<!-- 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 id = 'webform2292247000001470003' action = 'https://crm.zoho.com/crm/WebToLeadForm' name = WebToLeads2292247000001470003 method = 'POST' onSubmit = 'javascript:document.charset="UTF-8"; return checkMandatory2292247000001470003()' accept-charset = 'UTF-8'>
<input type = 'text' style = 'display:none;' name = 'xnQsjsdp' value = '2bd154ac83bf109da6850a21c334656859dc33f74832a71306025a8da98e1362'>
</input>
<input type = 'hidden' name = 'zc_gad' id = 'zc_gad' value = ''>
</input>
<input type = 'text' style = 'display:none;' name = 'xmIwtLD' value = '20b88778309b5466d6ceab0638ce04df33ff1d7a37b7d92347ac1e7800d7d678c047d0b4298c30fa1648626446aecd07'>
</input>
<input type = 'text' style = 'display:none;' name = 'actionType' value = 'TGVhZHM='>
</input>
<input type = 'text' style = 'display:none;' name = 'returnURL' value = 'null'>
</input>
<!-- Do not remove this code. -->
<input type = 'text' style = 'display:none;' id = 'ldeskuid' name = 'ldeskuid'>
</input>
<input type = 'text' style = 'display:none;' id = 'LDTuvid' name = 'LDTuvid'>
</input>
<!-- Do not remove this code. -->
<style>
html,body{
margin: 0px;
}
.formsubmit.zcwf_button{
color: white !important;
background: transparent linear-gradient(0deg, #0279FF 0%, #00A3F3 100%);
}
#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: #313949;
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: #313949;
padding-top: 2px;
margin-left: 6px;
}
.zcwf_lblLeft .zcwf_button{
font-size: 12px;
color: #313949;
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: #313949;
z-index: 100;
}
.zcwf_lblLeft .zcwf_ckbox{
float: left;
}
.zcwf_lblLeft .zcwf_file{
width: 55%;
box-sizing: border-box;
float: left;
}
.cBoth: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>
<div class = 'zcwf_title' style = 'max-width: 600px;color: black; font-family:Arial;'>Web Gint</div>
<div class = 'zcwf_row'>
<div class = 'zcwf_col_lab' style = 'font-size:12px; font-family: Arial;'>
<label for = 'Company'>Società/Company
<span style = 'color:red;'>*</span>
</label>
</div>
<div class = 'zcwf_col_fld'>
<input type = 'text' id = 'Company' aria-required = 'true' aria-label = 'Company' name = 'Company' aria-valuemax = '200' maxlength = '200'>
</input>
<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'>Cognome/Surname
<span style = 'color:red;'>*</span>
</label>
</div>
<div class = 'zcwf_col_fld'>
<input type = 'text' id = 'Last_Name' aria-required = 'true' aria-label = 'Last Name' name = 'Last Name' aria-valuemax = '80' maxlength = '80'>
</input>
<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'>Nome/Name
<span style = 'color:red;'>*</span>
</label>
</div>
<div class = 'zcwf_col_fld'>
<input type = 'text' id = 'First_Name' aria-required = 'true' aria-label = 'First Name' name = 'First Name' aria-valuemax = '40' maxlength = '40'>
</input>
<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 = 'Country'>Paese/Country
<span style = 'color:red;'>*</span>
</label>
</div>
<div class = 'zcwf_col_fld'>
<input type = 'text' id = 'Country' aria-required = 'true' aria-label = 'Country' name = 'Country' aria-valuemax = '100' maxlength = '100'>
</input>
<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'>Cell/WhatsApp</label>
</div>
<div class = 'zcwf_col_fld'>
<input type = 'text' id = 'Phone' aria-required = 'false' aria-label = 'Phone' name = 'Phone' aria-valuemax = '30' maxlength = '30'>
</input>
<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'>E-mail
<span style = 'color:red;'>*</span>
</label>
</div>
<div class = 'zcwf_col_fld'>
