line_break_holder] --><td style="width: 250px;"><input style="width: 250px;" maxlength="30" name="Phone" type="text" /></td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --><tr><!-- [et_pb_line_break_holder] --><td style="nowrap: nowrap; text-align: left; font-size: 12px; font-family: Arial; width: 200px;">E-mail<span style="color: red;">*</span></td><!-- [et_pb_line_break_holder] --><td style="width: 250px;"><input style="width: 250px;" maxlength="100" name="Email" type="text" /></td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --><tr><!-- [et_pb_line_break_holder] --><td style="nowrap: nowrap; text-align: left; font-size: 12px; font-family: Arial; width: 200px;">Mensagem<span style="color: red;">*</span></td><!-- [et_pb_line_break_holder] --><td><textarea style="width: 250px;" maxlength="32000" name="Description"> </textarea></td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --><tr><!-- [et_pb_line_break_holder] --><td style="text-align: center; padding-top: 15px; font-size: 12px;" colspan="2"><input style="font-size: 12px; color: black;" type="submit" value="Enviar" /><!-- [et_pb_line_break_holder] --><input style="font-size: 12px; color: black;" type="reset" value="Limpar" /></td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --></tbody><!-- [et_pb_line_break_holder] --></table><!-- [et_pb_line_break_holder] --><script><!-- [et_pb_line_break_holder] --> var mndFileds=new Array('Description','Last Name','First Name','Email','Phone');<!-- [et_pb_line_break_holder] --> var fldLangVal=new Array('Mensagem','Sobrenome','Primeiro Nome','E-mail','Telefone');<!-- [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['WebToLeads2241259000005871102'][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('Selecione um arquivo para fazer o 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] +' não pode ficar em branco.'); <!-- [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] +' não pode ficar em branco.'); <!-- [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] --> }<!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --></script><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --></form></div><!-- [et_pb_line_break_holder] -->