<!-- 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.-->
<div id="crmWebToEntityForm" class="zcwf_lblLeft crmWebToEntityForm" style="background-color: white;color: black;max-width: 600px;">
  <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="WebToLeads5194881000004690001" method="POST" onsubmit="javascript:document.charset=&quot;UTF-8&quot;; return checkMandatory5194881000004690001()" accept-charset="UTF-8">
 <input type="text" style="display:none;" name="xnQsjsdp" value="525b8e11ef5038666d1fbeb0ce53fe0919243ce07ba688599b968acc66dfc503">
<input type="hidden" name="zc_gad" id="zc_gad" value="">
<input type="text" style="display:none;" name="xmIwtLD" value="17c69ad276abdb17703c1ece987006f0b3651141750483b95c87354c0306332d">
<input type="text" style="display:none;" name="actionType" value="TGVhZHM=">
<input type="text" style="display:none;" name="returnURL" value="https://seoleads.io/partner-thankyou">
<!-- Do not remove this code. -->

<style>
html,body{<br />
	margin: 0px;<br />
}<br />
#crmWebToEntityForm.zcwf_lblLeft {<br />
	width:100%;<br />
	padding: 25px;<br />
	margin: 0 auto;<br />
	box-sizing: border-box;<br />
}<br />
#crmWebToEntityForm.zcwf_lblLeft * {<br />
	box-sizing: border-box;<br />
}<br />
#crmWebToEntityForm{text-align: left;}<br />
#crmWebToEntityForm * {<br />
	direction: ltr;<br />
}<br />
.zcwf_lblLeft .zcwf_title {<br />
	word-wrap: break-word;<br />
	padding: 0px 6px 10px;<br />
	font-weight: bold;<br />
}<br />
.zcwf_lblLeft .zcwf_col_fld input[type=text], .zcwf_lblLeft .zcwf_col_fld textarea {<br />
	width: 60%;<br />
	border: 1px solid #ccc !important;<br />
	resize: vertical;<br />
	border-radius: 2px;<br />
	float: left;<br />
}<br />
.zcwf_lblLeft .zcwf_col_lab {<br />
	width: 30%;<br />
	word-break: break-word;<br />
	padding: 0px 6px 0px;<br />
	margin-right: 10px;<br />
	margin-top: 5px;<br />
	float: left;<br />
	min-height: 1px;<br />
}<br />
.zcwf_lblLeft .zcwf_col_fld {<br />
	float: left;<br />
	width: 68%;<br />
	padding: 0px 6px 0px;<br />
	position: relative;<br />
	margin-top: 5px;<br />
}<br />
.zcwf_lblLeft .zcwf_privacy{padding: 6px;}<br />
.zcwf_lblLeft .wfrm_fld_dpNn{display: none;}<br />
.dIB{display: inline-block;}<br />
.zcwf_lblLeft .zcwf_col_fld_slt {<br />
	width: 60%;<br />
	border: 1px solid #ccc;<br />
	background: #fff;<br />
	border-radius: 4px;<br />
	font-size: 12px;<br />
	float: left;<br />
	resize: vertical;<br />
	padding: 2px 5px;<br />
}<br />
.zcwf_lblLeft .zcwf_row:after, .zcwf_lblLeft .zcwf_col_fld:after {<br />
	content: '';<br />
	display: table;<br />
	clear: both;<br />
}<br />
.zcwf_lblLeft .zcwf_col_help {<br />
	float: left;<br />
	margin-left: 7px;<br />
	font-size: 12px;<br />
	max-width: 35%;<br />
	word-break: break-word;<br />
}<br />
.zcwf_lblLeft .zcwf_help_icon {<br />
	cursor: pointer;<br />
	width: 16px;<br />
	height: 16px;<br />
	display: inline-block;<br />
	background: #fff;<br />
	border: 1px solid #ccc;<br />
	color: #ccc;<br />
	text-align: center;<br />
	font-size: 11px;<br />
	line-height: 16px;<br />
	font-weight: bold;<br />
	border-radius: 50%;<br />
}<br />
.zcwf_lblLeft .zcwf_row {margin: 15px 0px;}<br />
.zcwf_lblLeft .formsubmit {<br />
	margin-right: 5px;<br />
	cursor: pointer;<br />
	color: #333;<br />
	font-size: 12px;<br />
