<!-- Note :<!-- [et_pb_line_break_holder] --> - You can modify the font style and form style to suit your website. <!-- [et_pb_line_break_holder] --> - 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. <!-- [et_pb_line_break_holder] --> - The Mandatory check script can modified as to suit your business needs. <!-- [et_pb_line_break_holder] --> - It is important that you test the modified form before going live.--><!-- [et_pb_line_break_holder] --><div id='crmWebToEntityForm' style='width:600px;margin:auto;'><!-- [et_pb_line_break_holder] --> <META HTTP-EQUIV ='content-type' CONTENT='text/html;charset=UTF-8'><!-- [et_pb_line_break_holder] --> <form action='https://crm.zoho.com/crm/WebToLeadForm' name=WebToLeads1989809000006007023 method='POST' onSubmit='javascript:document.charset="UTF-8"; return checkMandatory()' accept-charset='UTF-8'><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <!-- Do not remove this code. --><!-- [et_pb_line_break_holder] --> <input type='text' style='display:none;' name='xnQsjsdp' value='fbacea62a2c11bb602e29a9f24087c2403c6b254a5586ba34c44d572eb1acc0d'/><!-- [et_pb_line_break_holder] --> <input type='hidden' name='zc_gad' id='zc_gad' value=''/><!-- [et_pb_line_break_holder] --> <input type='text' style='display:none;' name='xmIwtLD' value='6ff8a91d0a6aeeed424181fbbeb4622d00cf7025bbb88d4e53a5d89ae6f7247b'/><!-- [et_pb_line_break_holder] --> <input type='text' style='display:none;' name='actionType' value='TGVhZHM='/><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <input type='text' style='display:none;' name='returnURL' value='https://pitss.com/thank-you-/' /> <!-- [et_pb_line_break_holder] --> <!-- Do not remove this code. --><!-- [et_pb_line_break_holder] --> <input type='text' style='display:none;' id='ldeskuid' name='ldeskuid'></input><!-- [et_pb_line_break_holder] --> <input type='text' style='display:none;' id='LDTuvid' name='LDTuvid'></input><!-- [et_pb_line_break_holder] --> <!-- Do not remove this code. --><!-- [et_pb_line_break_holder] --> <style><!-- [et_pb_line_break_holder] --> tr , td { <!-- [et_pb_line_break_holder] --> padding:6px;<!-- [et_pb_line_break_holder] --> border-spacing:0px;<!-- [et_pb_line_break_holder] --> border-width:0px;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> </style><!-- [et_pb_line_break_holder] --> <table style='width:600px;background-color:white;color:black'><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td colspan='2' style='text-align:left;color:black;font-family:Arial;font-size:14px;'><strong>Contact Us</strong></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>First Name<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='40' name='First Name' /></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>Last Name<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='80' name='Last Name' /></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>Email<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='100' name='Email' /></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>Country<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='30' name='Country' /></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>Company<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='100' name='Company' /></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>Role<span style='color:red;'>*</span></td><td style='width:250px;'><!-- [et_pb_line_break_holder] --> <select style='width:250px;' name='LEADCF7'><!-- [et_pb_line_break_holder] --> <option value='-None-'>-None-</option><!-- [et_pb_line_break_holder] --> <option value='Developer / DBA'>Developer / DBA</option><!-- [et_pb_line_break_holder] --> <option value='Architect'>Architect</option><!-- [et_pb_line_break_holder] --> <option value='IT Director / Manager'>IT Director / Manager</option><!-- [et_pb_line_break_holder] --> <option value='C-Level / Executive'>C-Level / Executive</option><!-- [et_pb_line_break_holder] --> <option value='Business Director / Manager'>Business Director / Manager</option><!-- [et_pb_line_break_holder] --> <option value='Security'>Security</option><!