Peel CRM embed code

peel.html

<meta http-equiv="Content-Type" content="text/html;charset=UTF-8" />
<form class="contact-form" id="__vtigerWebForm" name="Detertech - leads" action="https://pid-systems.co.uk/crm/modules/Webforms/capture.php" method="post" accept-charset="utf-8" enctype="multipart/form-data">
    <input type="hidden" name="__vtrftk" value="sid:74f1302d01d32a4fae77eefe2259b322de8d384b,1664895530" />
	<input type="hidden" name="publicid" value="a9f27047575e4dad9d1326c5b0a80349" />
    <input type="hidden" name="urlencodeenable" value="1" /><input type="hidden" name="name" value="Detertech - leads" />
                <input class="input-text odd" placeholder="First Name*" type="text" name="firstname" data-label="" value="" required="" />
                <input class="input-text even" placeholder="Last Name*" type="text" name="lastname" data-label="" value="" required="" />
                <input class="input-text odd" placeholder="Business Name*" type="text" name="company" data-label="" value="" required="" />
                <input class="input-text even" placeholder="Email Address" type="email" name="email" data-label="" value="" />
                <input class="input-text odd" placeholder="Contact Number" type="text" name="mobile" data-label="" value="" />
                    <select class="input-select even" name="cf_1416" data-label="label:Country+-+Webform">
                        <option value="">Country</option>
                        <option value="UK">UK</option>
                        <option value="Denmark">Denmark</option>
                        <option value="Germany">Germany</option>
                        <option value="Netherlands">Netherlands</option>
                        <option value="Belgium">Belgium</option>
                    </select>
                    <textarea class="input-textarea" placeholder="Message" name="description" required=""></textarea>
                    <input class="input-submit" type="submit" value="Send" />
</form>
<script type="text/javascript">
    window.onload = function () {
        var N = navigator.appName,
            ua = navigator.userAgent,
            tem;
        var M = ua.match(/(opera|chrome|safari|firefox|msie)\/?\s*(\.?\d+(\.\d+)*)/i);
        if (M && (tem = ua.match(/version\/([\.\d]+)/i)) != null) M[2] = tem[1];
        M = M ? [M[1], M[2]] : [N, navigator.appVersion, "-?"];
        var browserName = M[0];
        var form = document.getElementById("__vtigerWebForm"),
            inputs = form.elements;
        form.onsubmit = function () {
            var required = [],
                att,
                val;
            for (var i = 0; i < inputs.length; i++) {
                att = inputs[i].getAttribute("required");
                val = inputs[i].value;
                type = inputs[i].type;
                if (type == "email") {
                    if (val != "") {
                        var elemLabel = inputs[i].getAttribute("label");
                        var emailFilter = /^[_/a-zA-Z0-9]+([!"#$%&()*+,./:;<=>?\^_`{|}~-]?[a-zA-Z0-9/_/-])*@[a-zA-Z0-9]+([\_\-\.]?[a-zA-Z0-9]+)*\.([\-\_]?[a-zA-Z0-9])+(\.?[a-zA-Z0-9]+)?$/;
                        var illegalChars = /[\(\)\<\>\,\;\:\"\[\]]/;
                        if (!emailFilter.test(val)) {
                            alert("For " + elemLabel + " field please enter valid email address");
                            return false;
                        } else if (val.match(illegalChars)) {
                            alert(elemLabel + " field contains illegal characters");
                            return false;
                        }
                    }
                }
                if (att != null) {
                    if (val.replace(/^\s+|\s+$/g, "") == "") {
                        required.push(inputs[i].getAttribute("label"));
                    }
                }
            }
            if (required.length > 0) {
                alert("The following fields are required: " + required.join());
                return false;
            }
            var numberTypeInputs = document.querySelectorAll("input[type=number]");
            for (var i = 0; i < numberTypeInputs.length; i++) {
                val = numberTypeInputs[i].value;
                var elemLabel = numberTypeInputs[i].getAttribute("label");
                var elemDataType = numberTypeInputs[i].getAttribute("datatype");
                if (val != "") {
                    if (elemDataType == "double") {
                        var numRegex = /^[+-]?\d+(\.\d+)?$/;
                    } else {
                        var numRegex = /^[+-]?\d+$/;
                    }
                    if (!numRegex.test(val)) {
                        alert("For " + elemLabel + " field please enter valid number");
                        return false;
                    }
                }
            }
            var dateTypeInputs = document.querySelectorAll("input[type=date]");
            for (var i = 0; i < dateTypeInputs.length; i++) {
                dateVal = dateTypeInputs[i].value;
                var elemLabel = dateTypeInputs[i].getAttribute("label");
                if (dateVal != "") {
                    var dateRegex = /^[1-9][0-9]{3}-(0[1-9]|1[0-2]|[1-9]{1})-(0[1-9]|[1-2][0-9]|3[0-1]|[1-9]{1})$/;
                    if (!dateRegex.test(dateVal)) {
                        alert("For " + elemLabel + " field please enter valid date in required format");
                        return false;
                    }
                }
            }
            var inputElems = document.getElementsByTagName("input");
            var totalFileSize = 0;
            for (var i = 0; i < inputElems.length; i++) {
                if (inputElems[i].type.toLowerCase() === "file") {
                    var file = inputElems[i].files[0];
                    if (typeof file !== "undefined") {
                        var totalFileSize = totalFileSize + file.size;
                    }
                }
            }
            if (totalFileSize > 52428800) {
                alert("Maximum allowed file size including all files is 50MB.");
                return false;
            }
        };
    };
</script>