}<br />
.zcwf_lblLeft .zcwf_privacy_txt {<br />
	width: 90%;<br />
	color: rgb(0, 0, 0);<br />
	font-size: 12px;<br />
	font-family: Arial;<br />
	display: inline-block;<br />
	vertical-align: top;<br />
	color: #333;<br />
	padding-top: 2px;<br />
	margin-left: 6px;<br />
}<br />
.zcwf_lblLeft .zcwf_button {<br />
	font-size: 12px;<br />
	color: #333;<br />
	border: 1px solid #ccc;<br />
	padding: 3px 9px;<br />
	border-radius: 4px;<br />
	cursor: pointer;<br />
	max-width: 120px;<br />
	overflow: hidden;<br />
	text-overflow: ellipsis;<br />
	white-space: nowrap;<br />
}<br />
.zcwf_lblLeft .zcwf_tooltip_over{<br />
	position: relative;<br />
}<br />
.zcwf_lblLeft .zcwf_tooltip_ctn{<br />
	position: absolute;<br />
	background: #dedede;<br />
	padding: 3px 6px;<br />
	top: 3px;<br />
	border-radius: 4px;word-break: break-word;<br />
	min-width: 100px;<br />
	max-width: 150px;<br />
	color: #333;<br />
	z-index: 100;<br />
}<br />
.zcwf_lblLeft .zcwf_ckbox{<br />
	float: left;<br />
}<br />
.zcwf_lblLeft .zcwf_file{<br />
	width: 55%;<br />
	box-sizing: border-box;<br />
	float: left;<br />
}<br />
.clearB:after{<br />
	content:'';<br />
	display: block;<br />
	clear: both;<br />
}<br />
@media all and (max-width: 600px) {<br />
	.zcwf_lblLeft .zcwf_col_lab, .zcwf_lblLeft .zcwf_col_fld {<br />
		width: auto;<br />
		float: none !important;<br />
	}<br />
	.zcwf_lblLeft .zcwf_col_help {width: 40%;}<br />
}<br />
</style>
<div class="zcwf_title" style="max-width: 600px;color: black;">Partner Application</div>
<div class="zcwf_row">
<div class="zcwf_col_lab" style="font-size:12px; font-family: Arial;"><label for="Company">Company<span style="color:red;">*</span></label></div>
<div class="zcwf_col_fld"><input type="text" id="Company" name="Company" maxlength="200">
<div class="zcwf_col_help"></div>
</div>
</div>
<div class="zcwf_row">
<div class="zcwf_col_lab" style="font-size:12px; font-family: Arial;"><label for="First_Name">First Name<span style="color:red;">*</span></label></div>
<div class="zcwf_col_fld"><input type="text" id="First_Name" name="First Name" maxlength="40">
<div class="zcwf_col_help"></div>
</div>
</div>
<div class="zcwf_row">
<div class="zcwf_col_lab" style="font-size:12px; font-family: Arial;"><label for="Last_Name">Last Name<span style="color:red;">*</span></label></div>
<div class="zcwf_col_fld"><input type="text" id="Last_Name" name="Last Name" maxlength="80">
<div class="zcwf_col_help"></div>
</div>
</div>
<div class="zcwf_row">
<div class="zcwf_col_lab" style="font-size:12px; font-family: Arial;"><label for="Phone">Phone<span style="color:red;">*</span></label></div>
<div class="zcwf_col_fld"><input type="text" id="Phone" name="Phone" maxlength="30">
<div class="zcwf_col_help"></div>
</div>
</div>
<div class="zcwf_row">
<div class="zcwf_col_lab" style="font-size:12px; font-family: Arial;"><label for="Email">Email<span style="color:red;">*</span></label></div>
<div class="zcwf_col_fld"><input type="text" ftype="email" id="Email" name="Email" maxlength="100">
<div class="zcwf_col_help"></div>
</div>
</div>
<div class="zcwf_row">
<div class="zcwf_col_lab" style="font-size:12px; font-family: Arial;"><label for="No_of_Employees">No. of Employees<span style="color:red;">*</span></label></div>
