New Lead Form<\/title>\r\n <style>\r\n body {\r\n font-family: Arial, sans-serif;\r\n background-color: #f4f4f9;\r\n margin: 0;\r\n padding: 20px;\r\n display: flex;\r\n justify-content: center;\r\n }\r\n\r\n .form-container {\r\n background-color: #ffffff;\r\n padding: 20px 30px;\r\n border-radius: 10px;\r\n box-shadow: 0 4px 6px rgba(0, 0, 0, 0.1);\r\n max-width: 1200px;\r\n width: 100%;\r\n }\r\n\r\n h1 {\r\n text-align: center;\r\n font-size: 20px;\r\n color: #333333;\r\n }\r\n\r\ntextarea {\r\nwidth: 800px;\r\nheight: 150px;\r\n}\r\n\r\n .form-section {\r\n margin-bottom: 20px;\r\n }\r\n\r\n .form-section h2 {\r\n font-size: 16px;\r\n margin-bottom: 10px;\r\n color: #0078d7;\r\n border-bottom: 1px solid #ddd;\r\n padding-bottom: 5px;\r\n }\r\n\r\n .form-group {\r\n display: flex;\r\n flex-wrap: wrap;\r\n margin-bottom: 15px;\r\n }\r\n\r\n .form-group label {\r\n width: 100%;\r\n font-size: 14px;\r\n margin-bottom: 5px;\r\n }\r\n\r\n .form-group input,\r\n .form-group select {\r\n width: calc(50% - 10px);\r\n padding: 8px;\r\n border: 1px solid #ccc;\r\n border-radius: 5px;\r\n margin-right: 10px;\r\n margin-bottom: 10px;\r\n font-size: 14px;\r\n }\r\n\r\n .form-group input[type=\"checkbox\"] {\r\n width: auto;\r\n }\r\n\r\n .form-group select {\r\n cursor: pointer;\r\n }\r\n\r\n .form-group input:focus,\r\n .form-group select:focus {\r\n border-color: #0078d7;\r\n outline: none;\r\n box-shadow: 0 0 3px rgba(0, 120, 215, 0.5);\r\n }\r\n\r\n .form-actions {\r\n text-align: center;\r\n }\r\n\r\n .form-actions button {\r\n background-color: #0078d7;\r\n color: #ffffff;\r\n border: none;\r\n padding: 10px 15px;\r\n border-radius: 5px;\r\n font-size: 16px;\r\n cursor: pointer;\r\n transition: background-color 0.3s;\r\n }\r\n\r\n .form-actions button:hover {\r\n background-color: #005a9e;\r\n }\r\n <\/style>\r\n<\/head>\r\n<body>\r\n <div class=\"form-container\">\r\n <h1>New Lead<\/h1>\r\n <form>\r\n\r\n\r\n\r\n \r\n <div class=\"form-section\">\r\n <h2>Lead Information<\/h2>\r\n <div class=\"form-group\">\r\n\r\n\r\n\r\n <label for=\"lead_source\">Lead Source<\/label><select id=\"lead_source\" name=\"lead_source\"><option value=\"\">--None--<\/option><option value=\"Campagne Seventic\">Campagne Seventic<\/option>\r\n<option value=\"Employee Referral\">Employee Referral<\/option>\r\n<option value=\"info@onesolutions.ch\">info@onesolutions.ch<\/option>\r\n<option value=\"info@onesolutions.fr\">info@onesolutions.fr<\/option>\r\n<option value=\"Infoniqa Lead\">Infoniqa Lead<\/option>\r\n\r\n<option value=\"Lead NetSuite\">Lead NetSuite<\/option>\r\n<option value=\"M-Files lead\">M-Files lead<\/option>\r\n\r\n<option value=\"Client referral\">Client referral<\/option>\r\n\r\n<option value=\"Customer Event\">Customer Event<\/option>\r\n\r\n<option value=\"Partner\">Partner<\/option>\r\n<option value=\"Purchased List\">Purchased List<\/option>\r\n\r\n<option value=\"WebsiteOneSolutions\">WebsiteOneSolutions<\/option>\r\n<option value=\"Other Event\">Other Event<\/option>\r\n<option value=\"Percy Miller\">Percy Miller<\/option>\r\n\r\n<option