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amusarra/WebFormToLead.htm

Created March 20, 2013 15:43
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SugarCRM Web form to lead.
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WebFormToLead.htm
<html lang='en_us'><body><script type="text/javascript" src="http://sugarcrmpgsql-shiruslabs.rhcloud.com/cache/include/javascript/sugar_grp1.js?v=QMfyElAturj9vuK-tY9lzw"></script>
<script type="text/javascript" src="http://sugarcrmpgsql-shiruslabs.rhcloud.com/cache/include/javascript/calendar.js?v=QMfyElAturj9vuK-tY9lzw"></script>
<form id="WebToLeadForm" action="http://sugarcrmpgsql-shiruslabs.rhcloud.com/index.php?entryPoint=WebToLeadCapture" method="POST" name="WebToLeadForm">
<table style="border-top-width: 1px; border-top-style: solid; border-bottom-width: 1px; border-bottom-style: solid; padding: 10px 6px 12px 10px; background-color: #e9f3ff; font-size: 12px; width: 100%; background-position: 50% 0%; background-repeat: repeat no-repeat;">
<tbody>
<tr style="color: #0069e1; font-family: Arial,Verdana,Helvetica,sans-serif; font-size: 18px; font-weight: bold; margin-bottom: 0px; margin-top: 0px;" align="center">
<td colspan="4">
<h2>Web to lead form for Campaign</h2>
</td>
</tr>
<tr style="color: #0069e1; font-family: Arial,Verdana,Helvetica,sans-serif; font-size: 2px; font-weight: normal; margin-bottom: 0px; margin-top: 0px;" align="center">
<td colspan="4">&nbsp;</td>
</tr>
<tr style="color: #0069e1; font-family: Arial,Verdana,Helvetica,sans-serif; font-size: 12px; font-weight: normal; margin-bottom: 0px; margin-top: 0px;" align="left">
<td colspan="4">Submitting this form will create a lead and link with campaign</td>
</tr>
<tr style="color: #0069e1; font-family: Arial,Verdana,Helvetica,sans-serif; font-size: 8px; font-weight: normal; margin-bottom: 0px; margin-top: 0px;" align="center">
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td style="text-align: left; font-size: 12px; font-weight: normal;" width="15%"><span>Salutation: </span></td>
<td style="font-size: 12px; font-weight: normal;" width="35%"><span><select id="salutation" name="salutation" tabindex="1"> <option selected="selected" value="">-none-</option> <option value="Mr.">Mr.</option> <option value="Ms.">Ms.</option> <option value="Mrs.">Mrs.</option> <option value="Dr.">Dr.</option> <option value="Prof.">Prof.</option></select></span></td>
<td style="text-align: left; font-size: 12px; font-weight: normal;" width="15%"><span>Last Name: <span class="required" style="color: #ff0000;">*</span></span></td>
<td style="font-size: 12px; font-weight: normal;" width="35%"><span><input id="last_name" type="text" name="last_name" /></span></td>
</tr>
<tr>
<td style="text-align: left; font-size: 12px; font-weight: normal;" width="15%"><span>Title: </span></td>
<td style="font-size: 12px; font-weight: normal;" width="35%"><span><input id="title" type="text" name="title" /></span></td>
<td style="text-align: left; font-size: 12px; font-weight: normal;" width="15%"><span>First Name: </span></td>
<td style="font-size: 12px; font-weight: normal;" width="35%"><span><input id="first_name" type="text" name="first_name" /></span></td>
</tr>
<tr>
<td style="text-align: left; font-size: 12px; font-weight: normal;" width="15%"><span>Email Address: </span></td>
<td style="font-size: 12px; font-weight: normal;" width="35%"><span><input id="email1" type="text" name="email1" onchange="validateEmailAdd();" /></span></td>
<td style="text-align: left; font-size: 12px; font-weight: normal;" width="15%"><span>Office Phone: </span></td>
<td style="font-size: 12px; font-weight: normal;" width="35%"><span><input id="phone_work" type="text" name="phone_work" /></span></td>
