<!-- 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.
   - Do not remove captcha and other form elements that are necessary for the form to work.  -->
  <meta name='viewport' content='width=device-width, initial-scale=1.0'>
   <META HTTP-EQUIV ='content-type' CONTENT='text/html;charset=UTF-8'>
   <form action='https://crm.zoho.com/crm/WebToLeadForm' name=WebToLeads5194881000005970047 method='POST' onSubmit='javascript:document.charset="UTF-8"; return checkMandatory5194881000005970047()' accept-charset='UTF-8'>
 <input type='text' style='display:none;' name='xnQsjsdp' value='525b8e11ef5038666d1fbeb0ce53fe0919243ce07ba688599b968acc66dfc503'></input> 
 <input type='hidden' name='zc_gad' id='zc_gad' value=''></input> 
 <input type='text' style='display:none;' name='xmIwtLD' value='17c69ad276abdb17703c1ece987006f08fb2c639c00d4bdef6b388bb178e4951'></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;marketplace-lead-received&#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 .zcwf_col_fld input[type=text], .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>
Upload a Lead to the SEO Leads Marketplace
<label for='LEADCF10'>Your Company Name*</label><textarea id='LEADCF10' name='LEADCF10'></textarea> ?So that we can track the lead to your account.
<label for='Company'>Company Name*</label><input type='text' id='Company' name='Company' maxlength='200'></input> ?The company name of the lead which you are referring
<label for='First_Name'>First Name*</label><input type='text' id='First_Name' name='First Name' maxlength='40'></input> ?Info of the Lead
<label for='Last_Name'>Last Name*</label><input type='text' id='Last_Name' name='Last Name' maxlength='80'></input> ?Info of the Lead
<label for='Phone'>Phone*</label><input type='text' id='Phone' name='Phone' maxlength='30'></input> ?Info of the Lead
<label for='Email'>Email*</label><input type='text' ftype='email' id='Email' name='Email' maxlength='100'></input>
<label for='Description'>Please briefly describe the project*</label><textarea id='Description' name='Description'></textarea> ?&#x28;If there are campaign assets &#x2f; documents please send us a Google Drive URL&#x29;
<label for='LEADCF3'>Lead Type</label><select class='zcwf_col_fld_slt' id='LEADCF3' name='LEADCF3'  >
			<option value='-None-'>-None-</option>
			<option value='Reseller'>Reseller</option>
		<option selected value='Marketplace&#x20;Web&#x20;Design'>Marketplace Web Design</option>
			<option value='Client&#x20;of&#x20;Reseller'>Client of Reseller</option>
			<option value='Client&#x20;Direct'>Client Direct</option>
			<option value='Partner&#x20;Lead'>Partner Lead</option>
		</select>Enter the Captcha
	 <input type='text' maxlength='10' name='enterdigest' />
	<!-- Do not remove this code. -->
	    <img id='imgid5194881000005970047' src='https://crm.zoho.com/crm/CaptchaServlet?formId=17c69ad276abdb17703c1ece987006f08fb2c639c00d4bdef6b388bb178e4951&grpid=525b8e11ef5038666d1fbeb0ce53fe0919243ce07ba688599b968acc66dfc503'>
	    <a href='javascript:;' onclick='reloadImg5194881000005970047();'>Reload</a>
	<label class='newCustomchkbox-md dIB w100per'><input autocomplete='off' id='privacyTool5194881000005970047' type='checkbox' name='privacyTool' onclick='disableErr5194881000005970047()'></label>I understand that the information submitted on this form is bound by the terms of the SEO Leads Reseller Program and thus, will only be utilized for the purpose of connecting the lead with an appropriate reseller partner in the SEO Leads network who can service their needs.&nbsp;<br>I agree that the information is valid and have confirmed a genuine interest or need from the prospect with regard to having a new website developed or an existing website updated. I have informed the prospect they'll be receiving contact from a referral partner. Please accept this<input type='submit' id='formsubmit' class='formsubmit zcwf_button' value='Submit' title='Submit'><input type='reset' class='zcwf_button' name='reset' value='Reset' title='Reset'>
	</form>
  <!-- Do not remove this code. -->
     <iframe name='captchaFrame' style='display:none;'></iframe>