value=\"Sage lead\">Sage lead<\/option>\r\n<option value=\"Website OneSolutions\">Website OneSolutions<\/option>\r\n<\/select><br>\r\n\r\n\r\n\r\n <label for=\"lead_status\">Lead Status<\/label>\r\n <select id=\"lead_status\" name=\"lead_status\">\r\n <option value=\"New\">New<\/option>\r\n \r\n <\/select>\r\n <\/div>\r\n <div class=\"form-group\">\r\n\r\n<label for=\"lead_status\">Lead Type<\/label><select id=\"00NTG000000T49t\" name=\"00NTG000000T49t\" title=\"Lead Type\"><option value=\"\">--None--<\/option><option value=\"Event Based Leads\">Event Based Leads<\/option>\r\n<option value=\"Existing Competitions' clients - ETL\">Existing Competitions' clients - ETL<\/option>\r\n<option value=\"Inbound Leads\">Inbound Leads<\/option>\r\n<option value=\"Organic \/ SEO \/ Social Media Leads\">Organic \/ SEO \/ Social Media Leads<\/option>\r\n<option value=\"Outbound Leads - BDR\">Outbound Leads - BDR<\/option>\r\n<option value=\"Outbound Leads - List\">Outbound Leads - List<\/option>\r\n<option value=\"Paid Leads\">Paid Leads<\/option>\r\n<option value=\"Partners Sourced Leads\">Partners Sourced Leads<\/option>\r\n<option value=\"Personal Network Leads\">Personal Network Leads<\/option>\r\n<option value=\"Referral Leads\">Referral Leads<\/option>\r\n<\/select><br>\r\n<\/div>\r\n\r\n <div class=\"form-group\">\r\n <label for=\"url\">Website<\/label><input id=\"url\" maxlength=\"80\" name=\"url\" size=\"20\" type=\"text\" \/><br>\r\n\r\n\r\n \r\n<label for=\"company\">Company<\/label><input id=\"company\" maxlength=\"40\" name=\"company\" size=\"20\" type=\"text\" \/><br>\r\n <\/div>\r\n\r\n\r\n\r\n\r\n\r\n <div class=\"form-group\">\r\n <label for=\"industry\">Industry<\/label><select id=\"industry\" name=\"industry\"><option value=\"\">--None--<\/option><option value=\"Accessoires\">Accessoires<\/option>\r\n<option value=\"Administration\">Administration<\/option>\r\n<option value=\"Agriculture\">Agriculture<\/option>\r\n<option value=\"Alimentation\">Alimentation<\/option>\r\n<option value=\"Assurances\">Assurances<\/option>\r\n<option value=\"Autre\">Autre<\/option>\r\n<option value=\"Banque\">Banque<\/option>\r\n<option value=\"Biotechnologie\">Biotechnologie<\/option>\r\n<option value=\"But non lucratif\">But non lucratif<\/option>\r\n<option value=\"Chimie\">Chimie<\/option>\r\n<option value=\"Communications\">Communications<\/option>\r\n<option value=\"Conseil\">Conseil<\/option>\r\n<option value=\"Construction\">Construction<\/option>\r\n<option value=\"Divertissements\">Divertissements<\/option>\r\n<option value=\"Education\">Education<\/option>\r\n<option value=\"Electronique\">Electronique<\/option>\r\n<option value=\"Energie\">Energie<\/option>\r\n<option value=\"Environnement\">Environnement<\/option>\r\n<option value=\"Fabrication\">Fabrication<\/option>\r\n<option value=\"Finance\">Finance<\/option>\r\n<option value=\"Fr\u00eat\">Fr\u00eat<\/option>\r\n<option value=\"Ing\u00e9nierie\">Ing\u00e9nierie<\/option>\r\n<option value=\"Loisirs\">Loisirs<\/option>\r\n<option value=\"Luxe\">Luxe<\/option>\r\n<option