<input type = 'text' ftype = 'email' autocomplete = 'false' id = 'Email' aria-required = 'true' aria-label = 'Email' name = 'Email' aria-valuemax = '100' crmlabel = '' maxlength = '100'>
</input>
<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'>Descrizione/Description
<span style = 'color:red;'>*</span>
</label>
</div>
<div class = 'zcwf_col_fld'>
<textarea style = 'font-family: Arial, sans-serif;' aria-multiline = 'true' id = 'Description' aria-required = 'true' aria-label = 'Description' name = 'Description'></textarea>
<div class = 'zcwf_col_help'>
</div>
</div>
</div>
<div class = 'zcwf_row wfrm_fld_dpNn'>
<div class = 'zcwf_col_lab' style = 'font-size:12px; font-family: Arial;'>
<label for = 'Lead_Source'>Origine Lead</label>
</div>
<div class = 'zcwf_col_fld'>
<select class = 'zcwf_col_fld_slt' role = 'combobox' aria-expanded = 'false' aria-haspopup = 'listbox' id = 'Lead_Source' onChange = 'addAriaSelected2292247000001470003()' aria-required = 'false' aria-label = 'Lead Source' name = 'Lead Source'>
<option value = '-None-'>-None-</option>
<option value = 'Agente Corrispondente'>Agente Corrispondente</option>
<option value = 'Alias di posta vendite'>Alias di posta vendite</option>
<option value = 'Chat'>Chat</option>
<option value = 'Chiamata urgente'>Chiamata urgente</option>
<option value = 'Collegamenti esterni'>Collegamenti esterni</option>
<option value = 'Download via Web'>Download via Web</option>
<option value = 'Esterno Indipendente'>Esterno Indipendente</option>
<option value = 'Europages'>Europages</option>
<option value = 'Facebook'>Facebook</option>
<option value = 'Instagram'>Instagram</option>
<option value = 'Linkedin'>Linkedin</option>
<option value = 'Mostra affari'>Mostra affari</option>
<option value = 'Negozio online'>Negozio online</option>
<option value = 'Partner'>Partner</option>
<option value = 'Partner seminario'>Partner seminario</option>
<option value = 'Pubblicità'>Pubblicità
</option>
<option value = 'Relazioni pubbliche'>Relazioni pubbliche</option>
<option value = 'Ricerca sul web'>Ricerca sul web</option>
<option value = 'Segnalazione dipendente'>Segnalazione dipendente</option>
<option value = 'Seminario interno'>Seminario interno</option>
<option value = 'TikTok'>TikTok</option>
<option value = 'Twitter'>Twitter</option>
<option selected value = 'Web Modulo su Giunti'>Web Modulo su Giunti</option>
</select>
<div class = 'zcwf_col_help'>
</div>
</div>
</div>
<input type = 'text' type = 'hidden' style = 'display: none;' name = 'aG9uZXlwb3Q' value = ''/>
<div class = 'zcwf_row'>
<div class = 'zcwf_col_lab'>
</div>
<div class = 'zcwf_col_fld'>
<input type = 'submit' id = 'formsubmit' role = 'button' class = 'formsubmit zcwf_button' value = 'Conferma' aria-label = 'Conferma' title = 'Conferma'>
<input type = 'reset' class = 'zcwf_button' role = 'button' name = 'reset' value = 'Ripristina' aria-label = 'Ripristina' title = 'Ripristina'>
</div>
</div>
<script>
function addAriaSelected2292247000001470003(){
var optionElem = event.target;
var previousSelectedOption = optionElem.querySelector('[aria-selected=true]');
if (previousSelectedOption) {
previousSelectedOption.removeAttribute('aria-selected');
}
optionElem.querySelectorAll('option') [optionElem.selectedIndex] .ariaSelected = 'true';
}
function validateEmail2292247000001470003(){
var form = document.forms['WebToLeads2292247000001470003'];
var emailFld = form.querySelectorAll('[ftype=email]');
var i;
for(i = 0; i < emailFld.length; i++ ) {
var emailVal = emailFld[i].value;
if ((emailVal.replace (/^\s+|\s+$/g,'') ) .length != 0) {
var atpos = emailVal.indexOf('@');
