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<!-- 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' 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=WebToLeads3764935000000402003 method='POST' onSubmit='javascript:document.charset="UTF-8"; return checkMandatory3764935000000402003()' accept-charset='UTF-8'>
 <input type='text' style='display:none;' name='xnQsjsdp' value='5ee54aae33d4e2a74a9ed154d525795634587b86449a105b6aec695b79506c73'></input> 
 <input type='hidden' name='zc_gad' id='zc_gad' value=''></input> 
 <input type='text' style='display:none;' name='xmIwtLD' value='02285dba1675b89962ef13cf97b712dbb61fc4e27d645dfe148ea2520a861bd4'></input> 
 <input type='text'  style='display:none;' name='actionType' value='TGVhZHM='></input>
 <input type='text' style='display:none;' name='returnURL' value='https://equitect.com' > </input><br></br>
	 <!-- Do not remove this code. -->
	<style>
		#crmWebToEntityForm tr , #crmWebToEntityForm td { 
			padding:6px;
			border-spacing:0px;
			border-width:0px;
			}
	</style>
	<table style='width:600px;background-color:#ffffff;background-color:white;color:black'><tr><td colspan='2' align='left' style='color:black;font-family:Arial;font-size:14px;word-break: break-word;'><strong>Contact</strong></td></tr> <br></br><tr><td  style='word-break: break-word;text-align:left;font-size:12px;font-family:Arial;width:30%;'>First Name<span style='color:red;'>*</span></td><td style='width:40%;' ><input type='text' style='width:100%;box-sizing:border-box;'  maxlength='40' name='First Name' /></td><td style='width:30%;'></td></tr><tr><td  style='word-break: break-word;text-align:left;font-size:12px;font-family:Arial;width:30%;'>Last Name<span style='color:red;'>*</span></td><td style='width:40%;' ><input type='text' style='width:100%;box-sizing:border-box;'  maxlength='80' name='Last Name' /></td><td style='width:30%;'></td></tr><tr><td  style='word-break: break-word;text-align:left;font-size:12px;font-family:Arial;width:30%;'>Phone</td><td style='width:40%;' ><input type='text' style='width:100%;box-sizing:border-box;'  maxlength='30' name='Phone' /></td><td style='width:30%;'></td></tr><tr><td  style='word-break: break-word;text-align:left;font-size:12px;font-family:Arial;width:30%;'>Email</td><td style='width:40%;' ><input type='text' style='width:100%;box-sizing:border-box;'  maxlength='100' name='Email' ftype='email'/></td><td style='width:30%;'></td></tr><tr><td  style='word-break: break-word;text-align:left;font-size:12px;font-family:Arial;width:30%;'>Message </td><td style='width:40%;'> <textarea name='Description' maxlength='32000' style='width:100%;'></textarea></td><td style='width:30%;'></td></tr>

	<tr><td colspan='2' style='text-align:center; padding-top:15px;font-size:12px;'>
		<input style='margin-right: 5px;cursor: pointer;font-size:12px;color:#000000' id='formsubmit' type='submit' value='Submit' ></input> <input type='reset' name='reset' style='cursor: pointer;font-size:12px;color:#000000' value='Reset' ></input> </td></tr></table>
	<script>
 	  var mndFileds=new Array('First Name','Last Name');
 	  var fldLangVal=new Array('First Name','Last Name'); 
		var name='';
		var email='';
	function validateEmail()
	{
		var emailFld = document.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('Please enter a valid email address. ');
					emailFld[i].focus();
					return false;
				}
			}
		}
		return true;
	}

 	  function checkMandatory3764935000000402003() {
		for(i=0;i<mndFileds.length;i++) {
		  var fieldObj=document.forms['WebToLeads3764935000000402003'][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(!validateEmail()){return false;}
		
	}

</script>
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</div>