value=\"M\u00e9canique\">M\u00e9canique<\/option>\r\n<option value=\"M\u00e9dia\">M\u00e9dia<\/option>\r\n<option value=\"Sant\u00e9\">Sant\u00e9<\/option>\r\n<option value=\"Services publics\">Services publics<\/option>\r\n<option value=\"Technologie\">Technologie<\/option>\r\n<option value=\"Telecommunications\">Telecommunications<\/option>\r\n<option value=\"Tourisme\">Tourisme<\/option>\r\n<option value=\"Trading\">Trading<\/option>\r\n<option value=\"Transport\">Transport<\/option>\r\n<option value=\"Vente au d\u00e9tail\">Vente au d\u00e9tail<\/option>\r\n<\/select><br>\r\n\r\n\r\n \r\n <\/div>\r\n <\/div>\r\n\r\n\r\n\r\n\r\n\r\n\r\n \r\n <div class=\"form-section\">\r\n <h2>Name Information<\/h2>\r\n <div class=\"form-group\">\r\n\r\n\r\n<label for=\"salutation\">Salutation<\/label><select id=\"salutation\" name=\"salutation\"><option value=\"\">--None--<\/option><option value=\"Mr.\">Mr.<\/option>\r\n<option value=\"Ms.\">Ms.<\/option>\r\n<option value=\"Mrs.\">Mrs.<\/option>\r\n<option value=\"Dr.\">Dr.<\/option>\r\n<option value=\"Prof.\">Prof.<\/option>\r\n<\/select><br>\r\n\r\n \r\n\r\n<label for=\"first_name\">First Name<\/label><input id=\"first_name\" maxlength=\"40\" name=\"first_name\" size=\"20\" type=\"text\" \/><br>\r\n\r\n <\/div>\r\n <div class=\"form-group\">\r\n \r\n\r\n<label for=\"last_name\">Last Name<\/label><input id=\"last_name\" maxlength=\"80\" name=\"last_name\" size=\"20\" type=\"text\" \/><br>\r\n\r\n <\/div>\r\n <\/div>\r\n\r\n \r\n <div class=\"form-section\">\r\n <h2>Contact Information<\/h2>\r\n <div class=\"form-group\">\r\n <label for=\"Title\">Title<\/label><input id=\"title\" maxlength=\"40\" name=\"title\" size=\"20\" type=\"text\" \/><br>\r\n\r\n<label for=\"Decision Level:\">Decision Level:<\/label><select id=\"00N0Y00000Rjuq4\" name=\"00N0Y00000Rjuq4\" title=\"Decision Level\"><option value=\"\">--None--<\/option><option value=\"C-Level\">C-Level<\/option>\r\n<option value=\"Manager\">Manager<\/option>\r\n<option value=\"Influencer\">Influencer<\/option>\r\n<option value=\"Employee\">Employee<\/option>\r\n<option value=\"to be defined\">to be defined<\/option>\r\n<\/select><br>\r\n\r\n\r\n<label for=\"email\">Email<\/label><input id=\"email\" maxlength=\"80\" name=\"email\" size=\"20\" type=\"text\" \/><br>\r\n\r\n <\/div>\r\n <div class=\"form-group\">\r\n<label for=\"phone\">Phone<\/label><input id=\"phone\" maxlength=\"40\" name=\"phone\" size=\"20\" type=\"text\" \/><br>\r\n\r\n\r\n<label for=\"mobile\">Mobile<\/label><input id=\"mobile\" maxlength=\"40\" name=\"mobile\" size=\"20\" type=\"text\" \/><br>\r\n\r\n <\/div>\r\n <\/div>\r\n\r\n \r\n <div class=\"form-section\">\r\n <h2>Preferences<\/h2>\r\n\r\n\r\n <div class=\"form-group\">\r\n\r\n<label for=\"Language:\">Language:<\/label><select id=\"00N0Y00000Rjupz\" name=\"00N0Y00000Rjupz\" title=\"Language\"><option value=\"\">--None--<\/option><option value=\"French\">French<\/option>\r\n<option value=\"German\">German<\/option>\r\n<option value=\"English\">English<\/option>\r\n<\/select><br>\r\n <label for=\"email_opt_out\">\r\n <input