var dotpos = emailVal.lastIndexOf('.');
if(atpos < 1 || dotpos < atpos + 2 || dotpos + 2 >= emailVal.length) {
alert('Inserire un indirizzo e-mail valido. ');
emailFld[i].focus();
return false;
}
}
}
return true;
}
function checkMandatory2292247000001470003(){
var mndFileds = new Array('Company', 'First Name', 'Last Name', 'Email', 'Country', 'Description');
var fldLangVal = new Array('Societ\xE0\x2FCompany', 'Nome\x2FName', 'Cognome\x2FSurname', 'E\x2Dmail', 'Paese\x2FCountry', 'Descrizione\x2FDescription');
for (i = 0; i < mndFileds.length; i++ ) {
var fieldObj = document.forms['WebToLeads2292247000001470003'] [mndFileds[i]];
if (fieldObj) {
if(((fieldObj.value) .replace (/^\s+|\s+$/g,'') ) .length == 0) {
if (fieldObj.type == 'file') {
alert('Selezionare un file da caricare.');
fieldObj.focus();
return false;
}
alert(fldLangVal[i] + ' non può essere vuoto.');
fieldObj.focus();
return false;
} else if (fieldObj.nodeName == 'SELECT') {
if (fieldObj.options[fieldObj.selectedIndex].value == '-None-') {
alert(fldLangVal[i] + ' non può essere nessuno.');
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){}
}
}
trackVisitor2292247000001470003();
if ( !validateEmail2292247000001470003 () ) {
return false;
}
var urlparams = new URLSearchParams(window.location.search);
if (urlparams.has ('service') && (urlparams.get ('service') === 'smarturl') ) {
var webform = document.getElementById('webform2292247000001470003');
var service = urlparams.get('service');
var smarturlfield = document.createElement('input');
smarturlfield.setAttribute('type', 'hidden');
smarturlfield.setAttribute('value', service);
smarturlfield.setAttribute('name', 'service');
webform.appendChild(smarturlfield);
}
document.querySelector('.crmWebToEntityForm .formsubmit').setAttribute('disabled', true);
}
function tooltipShow2292247000001470003(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>
<script type = 'text/javascript' id = 'VisitorTracking'>
var $zoho = $zoho || {};
$zoho.salesiq = $zoho.salesiq || {
widgetcode: 'siq9ee09ee30ab931a97c098ede41c3fd7bc23310bd6176098c96cc1671bb7a1ef8',
values: {},
ready: function(){}
};
var d = document;
s = d.createElement('script');
s.type = 'text/javascript';
s.id = 'zsiqscript';
s.defer = true;
s.src = 'https://salesiq.zoho.com/widget';
t = d.getElementsByTagName('script')[0];
t.parentNode.insertBefore(s, t);
function trackVisitor2292247000001470003(){
try{
if ($zoho) {
var LDTuvidObj = document.forms['WebToLeads2292247000001470003'] ['LDTuvid'];
if (LDTuvidObj) {
LDTuvidObj.value = $zoho.salesiq.visitor.uniqueid();
}
var firstnameObj = document.forms['WebToLeads2292247000001470003'] ['First Name'];
if (firstnameObj) {
name = firstnameObj.value + ' ' + name;
}
$zoho.salesiq.visitor.name(name);
var emailObj = document.forms['WebToLeads2292247000001470003'] ['Email'];
if (emailObj) {
email = emailObj.value;
$zoho.salesiq.visitor.email(email);
}
}
} catch (e){}
}
</script>
<!-- Do not remove this --- Analytics Tracking code starts -->
<script id = 'wf_anal' src = 'https://crm.zohopublic.com/crm/WebFormAnalyticsServeServlet?rid=08aee62923bded9d94008da5d44cfc4d6f18ff9c7341645e34aa2cc3a92b20fa9b21ac4111de78e7f396240fffeae742gid79fe686fbb80572102e9b5c0a24b4f36339f24d36df406185e16685bd6cd7d56gid1f7565896ab4e54fdbe02cf54418d2deff0e71410d33db92e26a10342cb74957gidc91620f166cffa5fcc76a151ac9b96e2cf7c1a01f24565d3572511d95e201c96&tw=63a63318fa43c22b323be38e2a77a5590ca7054a731f9dfc2b30747fe452ea71'>
</script>
<!-- Do not remove this --- Analytics Tracking code ends. -->
</form>
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