Formulario Anpasa Noviembre 2019

<!
-- 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.
- Do not remove captcha and other form elements that are necessary for the form
to work. -->
<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=WebToLeads2405460000000176007 method='POST'
onSubmit='javascript:document.charset="UTF-8"; return
checkMandatory2405460000000176007()' accept-charset='UTF-8'>
<input type='text' style='display:none;' name='xnQsjsdp'
value='b0763cf9c8a95b6a037c7137c297409f88ddf961f4ae97e4b58a01c69b3a5ea3'></input>
<input type='hidden' name='zc_gad' id='zc_gad' value=''></input>
<input type='text' style='display:none;' name='xmIwtLD'
value='e1578c12a5940762094f713e3f0cac936bc2cbfd010d30b548595d8ab2eeae73'></input>
<input type='text' style='display:none;' name='actionType'
value='TGVhZHM='></input>
<input type='text' style='display:none;' name='returnURL'
value='https://www.anpasa.com' > </input><br></br>

<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>SZ-PC-Form
web</strong></td></tr> <br></br><tr><td style='word-break: break-word;text-
align:left;font-size:12px;font-family:Arial;width:30%;'>Nombre</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%;'>Apellidos<span style='color:red;'>*</span></td><td
maxlength='80' name='Last Name' /></td><td style='width:30%;'></td></tr><tr><td
family:Arial;width:30%;'>Empresa<span style='color:red;'>*</span></td><td
maxlength='100' name='Company' /></td><td style='width:30%;'></td></tr><tr><td
family:Arial;width:30%;'>Teléfono</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%;'>Correo
electrónico</td><td style='width:40%;' ><input type='text'
style='width:100%;box-sizing:border-box;' maxlength='100' name='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%;'>Línea de
ventas</td><td style='width:40%;'>
<select style='width:100%;box-sizing:border-box;' name='LEADCF122'>
<option value='-None-'>-None-</option>
<option value='Andamios'>Andamios</option>
<option value='Pararrayos'>Pararrayos</option>
<option value='Multidireccional'>Multidireccional</option>
</select></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%;'>Estado de la República</td><td style='width:40%;'>
<select style='width:100%;box-sizing:border-box;' name='LEADCF127'>
<option value='Aguascalientes'>Aguascalientes</option>
<option value='Baja California'>Baja California</option>
<option value='Baja California Sur'>Baja California
Sur</option>
<option value='Campeche'>Campeche</option>
<option value='CDMX'>CDMX</option>
<option value='Chiapas'>Chiapas</option>
<option value='Chihuahua'>Chihuahua</option>
<option value='Coahuila de Zaragoza'>Coahuila de
Zaragoza</option>
<option value='Colima'>Colima</option>
<option value='Durango'>Durango</option>
<option value='Estado de México'>Estado de
México</option>
<option value='Guanajuato'>Guanajuato</option>
<option value='Guerrero'>Guerrero</option>
<option value='Hidalgo'>Hidalgo</option>
<option value='Jalisco'>Jalisco</option>
<option
value='Michoacán de Ocampo'>Michoacán de Ocampo</option>
<option value='Morelos'>Morelos</option>
<option value='Nayarit'>Nayarit</option>
<option value='Nuevo León'>Nuevo León</option>
<option value='Oaxaca'>Oaxaca</option>
<option value='Puebla'>Puebla</option>
<option value='Querétaro'>Querétaro</option>
<option value='Quintana Roo'>Quintana Roo</option>
<option value='San Luis Potosí'>San Luis
Potosí</option>
<option value='Sinaloa'>Sinaloa</option>
<option value='Sonora'>Sonora</option>
<option value='Tabasco'>Tabasco</option>
<option value='Tamaulipas'>Tamaulipas</option>
<option value='Tlaxcala'>Tlaxcala</option>
<option
value='Veracruz de Ignacio de la Llave'>Veracruz de
Ignacio de la Llave</option>
<option value='Yucatán'>Yucatán</option>
<option value='Zacatecas'>Zacatecas</option>
</select></td><td style='width:30%;'></td></tr><tr
style='display:none;' ><td style='word-break: break-word;text-align:left;font-
size:12px;font-family:Arial;width:30%'>Fuente de Posible cliente</td><td
style='width:40%;'>
<select style='width:100%;box-sizing:border-box;' name='Lead Source'>
<option