id=\"email_opt_out\" name=\"email_opt_out\" type=\"checkbox\"> Email Opt Out\r\n <\/label>\r\n <label for=\"mail_opt_out\">\r\n <input id=\"mail_opt_out\" name=\"mail_opt_out\" type=\"checkbox\"> Mail Opt Out\r\n <\/label>\r\n <\/div>\r\n <\/div>\r\n\r\n\r\n <div class=\"form-section\">\r\n <h2>Address Information <\/h2>\r\n\r\n\r\n <div class=\"form-group\">\r\n\r\n<label for=\"street\">Street<\/label><textarea name=\"street\"><\/textarea><br>\r\n\r\n<label for=\"zip\">Zip<\/label><input id=\"zip\" maxlength=\"20\" name=\"zip\" size=\"20\" type=\"text\" \/><br>\r\n<label for=\"city\">City<\/label><input id=\"city\" maxlength=\"40\" name=\"city\" size=\"20\" type=\"text\" \/><br>\r\n\r\n<label for=\"country\">Country<\/label><input id=\"country\" maxlength=\"40\" name=\"country\" size=\"20\" type=\"text\" \/><br>\r\n\r\n\r\n <\/div>\r\n <\/div>\r\n\r\n\r\n\r\n\r\n <div class=\"form-section\">\r\n <h2>Qualifying<\/h2>\r\n\r\n\r\n <div class=\"form-group\">\r\n\r\n\r\n\r\n\r\n\r\n<label for=\"Product interest\">Product interest:<\/label><select id=\"00N0Y00000Rjupf\" multiple=\"multiple\" name=\"00N0Y00000Rjupf\" title=\"Product interest\">\r\n \r\n <option value=\"Customer Centricity & Engagement\">Customer Centricity & Engagement<\/option>\r\n<option value=\"Digital Transformation\">Digital Transformation<\/option>\r\n<option value=\"ERP Consulting & Services\">ERP Consulting & Services<\/option>\r\n<option value=\"Financial performance and HR\">Financial performance and HR<\/option>\r\n<option value=\"I-Bizup\">I-Bizup<\/option>\r\n<option value=\"Infoniqa\">Infoniqa<\/option>\r\n<option value=\"Knowledge Management & BI\">Knowledge Management & BI<\/option>\r\n<option value=\"Management Consulting\">Management Consulting<\/option>\r\n<option value=\"Marketing de Demain\">Marketing of tomorrow<\/option>\r\n<option value=\"M-Files\">M-Files<\/option>\r\n<option value=\"Microsoft Dynamics 365\">Microsoft Dynamics 365<\/option>\r\n<option value=\"Netsuite\">Netsuite<\/option>\r\n<option value=\"NextFlow\">NextFlow<\/option>\r\n<option value=\"Odoo\">Odoo<\/option>\r\n<option value=\"Sage X3\">Sage X3<\/option>\r\n<option value=\"Salesforce\">Salesforce<\/option>\r\n<option value=\"Other\">Other<\/option>\r\n<\/select><br>\r\n\r\n\r\n\r\n\r\n<label for=\"Lead solution main interest:\">Lead solution main interest:<\/label><select id=\"00N0Y00000RkYLz\" name=\"00N0Y00000RkYLz\" title=\"Lead solution main interest\"><option value=\"\">--None--<\/option><option value=\"AI\">AI<\/option>\r\n<option 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\n\t\t\t\t

\n\t\t\t\t\t\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n \r\n \r\n New Lead Form<\/title>\r\n <style>\r\n body {\r\n font-family: Arial, sans-serif;\r\n background-color: #f4f4f9;\r\n margin: 0;\r\n padding: 20px;\r\n display: flex;\r\n justify-content: center;\r\n }\r\n\r\n .form-container {\r\n background-color: #ffffff;\r\n padding: 20px 30px;\r\n border-radius: 10px;\r\n box-shadow: 0 4px 6px rgba(0, 0, 0, 0.1);\r\n max-width: 1200px;\r\n width: 100%;\r\n }\r\n\r\n h1 {\r\n text-align: center;\r\n font-size: 