<div id='zohoWebToLead' align=center><META HTTP-EQUIV ='content-type' CONTENT='text/html;charset = UTF-8'> <form action='https://crm.zoho.com/crm/WebToContactForm' method='POST' onSubmit='javascript:document.charset="UTF-8";' accept-charset='UTF-8'><table border=0 cellspacing=0 cellpadding=5 width=480 style='border-top:2px solid #999999;border-bottom:1px solid #999999;background-color:#ffffff;'> <input type='hidden' name='xnQsjsdp' value=Cob8CCwtv80$/> <input type='hidden' name='xmIwtLD' value=m2ZtwtNlWQgPxRTKl*yKAm-*B6-MHnNR/> <input type='hidden' name='actionType' value=Q29udGFjdHM=/> <input type='hidden' name='returnURL' value='http://www.cossonay-cricket.com' /> <br><tr><td colspan='2' align='left' style='background-color:#f5f5f5;border-bottom:2px dotted #dadada; color:#000000;font-family:sans-serif;font-size:14px;'><strong>Web Form</strong></td></tr><tr><td nowrap style='font-family:sans-serif;font-size:12px;font-weight:bold' align='right' width='25%'>Lead Source :</td><td width='75%'><select name='Lead Source'> <option value='-None-'>-None-</option> <option value='Advertisement'>Advertisement</option> <option value='Cold Call'>Cold Call</option> <option value='Employee Referral'>Employee Referral</option> <option value='External Referral'>External Referral</option> <option value='OnlineStore'>OnlineStore</option> <option value='Partner'>Partner</option> <option value='Public Relations'>Public Relations</option> <option value='Sales Mail Alias'>Sales Mail Alias</option> <option value='Seminar Partner'>Seminar Partner</option> <option value='Seminar-Internal'>Seminar-Internal</option> <option value='Trade Show'>Trade Show</option> <option value='Web Download'>Web Download</option> <option value='Web Research'>Web Research</option> <option value='Web Cases'>Web Cases</option> <option value='Web Mail'>Web Mail</option> </select></td></tr><tr><td nowrap style='font-family:sans-serif;font-size:12px;font-weight:bold' align='right' width='25%'>First Name :</td><td width='75%'><input type='text' maxlength='40' name='First Name' /> </td></tr><tr><td nowrap style='font-family:sans-serif;font-size:12px;font-weight:bold' align='right' width='25%'>Last Name :</td><td width='75%'><input type='text' maxlength='80' name='Last Name' /> </td></tr><tr><td nowrap style='font-family:sans-serif;font-size:12px;font-weight:bold' align='right' width='25%'>Email :</td><td width='75%'><input type='text' maxlength='100' name='Email' /> </td></tr><tr><td nowrap style='font-family:sans-serif;font-size:12px;font-weight:bold' align='right' width='25%'>Phone :</td><td width='75%'><input type='text' maxlength='50' name='Phone' /> </td></tr><tr><td nowrap style='font-family:sans-serif;font-size:12px;font-weight:bold' align='right' width='25%'>Mailing Street :</td><td width='75%'><input type='text' maxlength='250' name='Mailing Street' /> </td></tr><tr><td nowrap style='font-family:sans-serif;font-size:12px;font-weight:bold' align='right' width='25%'>Mailing City :</td><td width='75%'><input type='text' maxlength='30' name='Mailing City' /> </td></tr><tr><td nowrap style='font-family:sans-serif;font-size:12px;font-weight:bold' align='right' width='25%'>Mailing State :</td><td width='75%'><input type='text' maxlength='30' name='Mailing State' /> </td></tr><tr><td nowrap style='font-family:sans-serif;font-size:12px;font-weight:bold' align='right' width='25%'>Mailing Zip :</td><td width='75%'><input type='text' maxlength='30' name='Mailing Zip' /> </td></tr><tr><td nowrap style='font-family:sans-serif;font-size:12px;font-weight:bold' align='right' width='25%'>Mailing Country :</td><td width='75%'><input type='text' maxlength='30' name='Mailing Country' /> </td></tr><tr><td nowrap style='font-family:sans-serif;font-size:12px;font-weight:bold' align='right' width='25%'>Description :</td><td width='75%'> <textarea name='Description' maxlength='1000' width='250' height='250'></textarea></td></tr><tr><td colspan=2 align=center style='background-color:#eaeaea'> <input type='submit' name='save' value=Save /> <input type='reset' name='reset' value=Reset /> </td></tr></table> </form></div> | 
