<!-- Note :
   - 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.-->
  <meta name='viewport' content='width=device-width, initial-scale=1.0'>
   <META HTTP-EQUIV ='content-type' CONTENT='text/html;charset=UTF-8'>
<form id='webform5194881000004709008' action='https://crm.zoho.com/crm/WebToLeadForm' name=WebToLeads5194881000004709008 method='POST' onSubmit='javascript:document.charset="UTF-8"; return checkMandatory5194881000004709008()' accept-charset='UTF-8'>
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 <input type='hidden' name='zc_gad' id='zc_gad' value=''></input>
 <input type='text' style='display:none;' name='xmIwtLD' value='f051360f8f8201837f60d9e20f496b3a033e0cc0b66ea3ca0ff90ab4989782c39da50ed87dd25771d77c2e2c7e5012ae'></input> 
 <input type='text'  style='display:none;' name='actionType' value='TGVhZHM='></input>
 <input type='text' style='display:none;' name='returnURL' value='https&#x3a;&#x2f;&#x2f;seoleads.io&#x2f;enter-a-lead-success&#x2f;' > </input>
	 <!-- Do not remove this code. -->
<style>
html,body{
	margin: 0px;
}
#crmWebToEntityForm.zcwf_lblLeft {
	width:100%;
	padding: 25px;
	margin: 0 auto;
	box-sizing: border-box;
}
#crmWebToEntityForm.zcwf_lblLeft * {
	box-sizing: border-box;
}
#crmWebToEntityForm{text-align: left;}
#crmWebToEntityForm * {
	direction: ltr;
}
.zcwf_lblLeft .zcwf_title {
	word-wrap: break-word;
	padding: 0px 6px 10px;
	font-weight:bold }.zcwf_lblLeft.cpT_primaryBtn:hover{
	background: linear-gradient(#02acff 0,#006be4 100%) no-repeat padding-box !important;
	box-shadow: 0 -2px 0 0 #0159b9 inset !important;
	border: 0 !important;
	color: #fff !important;
	outline: 0 !important;
}.zcwf_lblLeft .zcwf_col_fld input[type=text], input[type=password], .zcwf_lblLeft .zcwf_col_fld textarea {
	width: 60%;
	border: 1px solid #c0c6cc !important;
	resize: vertical;
	border-radius: 2px;
	float: left;
}
.zcwf_lblLeft .zcwf_col_lab {
	width: 30%;
	word-break: break-word;
	padding: 0px 6px 0px;
	margin-right: 10px;
	margin-top: 5px;
	float: left;
	min-height: 1px;
}
.zcwf_lblLeft .zcwf_col_fld {
	float: left;
	width: 68%;
	padding: 0px 6px 0px;
	position: relative;
	margin-top: 5px;
}
.zcwf_lblLeft .zcwf_privacy{padding: 6px;}
.zcwf_lblLeft .wfrm_fld_dpNn{display: none;}
.dIB{display: inline-block;}
.zcwf_lblLeft .zcwf_col_fld_slt {
	width: 60%;
	border: 1px solid #ccc;
	background: #fff;
	border-radius: 4px;
	font-size: 12px;
	float: left;
	resize: vertical;
	padding: 2px 5px;
}
.zcwf_lblLeft .zcwf_row:after, .zcwf_lblLeft .zcwf_col_fld:after {
	content: '';
	display: table;
	clear: both;
}
.zcwf_lblLeft .zcwf_col_help {
	float: left;
	margin-left: 7px;
	font-size: 12px;
	max-width: 35%;
	word-break: break-word;
}
.zcwf_lblLeft .zcwf_help_icon {
	cursor: pointer;
	width: 16px;
	height: 16px;
	display: inline-block;
	background: #fff;
	border: 1px solid #c0c6cc;
	color: #c1c1c1;
	text-align: center;
	font-size: 11px;
	line-height: 16px;
	font-weight: bold;
	border-radius: 50%;
}
.zcwf_lblLeft .zcwf_row {margin: 15px 0px;}
.zcwf_lblLeft .formsubmit {
	margin-right: 5px;
	cursor: pointer;
	color: var(--baseColor);
	font-size: 12px;
}
.zcwf_lblLeft .zcwf_privacy_txt {
	width: 90%;
	color: rgb(0, 0, 0);
	font-size: 12px;
	font-family: Arial;
	display: inline-block;
	vertical-align: top;
	color: var(--baseColor);
	padding-top: 2px;
	margin-left: 6px;
}
.zcwf_lblLeft .zcwf_button {
	font-size: 12px;
	color: var(--baseColor);
	border: 1px solid #c0c6cc;
	padding: 3px 9px;
	border-radius: 4px;
	cursor: pointer;
	max-width: 120px;
	overflow: hidden;
	text-overflow: ellipsis;
	white-space: nowrap;
}
.zcwf_lblLeft .zcwf_tooltip_over{
	position: relative;
}
.zcwf_lblLeft .zcwf_tooltip_ctn{
	position: absolute;
	background: #dedede;
	padding: 3px 6px;
	top: 3px;
	border-radius: 4px;word-break: break-word;
	min-width: 100px;
	max-width: 150px;
	color: var(--baseColor);
	z-index: 100;
}
.zcwf_lblLeft .zcwf_ckbox{
	float: left;
}
.zcwf_lblLeft .zcwf_file{
	width: 55%;
	box-sizing: border-box;
	float: left;
}
.clearB:after{
	content:'';
	display: block;
	clear: both;
}
@media all and (max-width: 600px) {
	.zcwf_lblLeft .zcwf_col_lab, .zcwf_lblLeft .zcwf_col_fld {
		width: auto;
		float: none !important;
	}
	.zcwf_lblLeft .zcwf_col_help {width: 40%;}
}
</style>