20px;\r\n color: #333333;\r\n }\r\n\r\ntextarea {\r\nwidth: 800px;\r\nheight: 150px;\r\n}\r\n\r\n .form-section {\r\n margin-bottom: 20px;\r\n }\r\n\r\n .form-section h2 {\r\n font-size: 16px;\r\n margin-bottom: 10px;\r\n color: #0078d7;\r\n border-bottom: 1px solid #ddd;\r\n padding-bottom: 5px;\r\n }\r\n\r\n .form-group {\r\n display: flex;\r\n flex-wrap: wrap;\r\n margin-bottom: 15px;\r\n }\r\n\r\n .form-group label {\r\n width: 100%;\r\n font-size: 14px;\r\n margin-bottom: 5px;\r\n }\r\n\r\n .form-group input,\r\n .form-group select {\r\n width: calc(50% - 10px);\r\n padding: 8px;\r\n border: 1px solid #ccc;\r\n border-radius: 5px;\r\n margin-right: 10px;\r\n margin-bottom: 10px;\r\n font-size: 14px;\r\n }\r\n\r\n .form-group input[type=\"checkbox\"] {\r\n width: auto;\r\n }\r\n\r\n .form-group select {\r\n cursor: pointer;\r\n }\r\n\r\n .form-group input:focus,\r\n .form-group select:focus {\r\n border-color: #0078d7;\r\n outline: none;\r\n box-shadow: 0 0 3px rgba(0, 120, 215, 0.5);\r\n }\r\n\r\n .form-actions {\r\n text-align: center;\r\n }\r\n\r\n .form-actions button {\r\n background-color: #0078d7;\r\n color: #ffffff;\r\n border: none;\r\n padding: 10px 15px;\r\n border-radius: 5px;\r\n font-size: 16px;\r\n cursor: pointer;\r\n transition: background-color 0.3s;\r\n }\r\n\r\n .form-actions button:hover {\r\n background-color: #005a9e;\r\n }\r\n <\/style>\r\n<\/head>\r\n<body>\r\n <div class=\"form-container\">\r\n <h1>New Lead<\/h1>\r\n <form>\r\n\r\n\r\n\r\n \r\n <div class=\"form-section\">\r\n <h2>Lead Information<\/h2>\r\n <div class=\"form-group\">\r\n\r\n\r\n\r\n <label for=\"lead_source\">Lead Source<\/label><select id=\"lead_source\" name=\"lead_source\"><option value=\"\">--None--<\/option><option value=\"Campagne Seventic\">Campagne Seventic<\/option>\r\n<option value=\"Employee Referral\">Employee Referral<\/option>\r\n<option value=\"info@onesolutions.ch\">info@onesolutions.ch<\/option>\r\n<option value=\"info@onesolutions.fr\">info@onesolutions.fr<\/option>\r\n<option value=\"Infoniqa Lead\">Infoniqa Lead<\/option>\r\n\r\n<option value=\"Lead NetSuite\">Lead NetSuite<\/option>\r\n<option value=\"M-Files lead\">M-Files lead<\/option>\r\n\r\n<option value=\"Client referral\">Client referral<\/option>\r\n\r\n<option value=\"Customer Event\">Customer Event<\/option>\r\n\r\n<option value=\"Partner\">Partner<\/option>\r\n<option value=\"Purchased List\">Purchased List<\/option>\r\n\r\n<option value=\"WebsiteOneSolutions\">WebsiteOneSolutions<\/option>\r\n<option value=\"Other Event\">Other Event<\/option>\r\n<option value=\"Percy Miller\">Percy Miller<\/option>\r\n\r\n<option value=\"Sage lead\">Sage lead<\/option>\r\n<option value=\"Website OneSolutions\">Website OneSolutions<\/option>\r\n<\/select><br>\r\n\r\n\r\n\r\n <label for=\"lead_status\">Lead Status<\/label>\r\n <select id=\"lead_status\" name=\"lead_status\">\r\n <option value=\"New\">New<\/option>\r\n \r\n <\/select>\r\n <\/div>\r\n <div class=\"form-group\">\r\n\r\n<label for=\"lead_status\">Lead Type<\/label><select id=\"00NTG000000T49t\" name=\"00NTG000000T49t\" title=\"Lead