-- [et_pb_line_break_holder] --> <option value='Other / Administrative'>Other / Administrative</option><!-- [et_pb_line_break_holder] --> <option value='CIO / CTO'>CIO / CTO</option><!-- [et_pb_line_break_holder] --> <option value='CDO / Digital Services'>CDO / Digital Services</option><!-- [et_pb_line_break_holder] --> <option value='CFO / Financial'>CFO / Financial</option><!-- [et_pb_line_break_holder] --> </select></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>How Can We Help? </td><td> <textarea name='Description' maxlength='32000' style='width:250px;'> </textarea></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr style='display:none;' ><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:50%'>Lead Source</td><td style='width:250px;'><!-- [et_pb_line_break_holder] --> <select style='width:250px;' name='Lead Source'><!-- [et_pb_line_break_holder] --> <option value='-None-'>-None-</option><!-- [et_pb_line_break_holder] --> <option value='Blog/Article'>Blog/Article</option><!-- [et_pb_line_break_holder] --> <option value='Cold Call / Email'>Cold Call / Email</option><!-- [et_pb_line_break_holder] --> <option selected value='Contact Us/Get Started'>Contact Us/Get Started</option><!-- [et_pb_line_break_holder] --> <option value='Customer'>Customer</option><!-- [et_pb_line_break_holder] --> <option value='Digital Transformation Strategy Landing Page'>Digital Transformation Strategy Landing Page</option><!-- [et_pb_line_break_holder] --> <option value='DiscoverOrg'>DiscoverOrg</option><!-- [et_pb_line_break_holder] --> <option value='Ebook'>Ebook</option><!-- [et_pb_line_break_holder] --> <option value='External Referral'>External Referral</option><!-- [et_pb_line_break_holder] --> <option value='Full-Service Development Landing Page'>Full-Service Development Landing Page</option><!-- [et_pb_line_break_holder] --> <option value='Google Adwords'>Google Adwords</option><!-- [et_pb_line_break_holder] --> <option value='Knowledgebase'>Knowledgebase</option><!-- [et_pb_line_break_holder] --> <option value='LinkedIn'>LinkedIn</option><!-- [et_pb_line_break_holder] --> <option value='Marketing Campaign'>Marketing Campaign</option><!-- [et_pb_line_break_holder] --> <option value='Newsletter Sign Up'>Newsletter Sign Up</option><!-- [et_pb_line_break_holder] --> <option value='Oracle'>Oracle</option><!-- [et_pb_line_break_holder] --> <option value='Oracle Employee List'>Oracle Employee List</option><!-- [et_pb_line_break_holder] --> <option value='Partner'>Partner</option><!-- [et_pb_line_break_holder] --> <option value='Sales Create / Import'>Sales Create / Import</option><!-- [et_pb_line_break_holder] --> <option value='Siebel'>Siebel</option><!-- [et_pb_line_break_holder] --> <option value='Trade Show'>Trade Show</option><!-- [et_pb_line_break_holder] --> <option value='Webinar'>Webinar</option><!-- [et_pb_line_break_holder] --> <option value='Website'>Website</option><!-- [et_pb_line_break_holder] --> <option value='WebSite Visit'>WebSite Visit</option><!-- [et_pb_line_break_holder] --> </select></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr style='display:none;' ><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:50%'>Lead Stage</td><td style='width:250px;'><!-- [et_pb_line_break_holder] --> <select style='width:250px;' name='LEADCF32'><!-- [et_pb_line_break_holder] --> <option value='-None-'>-None-</option><!-- [et_pb_line_break_holder] --> <option selected value='Marketing Captured Lead'>Marketing Captured Lead</option><!-- [et_pb_line_break_holder] --> <option value='Marketing Qualified Lead'>Marketing Qualified Lead</option><!-- [et_pb_line_break_holder] --> <option value='Sales Qualified Lead'>Sales Qualified Lead</option><!-- [et_pb_line_break_holder] --> <option value='Sales Accepted Lead'>Sales Accepted Lead</option><!-- [et_pb_line_break_holder] --> <option value='Converted'>Converted</option><!-- [et_pb_line_break_holder] --> <option value='Sales Rejected Lead'>Sales Rejected Lead</option><!-- [et_pb_line_break_holder] --> <option value='Assigned to Latin America'>Assigned to Latin America</option><!