value='Peinado Zona local/frneo(Obras)'>Peinado Zona
local/frneo(Obras)</option>
<option selected value='Pag Web Anpasa'>Pag Web
Anpasa</option>
<option value='Recomendado'>Recomendado</option>
<option value='Publicidad'>Publicidad</option>
<option
value='Expo/Feria/Exhibic. Comercial'>Expo/Feria/Exhibic.
Comercial</option>
<option value='Contacto Personal'>Contacto Personal</option>
<option
value='Corportivo/Fnte Public/Dir Ind'>Corportivo/Fnte
Public/Dir Ind</option>
<option value='Sección Amarilla'>Sección
Amarilla</option>
<option
value='Campañas Mailings/Promociones'>Campañas
Mailings/Promociones</option>
<option value='Reputación ANPASA'>Reputación
ANPASA</option>
<option value='Licitación Publica'>Licitación
Publica</option>
<option value='Otros'>Otros</option>
<option value='BIMSAS'>BIMSAS</option>
<option value='Especificador'>Especificador</option>
</select></td><td style='width:30%;'></td></tr><tr
style='display:none;' ><td style='word-break: break-word;text-align:left;font-
size:12px;font-family:Arial;width:30%'>Estado de Prospecto</td><td
style='width:40%;'>
<select style='width:100%;box-sizing:border-box;' name='Lead Status'>
<option selected
value='20% Registro de prospecto'>20% Registro de
prospecto</option>
<option value='30% Stand By -
En Espera'>30% Stand By - En Espera</option>
<option value='40% Sondeando Necesidades'>40%
Sondeando Necesidades</option>
<option
value='50%Cliente Sondea precios'>50%Cliente Sondea
precios</option>
<option
value='60% Actividad de Convencimiento'>60% Actividad de
Convencimiento</option>
<option
value='80% Intercambio de Información para cot
izar'>80% Intercambio de Información para cotizar</option>
<option value='0% Descartado'>0%
Descartado</option>
</select></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%;'>Descripción </td><td style='width:40%;'> <textarea
name='Description' maxlength='32000' style='width:100%;'> </textarea></td><td
style='width:30%;'></td></tr><tr><td style='nowrap:nowrap;text-align:left;font-
size:12px;font-family:Arial;width:30%;box-sizing:border-box;'>Introduzca el
captcha</td>
<td style='width:40%;box-sizing:border-box;'><input type='text'
style='width:100%;box-sizing:border-box;' maxlength='10' name='enterdigest'
/></td><td style='width:30%;'></td>
</tr>
<tr><td style='width:30%;'></td>
<td style='width:40%;box-sizing:border-box;'><img id='imgid'
src='https://crm.zoho.com/crm/CaptchaServlet?
formId=e1578c12a5940762094f713e3f0cac936bc2cbfd010d30b548595d8ab2eeae73&grpid=b0763
cf9c8a95b6a037c7137c297409f88ddf961f4ae97e4b58a01c69b3a5ea3'>
<a href='javascript:;' onclick='reloadImg()'>Recargar</a></td><td
style='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:black' id='formsubmit' type='submit' value='Enviar' ></input>
<input type='reset' name='reset' style='cursor: pointer;font-size:12px;color:black'
value='Restablecer' ></input> </td></tr></table>
<script>
var mndFileds=new Array('Company','Last Name');
var fldLangVal=new Array('Empresa','Apellidos');
var name='';
var email='';
/* Do not remove this code. */

function reloadImg() {
if(document.getElementById('imgid').src.indexOf('&d') !== -1 ) {
document.getElementById('imgid').src=document.getElementById('imgid').src.substring
(0,document.getElementById('imgid').src.indexOf('&d'))+'&d'+new Date().getTime();
} else {
document.getElementById('imgid').src =
document.getElementById('imgid').src+'&d'+new Date().getTime();
}
}
function checkMandatory2405460000000176007() {
for(i=0;i<mndFileds.length;i++) {
var fieldObj=document.forms['WebToLeads2405460000000176007']
[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) {}
}
}
document.getElementById('formsubmit').disabled=true;
}
</script>
</form>
<iframe name='captchaFrame' style='display:none;'></iframe>
</div>

Formulario Anpasa Noviembre 2019

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Formulario Anpasa Noviembre 2019

Cargado por

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Formatos disponibles

<!

<tr><td colspan='2' style='text-align:center; padding-top:15px;font-

/* Do not remove this code. */

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