<div class="zcwf_col_fld"><input type="text" id="No_of_Employees" name="No of Employees" maxlength="9">
<div class="zcwf_col_help"></div>
</div>
</div>
<div class="zcwf_row">
<div class="zcwf_col_lab" style="font-size:12px; font-family: Arial;"><label for="Description">Describe your process /the # of sites you've built<span style="color:red;">*</span></label></div>
<div class="zcwf_col_fld"><textarea id="Description" name="Description"></textarea>
<div class="zcwf_col_help"></div>
</div>
</div>
<div class="zcwf_row">
<div class="zcwf_col_lab" style="font-size:12px; font-family: Arial;"><label for="LEADCF2">Please provide your portfolio or 1 example client<span style="color:red;">*</span></label></div>
<div class="zcwf_col_fld"><input type="text" id="LEADCF2" name="LEADCF2" maxlength="450">
<div class="zcwf_col_help"></div>
</div>
</div>
<div class="zcwf_row">
<div class="zcwf_col_lab"></div>
<div class="zcwf_col_fld"><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"></div>
</div>
<script><br />
	function validateEmail5194881000004690001()<br />
	{<br />
		var form = document.forms['WebToLeads5194881000004690001'];<br />
		var emailFld = form.querySelectorAll('[ftype=email]');<br />
		var i;<br />
		for (i = 0; i < emailFld.length; i++)
		{
			var emailVal = emailFld[i].value;
			if((emailVal.replace(/^\s+|\s+$/g, '')).length!=0 )
			{
				var atpos=emailVal.indexOf('@');
				var dotpos=emailVal.lastIndexOf('.');
				if (atpos<1 || dotpos<atpos+2 || dotpos+2>=emailVal.length)<br />
				{<br />
					alert('Please enter a valid email address. ');<br />
					emailFld[i].focus();<br />
					return false;<br />
				}<br />
			}<br />
		}<br />
		return true;<br />
	}</p>
<p> 	  function checkMandatory5194881000004690001() {<br />
		var mndFileds = new Array('Company','First Name','Last Name','Email','Phone','No of Employees','Description','LEADCF2');<br />
		var fldLangVal = new Array('Company','First\x20Name','Last\x20Name','Email','Phone','No.\x20of\x20Employees','Describe\x20your\x20process\x20\x2Fthe\x20\x23\x20of\x20sites\x20you\x5C\x27ve\x20built','Please\x20provide\x20your\x20portfolio\x20or\x201\x20example\x20client');<br />
		for(i=0;i<mndFileds.length;i++) {
		  var fieldObj=document.forms['WebToLeads5194881000004690001'][mndFileds[i]];
		  if(fieldObj) {
			if (((fieldObj.value).replace(/^\s+|\s+$/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.'); 
				fieldObj.focus();
				return false;
			   }
			} else if(fieldObj.type =='checkbox'){
 	 	 	 if(fieldObj.checked == false){
				alert('Please accept  '+fldLangVal[i]);
				fieldObj.focus();
				return false;
			   } 
			 } 
			 try {
			     if(fieldObj.name == 'Last Name') {
				name = fieldObj.value;
 	 	 	    }
			} catch (e) {}
		    }
		}
		if(!validateEmail5194881000004690001()){return false;}
		document.querySelector('.crmWebToEntityForm .formsubmit').setAttribute('disabled', true);
	}

function tooltipShow5194881000004690001(el){
	var tooltip = el.nextElementSibling;
	var tooltipDisplay = tooltip.style.display;
	if(tooltipDisplay == 'none'){
		var allTooltip = document.getElementsByClassName('zcwf_tooltip_over');
		for(i=0; i<allTooltip.length; i++){
			allTooltip[i].style.display='none';
		}
		tooltip.style.display = 'block';
	}else{
		tooltip.style.display='none';
	}
}
</script>
</form></div>