jonschr/gist:a7582b6bc28c02ee789b668bbc84778b

## gistfile1.txt
<!--  ----------------------------------------------------------------------  -->
<!--  NOTE: Please add the following <META> element to your page <HEAD>.      -->
<!--  If necessary, please modify the charset parameter to specify the        -->
<!--  character set of your HTML page.                                        -->
<!--  ----------------------------------------------------------------------  -->

<META HTTP-EQUIV="Content-type" CONTENT="text/html; charset=UTF-8">

<!--  ----------------------------------------------------------------------  -->
<!--  NOTE: Please add the following <FORM> element to your page.             -->
<!--  ----------------------------------------------------------------------  -->

<form action="https://webto.salesforce.com/servlet/servlet.WebToLead?encoding=UTF-8" method="POST">

<input type=hidden name="oid" value="00D6g0000022aVA">
<input type=hidden name="retURL" value="http://">

<!--  ----------------------------------------------------------------------  -->
<!--  NOTE: These fields are optional debugging elements. Please uncomment    -->
<!--  these lines if you wish to test in debug mode.                          -->
<!--  <input type="hidden" name="debug" value=1>                              -->
<!--  <input type="hidden" name="debugEmail" value="jon@elod.in">             -->
<!--  ----------------------------------------------------------------------  -->

<label for="first_name">First Name</label><input  id="first_name" maxlength="40" name="first_name" size="20" type="text" /><br>

<label for="last_name">Last Name</label><input  id="last_name" maxlength="80" name="last_name" size="20" type="text" /><br>

<label for="email">Email</label><input  id="email" maxlength="80" name="email" size="20" type="text" /><br>

<label for="company">Company</label><input  id="company" maxlength="40" name="company" size="20" type="text" /><br>

<label for="city">City</label><input  id="city" maxlength="40" name="city" size="20" type="text" /><br>

<label for="state">State/Province</label><input  id="state" maxlength="20" name="state" size="20" type="text" /><br>

<input type="submit" name="submit">

</form>
	<!-- ---------------------------------------------------------------------- -->
	<!-- NOTE: Please add the following <META> element to your page <HEAD>. -->
	<!-- If necessary, please modify the charset parameter to specify the -->
	<!-- character set of your HTML page. -->
	<!-- ---------------------------------------------------------------------- -->

	<META HTTP-EQUIV="Content-type" CONTENT="text/html; charset=UTF-8">

	<!-- ---------------------------------------------------------------------- -->
	<!-- NOTE: Please add the following <FORM> element to your page. -->
	<!-- ---------------------------------------------------------------------- -->

	<form action="https://webto.salesforce.com/servlet/servlet.WebToLead?encoding=UTF-8" method="POST">

	<input type=hidden name="oid" value="00D6g0000022aVA">
	<input type=hidden name="retURL" value="http://">

	<!-- ---------------------------------------------------------------------- -->
	<!-- NOTE: These fields are optional debugging elements. Please uncomment -->
	<!-- these lines if you wish to test in debug mode. -->
	<!-- <input type="hidden" name="debug" value=1> -->
	<!-- <input type="hidden" name="debugEmail" value="jon@elod.in"> -->
	<!-- ---------------------------------------------------------------------- -->

	<label for="first_name">First Name</label><input id="first_name" maxlength="40" name="first_name" size="20" type="text" /><br>

	<label for="last_name">Last Name</label><input id="last_name" maxlength="80" name="last_name" size="20" type="text" /><br>

	<label for="email">Email</label><input id="email" maxlength="80" name="email" size="20" type="text" /><br>

	<label for="company">Company</label><input id="company" maxlength="40" name="company" size="20" type="text" /><br>

	<label for="city">City</label><input id="city" maxlength="40" name="city" size="20" type="text" /><br>

	<label for="state">State/Province</label><input id="state" maxlength="20" name="state" size="20" type="text" /><br>

	<input type="submit" name="submit">

	</form>