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andreybolonin/Lead Capture Form

Created October 12, 2016 14:44
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Lead Capture Form
<form action="http://crm.healthmarketing.me/lead/lead_capture_form" method="post">
<input name="name" class="form-control" type="text" placeholder="Name" required>
<input name="email" class="form-control" type="email" placeholder="Email" required>
<input name="phone" class="form-control" type="text" placeholder="Phone" required>
<input name="userId" class="form-control" type="hidden" value="4" required>
<input name="redirectUrl" class="form-control" type="hidden" value="http://healthmareting.me/thx" placeholder="userId" required>
<input class="btn btn-primary" type="button" value="Submit">
<form>
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