<link rel="stylesheet" type="text/css" media="all" href="?c=1" mce_href="?c=1"><mce:script type="text/javascript" src="include/javascript/sugar_grp1.
js?c=1" mce_src="include/javascript/sugar_grp1.
js?c=1"></mce:script><mce:script type="text/javascript" src="include/javascript/calendar.
js?c=1" mce_src="include/javascript/calendar.
js?c=1"></mce:script></p>
<form action="https://consell.sugarondemand.com/index.php?entryPoint=WebToLeadCapture" name="WebToLeadForm" method="POST" id="WebToLeadForm"><table align="center" class="mceItemTable"><tbody><tr><td><span sugar="slot">First Name </span><span class="required" style="color: rgb(255, 0, 0);" mce_style="color: #ff0000;">*</span></td><td><span sugar="slot"><input id="first_name" name="first_name" type="text"></span></td><td><span sugar="slot">Phone </span><span class="required" style="color: rgb(255, 0, 0);" mce_style="color: #ff0000;">*</span></td><td><span sugar="slot"><input id="phone_work" name="phone_work" type="text"></span></td></tr><tr><td><span sugar="slot">Last Name </span><span class="required" style="color: rgb(255, 0, 0);" mce_style="color: #ff0000;">*</span></td><td><span sugar="slot"><input id="last_name" name="last_name" type="text"></span></td><td><span sugar="slot">Email </span><span class="required" style="color: rgb(255, 0, 0);" mce_style="color: #ff0000;">*</span></td><td><span sugar="slot"><input id="webtolead_email1" name="webtolead_email1" onchange="validateEmailAdd();" type="text"></span></td></tr><tr><td><span sugar="slot">Company </span></td><td><span sugar="slot"><input id="account_name" name="account_name" type="text"></span></td><td><span sugar="slot">Country </span></td><td><span sugar="slot"><input id="primary_address_country" name="primary_address_country" type="text"></span></td></tr>
<tr>
</tr>
<tr>
<td colspan="4"><input type="image" class="imgpad" onclick="submit_form();" src="images/submit.jpg" align="center" width="122" height="43" input /></td>
</tr>
<tr align="center"><td><input id="campaign_id" name="campaign_id" value="a367cdbb-a590-5981-09ea-4e61505ad701" type="hidden"></td><td style="display: none" mce_style="display: none"><input id="redirect_url" name="redirect_url" value="http://conselltranslations.com/form_complete.html" type="hidden"></td><td style="display: none" mce_style="display: none"><input id="assigned_user_id" name="assigned_user_id" value="e3a27bcb-42e8-020e-dcff-4e4ca0c2b991" type="hidden"></td><td style="display: none" mce_style="display: none"><input id="team_id" name="team_id" value="1" type="hidden"></td></tr><tr><td style="display: none" mce_style="display: none"><input id="team_set_id" name="team_set_id" value="Global" type="hidden"></td><td style="display: none" mce_style="display: none"><input id="req_id" name="req_id" value="last_name;" type="hidden"></td></tr></tbody></table></form><p><mce:script type="text/javascript">
<!--
function submit_form(){
if(typeof(validateCaptchaAndSubmit)!='undefined'){
validateCaptchaAndSubmit();
}else{
check_webtolead_fields();
}
}
function check_webtolead_fields(){
if(document.getElementById('bool_id') != null){
var reqs=document.getElementById('bool_id').value;
bools = reqs.substring(0,reqs.lastIndexOf(';'));
var bool_fields = new Array();
var bool_fields = bools.split(';');
nbr_fields = bool_fields.length;
for(var i=0;i<nbr_fields;i++){
if(document.getElementById(bool_fields[i]).value == 'on'){
document.getElementById(bool_fields[i]).value = 1;
}
else{
document.getElementById(bool_fields[i]).value = 0;
}
}
}
if(document.getElementById('req_id') != null){
var reqs=document.getElementById('req_id').value;
reqs = reqs.substring(0,reqs.lastIndexOf(';'));
var req_fields = new Array();
var req_fields = reqs.split(';');
nbr_fields = req_fields.length;
var req = true;
for(var i=0;i<nbr_fields;i++){
if(document.getElementById(req_fields[i]).value.length <=0 || document.getElementById(req_fields[i]).value==0){
req = false;
break;
}
}
if(req){
document.WebToLeadForm.submit();
return true;
}
else{
alert('Please provide all the required fields');
return false;
}
return false
}
else{
document.WebToLeadForm.submit();
}
}
function validateEmailAdd(){
if(document.getElementById('webtolead_email1').val ue.length >0) {
if(document.getElementById('webtolead_email1').val ue.match(/^\w+(['\.\-\+]?\w+)*@\w+([\.-]?\w+)*(\.\w{2,})+$/) == null){
alert('Not a valid email address');
}
}
if(document.getElementById('webtolead_email2').val ue.length >0) {
if(document.getElementById('webtolead_email2').val ue.match(/^\w+(['\.\-\+]?\w+)*@\w+([\.-]?\w+)*(\.\w{2,})+$/) == null){
alert('Not a valid email address');
}
}
}
// --></mce:script>
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