Enter a Lead<label for='Company'>Company*</label><input type='text' id='Company' aria-required='true' aria-label='Company' name='Company' aria-valuemax='200' maxlength='200'></input><label for='First_Name'>First Name</label><input type='text' id='First_Name' aria-required='false' aria-label='First Name' name='First Name' aria-valuemax='40' maxlength='40'></input><label for='Last_Name'>Last Name*</label><input type='text' id='Last_Name' aria-required='true' aria-label='Last Name' name='Last Name' aria-valuemax='80' maxlength='80'></input><label for='Email'>Email*</label><input type='text' ftype='email' autocomplete='false' id='Email' aria-required='true' aria-label='Email' name='Email' aria-valuemax='100' crmlabel='' maxlength='100'></input><label for='Phone'>Phone*</label><input type='text' id='Phone' aria-required='true' aria-label='Phone' name='Phone' aria-valuemax='30' maxlength='30'></input><label for='City'>City</label><input type='text' id='City' aria-required='false' aria-label='City' name='City' aria-valuemax='100' maxlength='100'></input><label for='State'>State</label><input type='text' id='State' aria-required='false' aria-label='State' name='State' aria-valuemax='100' maxlength='100'></input><label for='LEADCF3'>Lead Type</label><select class='zcwf_col_fld_slt' role='combobox' aria-expanded='false' aria-haspopup='listbox' id='LEADCF3' onChange='addAriaSelected5194881000004709008()' aria-required='false' aria-label='LEADCF3' name='LEADCF3'  >
			<option value='-None-'>-None-</option>
			<option value='Potential&#x20;Partner'>Potential Partner</option>
			<option value='Direct&#x20;Client&#x20;Lead'>Direct Client Lead</option>
			<option value='Client&#x20;of&#x20;Partner&#x20;&#x28;Deal&#x29;'>Client of Partner &#x28;Deal&#x29;</option>
			<option value='Contact&#x20;from&#x20;Partner'>Contact from Partner</option>
			<option value='Marketplace&#x20;Web&#x20;Design'>Marketplace Web Design</option>
		</select><label for='Lead_Source'>Lead Source</label><select class='zcwf_col_fld_slt' role='combobox' aria-expanded='false' aria-haspopup='listbox' id='Lead_Source' onChange='addAriaSelected5194881000004709008()' aria-required='false' aria-label='Lead Source' name='Lead Source'  >
			<option value='-None-'>-None-</option>
			<option value='LinkedIn'>LinkedIn</option>
			<option value='Newsletter&#x20;Reply'>Newsletter Reply</option>
			<option value='Web&#x20;Form'>Web Form</option>
			<option value='Email'>Email</option>
			<option value='Partner'>Partner</option>
			<option value='SEOLeads.io&#x20;Website'>SEOLeads.io Website</option>
			<option value='Marketplace'>Marketplace</option>
			<option value='Webforms'>Webforms</option>
			<option value='Twitter'>Twitter</option>
			<option value='Facebook'>Facebook</option>
			<option value='SendGrid&#x20;Opened&#x20;Email'>SendGrid Opened Email</option>
			<option value='SendGrid&#x20;Click'>SendGrid Click</option>
			<option value='Book&#x20;Dataz'>Book Dataz</option>
		</select><label for='LEADCF7'>Lead Generator*</label><select class='zcwf_col_fld_slt' role='combobox' aria-expanded='false' aria-haspopup='listbox' id='LEADCF7' onChange='addAriaSelected5194881000004709008()' aria-required='true' aria-label='LEADCF7' name='LEADCF7'  >
			<option value='-None-'>-None-</option>
			<option value='Eric'>Eric</option>
			<option value='Joanne'>Joanne</option>
			<option value='Niel'>Niel</option>
			<option value='Paul'>Paul</option>
			<option value='Christine'>Christine</option>
			<option value='Patrick'>Patrick</option>
			<option value='Colin'>Colin</option>
			<option value='Arjay'>Arjay</option>
			<option value='Jon&#x20;Patrick'>Jon Patrick</option>
			<option value='Mary'>Mary</option>
			<option value='Jafet'>Jafet</option>
			<option value='Jurwin'>Jurwin</option>
			<option value='Raisy'>Raisy</option>
		</select><label for='Description'>Comments (Paste your exchange with the customer)*</label><textarea aria-multiline='true' id='Description' aria-required='true' aria-label='Description' name='Description'></textarea><input type='submit' id='formsubmit' role='button' class='formsubmit zcwf_button' value='Submit' aria-label='Submit' title='Submit'><input type='reset' class='zcwf_button' role='button' name='reset' value='Reset' aria-label='Reset' title='Reset'>
	</form>