aPredictive | Synergy CMC - Complete Management Consulting

- 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.--><div id='crmWebToEntityForm' style='width:600px;margin:auto;'> <META HTTP-EQUIV ='content-type' CONTENT='text/html;charset=UTF-8'> <form action='https://crm.zoho.com/crm/WebToLeadForm' name=WebToLeads2085336000004249092 method='POST' onSubmit='javascript:document.charset="UTF-8"; return checkMandatory()' accept-charset='UTF-8'>  <input type='text' style='display:none;' name='xnQsjsdp' value='ea063447b50eae04d3ab75df46790bdbe48f42a4f47f81e21ba06cf410d659f3'/> <input type='hidden' name='zc_gad' id='zc_gad' value=''/> <input type='text' style='display:none;' name='xmIwtLD' value='86a1df00022c5a190e4785ef111861ebc77ecd9084657cd730a107c1f4fafc0f'/> <input type='text' style='display:none;' name='actionType' value='TGVhZHM='/> <input type='text' style='display:none;' name='returnURL' value='https://assess.predictiveindex.com/oi/zohopi' />   <input type='text' style='display:none;' id='ldeskuid' name='ldeskuid'></input> <input type='text' style='display:none;' id='LDTuvid' name='LDTuvid'></input>  <style> tr , td {  padding:6px; border-spacing:0px; border-width:0px; } </style> <table style='width:600px;background-color:white;color:black'> <tr><td colspan='2' style='text-align:left;color:black;font-family:Arial;font-size:14px;'><strong>Try Predictive Index Behavorial Assessment</strong></td></tr> <tr><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>Company<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='100' name='Company' /></td></tr> <tr><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>Title<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='100' name='Designation' /></td></tr> <tr><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>No. of Employees<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='9' name='No of Employees' /></td></tr> <tr><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>First Name<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='40' name='First Name' /></td></tr> <tr><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>Last Name<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='80' name='Last Name' /></td></tr> <tr><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>Email<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='100' name='Email' /></td></tr> <tr><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>Country<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='30' name='Country' /></td></tr> <tr><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>State<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='30' name='State' /></td></tr> <tr><td colspan='2' style='text-align:center; padding-top:15px;font-size:12px;'> <input style='font-size:12px;color:black' type='submit' value='Submit' /> <input type='reset' style='font-size:12px;color:black' value='Reset' /> </td> </tr> </table> <script> var mndFileds=new Array('First Name','Last Name','Company','Designation','Email','No of Employees','State','Country'); var fldLangVal=new Array('First Name','Last Name','Company','Title','Email','No. of Employees','State','Country'); var name=''; var email=''; function checkMandatory() { for(i=0;i<mndFileds.length;i++) { var fieldObj=document.forms['WebToLeads2085336000004249092'][mndFileds[i]]; if(fieldObj) { if (((fieldObj.value).replace(/^\s+|\s+$/g, '')).length==0) { if(fieldObj.type =='file') {  alert('Please select a file to upload.');  fieldObj.focus();  return false; }  alert(fldLangVal[i] +' cannot be empty.');  fieldObj.focus(); return false; } else if(fieldObj.nodeName=='SELECT') { if(fieldObj.options[fieldObj.selectedIndex].value=='-None-') { alert(fldLangVal[i] +' cannot be none.'); 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