Registration Wine Club
<!-- 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/WebToContactForm' name=WebToContacts1414651000001842027 method='POST' onSubmit='javascript:document.charset="UTF-8"; return checkMandatory()' accept-charset='UTF-8'>
<!-- Do not remove this code. -->
<input type='text' style='display:none;' name='xnQsjsdp' value='16baae245de850681a5fd4b4aa7908a7e2e8551586d2b868efdf3734e2d5380d'/>
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<input type='text' style='display:none;' name='actionType' value='Q29udGFjdHM='/>
<input type='text' style='display:none;' name='returnURL' value='https://www.winesargentinaexpress.com' />
<!-- Do not remove this code. -->
<style>
tr , td {
padding:6px;
border-spacing:0px;
border-width:0px;
}
</style>
<table style='width:600px;background-color:white;color:black'>
<tr><td colspan='2' style='text-align:left;color:black;font-family:Arial;font-size:14px;'><strong>Registration Wine Club</strong></td></tr>
<tr><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>Apellidos<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='80' name='Last Name' /></td></tr>
<tr><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>Nivel de Contacto para wine<span style='color:red;'>*</span></td><td style='width:250px;'>
<select style='width:250px;' name='CONTACTCF9'>
<option value='-None-'>-None-</option>
<option value='contacto face '>contacto face </option>
<option value='Contacto General'>Contacto General</option>
<option value='Contacto de Bodega '>Contacto de Bodega </option>
<option value='Contacto de Hotel'>Contacto de Hotel</option>
<option value='Amigo de un amigo'>Amigo de un amigo</option>
<option value='cliente de Wine flite '>cliente de Wine flite </option>
<option value='Ciiente de achaval '>Ciiente de achaval </option>
<option value='Cliente de Wines Argentina Express'>Cliente de Wines Argentina Express</option>
<option value='Contacto de Linkeding '>Contacto de Linkeding </option>
<option value='Otra Fuente Posible Cliente '>Otra Fuente Posible Cliente </option>
<option value='Contacto por mailing '>Contacto por mailing </option>
<option value='Contacto por internet '>Contacto por internet </option>
</select></td></tr>
<tr><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>Contacto para campañas<span style='color:red;'>*</span></td><td style='width:250px;'>
<select style='width:250px;' name='CONTACTCF10'>
<option value='-None-'>-None-</option>
<option value='Activo'>Activo</option>
<option value='Para Contactar'>Para Contactar</option>
<option value='Suscripción cancelada'>Suscripción cancelada</option>
</select></td></tr>
<tr><td colspan='2' style='text-align:center; padding-top:15px;'>
<input style='font-size:12px;color:#131307' type='submit' value='Enviar' />
<input type='reset' style='font-size:12px;color:#131307' value='Restablecer' />
</td>
</tr>
</table>
<script>
var mndFileds=new Array('Last Name','CONTACTCF9','CONTACTCF10');
var fldLangVal=new Array('Apellidos','Nivel de Contacto para wine','Contacto para campañas');
var name='';
var email='';
function checkMandatory() {
for(i=0;i<mndFileds.length;i++) {
var fieldObj=document.forms['WebToContacts1414651000001842027'][mndFileds[i]];
if(fieldObj) {
if (((fieldObj.value).replace(/^s+|s+$/g, '')).length==0) {
if(fieldObj.type =='file')
{
alert('Seleccione un archivo para cargar.');
fieldObj.focus();
return false;
}
alert(fldLangVal[i] +' no puede estar vacío.');
fieldObj.focus();
return false;
} else if(fieldObj.nodeName=='SELECT') {
if(fieldObj.options[fieldObj.selectedIndex].value=='-None-') {
alert(fldLangVal[i] +' no puede ser nulo.');
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) {}
}
}
}
</script>
</form>
</div>