</tr>
<tr>
<td style="text-align: left; font-size: 12px; font-weight: normal;" width="15%"><span>Description: </span></td>
<td style="font-size: 12px; font-weight: normal;" width="35%"><span id="sugarslot"><textarea id="description" type="text" name="description" /> </textarea></span></td>
<td style="text-align: left; font-size: 12px; font-weight: normal;" width="15%"><span>&nbsp;</span></td>
<td style="font-size: 12px; font-weight: normal;" width="35%"><span>&nbsp;</span></td>
</tr>
<tr>
<td style="text-align: left; font-size: 12px; font-weight: normal;" width="15%"><span>Website: </span></td>
<td style="font-size: 12px; font-weight: normal;" width="35%"><span><input id="website" type="text" name="website" /></span></td>
<td style="text-align: left; font-size: 12px; font-weight: normal;" width="15%"><span>&nbsp;</span></td>
<td style="font-size: 12px; font-weight: normal;" width="35%"><span>&nbsp;</span></td>
</tr>
<tr style="color: #0069e1; font-family: Arial,Verdana,Helvetica,sans-serif; font-size: 18px; font-weight: bold; margin-bottom: 0px; margin-top: 0px;" align="center">
<td colspan="4">&nbsp;</td>
</tr>
<tr align="center">
<td colspan="10"><input class="button" onclick="submit_form();" type="button" name="Submit" value="Submit" /></td>
</tr>
<tr>
<td style="display: none;"><input id="campaign_id" type="hidden" name="campaign_id" value="e3184b87-e3a6-7136-4bbd-50b53a1d88a0" /></td>
</tr>
<tr>
<td style="display: none;"><input id="redirect_url" type="hidden" name="redirect_url" value="http://musarra.wordpress.com" /></td>
</tr>
<tr>
<td style="display: none;"><input id="assigned_user_id" type="hidden" name="assigned_user_id" value="seed_will_id " /></td>
</tr>
<tr>
<td style="display: none;"><input id="req_id" type="hidden" name="req_id" value="last_name;" /></td>
</tr>
</tbody>
</table>
</form>
<script type="text/javascript">// <![CDATA[
function submit_form(){
if(typeof(validateCaptchaAndSubmit)!='undefined'){
validateCaptchaAndSubmit();
}else{
check_webtolead_fields();
}
}
function check_webtolead_fields(){
if(document.getElementById('bool_id') != null){
var reqs=document.getElementById('bool_id').value;
bools = reqs.substring(0,reqs.lastIndexOf(';'));
var bool_fields = new Array();
var bool_fields = bools.split(';');
nbr_fields = bool_fields.length;
for(var i=0;i<nbr_fields;i++){
if(document.getElementById(bool_fields[i]).value == 'on'){
document.getElementById(bool_fields[i]).value = 1;
}
else{
document.getElementById(bool_fields[i]).value = 0;
}
}
}
if(document.getElementById('req_id') != null){
var reqs=document.getElementById('req_id').value;
reqs = reqs.substring(0,reqs.lastIndexOf(';'));
var req_fields = new Array();
var req_fields = reqs.split(';');
nbr_fields = req_fields.length;
var req = true;
for(var i=0;i<nbr_fields;i++){
if(document.getElementById(req_fields[i]).value.length <=0 || document.getElementById(req_fields[i]).value==0){
req = false;
break;
}
}
if(req){
document.WebToLeadForm.submit();
return true;
}
else{
alert('Please provide all the required fields');
return false;
}
return false
}
else{
document.WebToLeadForm.submit();
}
}
function validateEmailAdd(){
if(document.getElementById('email1') && document.getElementById('email1').value.length >0) {
if(document.getElementById('email1').value.match(/^\w+(['\.\-\+]?\w+)*@\w+([\.-]?\w+)*(\.\w{2,})+$/) == null){
alert('Not a valid email address');
}
}
if(document.getElementById('email2') && document.getElementById('email2').value.length >0) {
if(document.getElementById('email2').value.match(/^\w+(['\.\-\+]?\w+)*@\w+([\.-]?\w+)*(\.\w{2,})+$/) == null){
alert('Not a valid email address');
}
}
}
// ]]></script></body></html>
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