-- [et_pb_line_break_holder] --> <option value='Assigned'>Assigned</option><!-- [et_pb_line_break_holder] --> <option value='Marketing Rejected Lead'>Marketing Rejected Lead</option><!-- [et_pb_line_break_holder] --> <option value='Assign to UK'>Assign to UK</option><!-- [et_pb_line_break_holder] --> </select></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td colspan='2' style='text-align:center; padding-top:15px;font-size:12px;'><!-- [et_pb_line_break_holder] --> <input style='font-size:12px;color:black' type='submit' value='Submit' /><!-- [et_pb_line_break_holder] --> <input type='reset' style='font-size:12px;color:black' value='Reset' /><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </table><!-- [et_pb_line_break_holder] --> <script><!-- [et_pb_line_break_holder] --> var mndFileds=new Array('Company','First Name','Last Name','LEADCF7','Email','Country');<!-- [et_pb_line_break_holder] --> var fldLangVal=new Array('Company','First Name','Last Name','Role','Email','Country');<!-- [et_pb_line_break_holder] --> var name='';<!-- [et_pb_line_break_holder] --> var email='';<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> function checkMandatory() {<!-- [et_pb_line_break_holder] --> for(i=0;i<mndFileds.length;i++) {<!-- [et_pb_line_break_holder] --> var fieldObj=document.forms['WebToLeads1989809000006007023'][mndFileds[i]];<!-- [et_pb_line_break_holder] --> if(fieldObj) {<!-- [et_pb_line_break_holder] --> if (((fieldObj.value).replace(/^\s+|\s+$/g, '')).length==0) {<!-- [et_pb_line_break_holder] --> if(fieldObj.type =='file')<!-- [et_pb_line_break_holder] --> { <!-- [et_pb_line_break_holder] --> alert('Please select a file to upload.'); <!-- [et_pb_line_break_holder] --> fieldObj.focus(); <!-- [et_pb_line_break_holder] --> return false;<!-- [et_pb_line_break_holder] --> } <!-- [et_pb_line_break_holder] --> alert(fldLangVal[i] +' cannot be empty.'); <!-- [et_pb_line_break_holder] --> fieldObj.focus();<!-- [et_pb_line_break_holder] --> return false;<!-- [et_pb_line_break_holder] --> } else if(fieldObj.nodeName=='SELECT') {<!-- [et_pb_line_break_holder] --> if(fieldObj.options[fieldObj.selectedIndex].value=='-None-') {<!-- [et_pb_line_break_holder] --> alert(fldLangVal[i] +' cannot be none.'); <!-- [et_pb_line_break_holder] --> fieldObj.focus();<!-- [et_pb_line_break_holder] --> return false;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> } else if(fieldObj.type =='checkbox'){<!-- [et_pb_line_break_holder] --> if(fieldObj.checked == false){<!-- [et_pb_line_break_holder] --> alert('Please accept '+fldLangVal[i]);<!-- [et_pb_line_break_holder] --> fieldObj.focus();<!-- [et_pb_line_break_holder] --> return false;<!-- [et_pb_line_break_holder] --> } <!-- [et_pb_line_break_holder] --> } <!-- [et_pb_line_break_holder] --> try {<!-- [et_pb_line_break_holder] --> if(fieldObj.name == 'Last Name') {<!-- [et_pb_line_break_holder] --> name = fieldObj.value;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> } catch (e) {}<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> trackVisitor();<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --></script><script type='text/javascript' id='VisitorTracking'>var $zoho= $zoho <!-- [et_pb_line_break_holder] --> {};$zoho.salesiq = $zoho.salesiq <!-- [et_pb_line_break_holder] --> {widgetcode:'3b0590567be408cddde21b08d0e52c914085c053b64f9a9f93fd3e272a4ffde4', values:{},ready:function(){$zoho.salesiq.floatbutton.visible('hide');}};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 trackVisitor(){try{if($zoho){var LDTuvidObj = document.forms['WebToLeads1989809000006007023']['LDTuvid'];if(LDTuvidObj){LDTuvidObj.value = $zoho.salesiq.visitor.uniqueid();}var firstnameObj = document.forms['WebToLeads1989809000006007023']['First Name'];if(firstnameObj){name = firstnameObj.value +' '+name;}$zoho.salesiq.visitor.name(name);var emailObj = document.forms['WebToLeads1989809000006007023']['Email'];if(emailObj){email = emailObj.value;$zoho.salesiq.visitor.email(email);}}} catch(e){}}</script><!-- [et_pb_line_break_holder] --> </form><!-- [et_pb_line_break_holder] --></div>