Type\"><option value=\"\">--None--<\/option><option value=\"Event Based Leads\">Event Based Leads<\/option>\r\n<option value=\"Existing Competitions' clients - ETL\">Existing Competitions' clients - ETL<\/option>\r\n<option value=\"Inbound Leads\">Inbound Leads<\/option>\r\n<option value=\"Organic \/ SEO \/ Social Media Leads\">Organic \/ SEO \/ Social Media Leads<\/option>\r\n<option value=\"Outbound Leads - BDR\">Outbound Leads - BDR<\/option>\r\n<option value=\"Outbound Leads - List\">Outbound Leads - List<\/option>\r\n<option value=\"Paid Leads\">Paid Leads<\/option>\r\n<option value=\"Partners Sourced Leads\">Partners Sourced Leads<\/option>\r\n<option value=\"Personal Network Leads\">Personal Network Leads<\/option>\r\n<option value=\"Referral Leads\">Referral Leads<\/option>\r\n<\/select><br>\r\n<\/div>\r\n\r\n <div class=\"form-group\">\r\n <label for=\"url\">Website<\/label><input id=\"url\" maxlength=\"80\" name=\"url\" size=\"20\" type=\"text\" \/><br>\r\n\r\n\r\n \r\n<label for=\"company\">Company<\/label><input id=\"company\" maxlength=\"40\" name=\"company\" size=\"20\" type=\"text\" \/><br>\r\n <\/div>\r\n\r\n\r\n\r\n\r\n\r\n <div class=\"form-group\">\r\n <label for=\"industry\">Industry<\/label><select id=\"industry\" name=\"industry\"><option value=\"\">--None--<\/option><option value=\"Accessoires\">Accessoires<\/option>\r\n<option value=\"Administration\">Administration<\/option>\r\n<option value=\"Agriculture\">Agriculture<\/option>\r\n<option value=\"Alimentation\">Alimentation<\/option>\r\n<option value=\"Assurances\">Assurances<\/option>\r\n<option value=\"Autre\">Autre<\/option>\r\n<option value=\"Banque\">Banque<\/option>\r\n<option value=\"Biotechnologie\">Biotechnologie<\/option>\r\n<option value=\"But non lucratif\">But non lucratif<\/option>\r\n<option value=\"Chimie\">Chimie<\/option>\r\n<option value=\"Communications\">Communications<\/option>\r\n<option value=\"Conseil\">Conseil<\/option>\r\n<option value=\"Construction\">Construction<\/option>\r\n<option value=\"Divertissements\">Divertissements<\/option>\r\n<option value=\"Education\">Education<\/option>\r\n<option value=\"Electronique\">Electronique<\/option>\r\n<option value=\"Energie\">Energie<\/option>\r\n<option value=\"Environnement\">Environnement<\/option>\r\n<option value=\"Fabrication\">Fabrication<\/option>\r\n<option value=\"Finance\">Finance<\/option>\r\n<option value=\"Fr\u00eat\">Fr\u00eat<\/option>\r\n<option value=\"Ing\u00e9nierie\">Ing\u00e9nierie<\/option>\r\n<option value=\"Loisirs\">Loisirs<\/option>\r\n<option value=\"Luxe\">Luxe<\/option>\r\n<option value=\"M\u00e9canique\">M\u00e9canique<\/option>\r\n<option value=\"M\u00e9dia\">M\u00e9dia<\/option>\r\n<option value=\"Sant\u00e9\">Sant\u00e9<\/option>\r\n<option value=\"Services publics\">Services publics<\/option>\r\n<option value=\"Technologie\">Technologie<\/option>\r\n<option value=\"Telecommunications\">Telecommunications<\/option>\r\n<option value=\"Tourisme\">Tourisme<\/option>\r\n<option value=\"Trading\">Trading<\/option>\r\n<option value=\"Transport\">Transport<\/option>\r\n<option value=\"Vente au d\u00e9tail\">Vente au d\u00e9tail<\/option>\r\n<\/select><br>\r\n\r\n\r\n \r\n <\/div>\r\n <\/div>\r\n\r\n\r\n\r\n\r\n\r\n\r\n \r\n <div class=\"form-section\">\r\n <h2>Name Information<\/h2>\r\n <div class=\"form-group\">\r\n\r\n\r\n<label for=\"salutation\">Salutation<\/label><select id=\"salutation\" name=\"salutation\"><option value=\"\">--None--<\/option><option value=\"Mr.\">Mr.<\/option>\r\n<option value=\"Ms.\">Ms.<\/option>\r\n<option value=\"Mrs.\">Mrs.<\/option>\r\n<option value=\"Dr.\">Dr.<\/option>\r\n<option value=\"Prof.\">Prof.<\/option>\r\n<\/select><br>\r\n\r\n \r\n\r\n<label for=\"first_name\">First Name<\/label><input id=\"first_name\" maxlength=\"40\" name=\"first_name\" size=\"20\" type=\"text\" \/><br>\r\n\r\n <\/div>\r\n <div class=\"form-group\">\r\n \r\n\r\n<label for=\"last_name\">Last Name<\/label><input id=\"last_name\" maxlength=\"80\" name=\"last_name\" size=\"20\" type=\"text\" \/><br>\r\n\r\n <\/div>\r\n <\/div>\r\n\r\n \r\n <div class=\"form-section\">\r\n <h2>Contact Information<\/h2>\r\n <div class=\"form-group\">\r\n <label for=\"Title\">Title<\/label><input id=\"title\" maxlength=\"40\" name=\"title\" size=\"20\" type=\"text\" \/><br>\r\n\r\n<label for=\"Decision Level:\">Decision Level:<\/label><select id=\"00N0Y00000Rjuq4\" name=\"00N0Y00000Rjuq4\" title=\"Decision Level\"><option value=\"\">--None--<\/option><option value=\"C-Level\">C-Level<\/option>\r\n<option value=\"Manager\">Manager<\/option>\r\n<option value=\"Influencer\">Influencer<\/option>\r\n<option value=\"Employee\">Employee<\/option>\r\n<option value=\"to be defined\">to be defined<\/option>\r\n<\/select><br>\r\n\r\n\r\n<label for=\"email\">Email<\/label><input id=\"email\" maxlength=\"80\" name=\"email\" size=\"20\" type=\"text\" \/><br>\r\n\r\n <\/div>\r\n <div class=\"form-group\">\r\n<label for=\"phone\">Phone<\/label><input id=\"phone\" maxlength=\"40\" name=\"phone\" size=\"20\" type=\"text\" \/><br>\r\n\r\n\r\n<label for=\"mobile\">Mobile<\/label><input id=\"mobile\" maxlength=\"40\" name=\"mobile\" size=\"20\" type=\"text\" \/><br>\r\n\r\n <\/div>\r\n <\/div>\r\n\r\n \r\n <div class=\"form-section\">\r\n <h2>Preferences<\/h2>\r\n\r\n\r\n <div class=\"form-group\">\r\n\r\n<label for=\"Language:\">Language:<\/label><select id=\"00N0Y00000Rjupz\" name=\"00N0Y00000Rjupz\" title=\"Language\"><option value=\"\">--None--<\/option><option value=\"French\">French<\/option>\r\n<option value=\"German\">German<\/option>\r\n<option value=\"English\">English<\/option>\r\n<\/select><br>\r\n <label for=\"email_opt_out\">\r\n <input id=\"email_opt_out\" name=\"email_opt_out\" type=\"checkbox\"> Email Opt Out\r\n <\/label>\r\n <label for=\"mail_opt_out\">\r\n <input id=\"mail_opt_out\" name=\"mail_opt_out\" type=\"checkbox\"> Mail Opt Out\r\n <\/label>\r\n <\/div>\r\n <\/div>\r\n\r\n\r\n <div class=\"form-section\">\r\n <h2>Address Information <\/h2>\r\n\r\n\r\n <div class=\"form-group\">\r\n\r\n<label for=\"street\">Street<\/label><textarea name=\"street\"><\/textarea><br>\r\n\r\n<label for=\"zip\">Zip<\/label><input id=\"zip\" maxlength=\"20\" name=\"zip\" size=\"20\" type=\"text\" \/><br>\r\n<label for=\"city\">City<\/label><input id=\"city\" maxlength=\"40\" name=\"city\" size=\"20\" type=\"text\" \/><br>\r\n\r\n<label for=\"country\">Country<\/label><input id=\"country\" maxlength=\"40\" name=\"country\" size=\"20\" type=\"text\" \/><br>\r\n\r\n\r\n <\/div>\r\n <\/div>\r\n\r\n\r\n\r\n\r\n <div class=\"form-section\">\r\n <h2>Qualifying<\/h2>\r\n\r\n\r\n <div class=\"form-group\">\r\n\r\n\r\n\r\n\r\n\r\n<label for=\"Product interest\">Product interest:<\/label><select id=\"00N0Y00000Rjupf\" multiple=\"multiple\" name=\"00N0Y00000Rjupf\" title=\"Product interest\">\r\n \r\n <option value=\"Customer Centricity & Engagement\">Customer Centricity & Engagement<\/option>\r\n<option value=\"Digital Transformation\">Digital Transformation<\/option>\r\n<option value=\"ERP Consulting & Services\">ERP Consulting & Services<\/option>\r\n<option value=\"Financial performance and HR\">Financial performance and HR<\/option>\r\n<option value=\"I-Bizup\">I-Bizup<\/option>\r\n<option value=\"Infoniqa\">Infoniqa<\/option>\r\n<option value=\"Knowledge Management & BI\">Knowledge Management & BI<\/option>\r\n<option value=\"Management Consulting\">Management Consulting<\/option>\r\n<option value=\"Marketing de Demain\">Marketing of tomorrow<\/option>\r\n<option value=\"M-Files\">M-Files<\/option>\r\n<option value=\"Microsoft Dynamics 365\">Microsoft Dynamics 365<\/option>\r\n<option value=\"Netsuite\">Netsuite<\/option>\r\n<option value=\"NextFlow\">NextFlow<\/option>\r\n<option value=\"Odoo\">Odoo<\/option>\r\n<option value=\"Sage X3\">Sage X3<\/option>\r\n<option value=\"Salesforce\">Salesforce<\/option>\r\n<option value=\"Other\">Other<\/option>\r\n<\/select><br>\r\n\r\n\r\n\r\n\r\n<label for=\"Lead solution main interest:\">Lead solution main interest:<\/label><select id=\"00N0Y00000RkYLz\" name=\"00N0Y00000RkYLz\" title=\"Lead solution main interest\"><option value=\"\">--None--<\/option><option value=\"AI\">AI<\/option>\r\n<option value=\"Board\">Board<\/option>\r\n<option value=\"Cegid\">Cegid<\/option>\r\n<option value=\"CS-Cart\">CS-Cart<\/option>\r\n<option value=\"i-bizup\">i-bizup<\/option>\r\n<option value=\"Infoniqa\">Infoniqa<\/option>\r\n<option value=\"M-Files\">M-Files<\/option>\r\n<option value=\"Microsoft products\">Microsoft products<\/option>\r\n<option value=\"NetSuite\">NetSuite<\/option>\r\n<option value=\"Not relevant\">Not relevant<\/option>\r\n<option value=\"Odoo\">Odoo<\/option>\r\n<option value=\"Sage\">Sage<\/option>\r\n<option value=\"Salesforce\">Salesforce<\/option>\r\n<option value=\"Tableau\">Tableau<\/option>\r\n<\/select><br>\r\n\r\n<label for=\"Is it a recovery lead?:\">Is it a recovery lead?:<\/label><input id=\"00NTG000000Nh13\" name=\"00NTG000000Nh13\" type=\"checkbox\" value=\"1\" \/><br>\r\n\r\n\r\n\r\n<label for=\"description\">Description<\/label><textarea name=\"description\"><\/textarea><br>\r\n\r\n\r\n<label for=\"Discovery call findings:\">Discovery call 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