-
Notifications
You must be signed in to change notification settings - Fork 0
/
demo.php
101 lines (96 loc) · 3.37 KB
/
demo.php
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
<!doctype html>
<head>
<meta charset="utf-8">
<title>Schedule a Demo - Screenie</title>
<meta name="description" content="">
<link rel="stylesheet" href="/css/redfront.css?v=3" />
<script type="text/javascript" src="/js/js.js"></script>
<link rel="icon" type="image/png" href="/images/icon.gif" />
</head>
<body>
<div id="lbbg"> </div>
<div id="lbx" class="lbx" onClick="hideDisplay();"></div>
<div id="lb" class="lb"></div>
<div id="wrapper">
<header>
<? include("includes/header.php"); ?>
</header>
<div id="middle_vanilla">
<div id="mc">
<div id="vanilla">
<h1>Schedule a Demo</h1>
<form method="POST" action="/request_thanks.php" id="signupForm" onsubmit="return formValidate(this.id);">
<input type="hidden" name="request_type" value="demo" />
<table style="margin-top:10px;width:100%;text-align:left;">
<tr>
<td style="text-align:right;width:180px;">Name:</td>
<td><input type="text" name="name" id="name" class="is_required" value="<?=$users[first_name]?>" /></td>
</tr>
<tr>
<td style="text-align:right;">Email:</td>
<td><input type="text" name="email" id="email" class="is_required" value="<?=$users[email]?>" /></td>
</tr>
<tr>
<td style="text-align:right;">Phone:</td>
<td><input type="text" name="phone" id="phone" class="is_required" value="<?=$users[phone]?>" /></td>
</tr>
<tr>
<td style="text-align:right;">Number of Employees:</td>
<td>
<select name="employees" class="is_required">
<option value="">Select one...</option>
<option value="Less than 20">Less than 20</option>
<option value="21-50">21-50</option>
<option value="51-100">51-100</option>
<option value="101-250">101-250</option>
<option value="251-500">251-500</option>
<option value="501-1000">501-1000</option>
<option value="1001-1500">1001-1500</option>
<option value="1501-2000">1501-2000</option>
<option value="2001+">2001+</option>
</select>
</td>
</tr>
<tr>
<td style="text-align:right;">How did you hear about us?</td>
<td>
<select name="hear" class="is_required">
<option value="">Select one...</option>
<option value="Search Engine">Search Engine</option>
<option value="Client Referral">Client Referral</option>
<option value="Seminar or Event">Seminar or Event</option>
<option value="Webinar">Webinar</option>
<option value="Other">Other</option>
</select>
</td>
</tr>
<tr>
<td style="text-align:right;">Comment/Question:</td>
<td><textarea name="comment" cols="40" rows="5"></textarea></td>
</tr>
<tr>
<td></td>
<td><input type="submit" value="Submit" name="submit" /></td>
</tr>
</table>
</form>
<br style="clear:both;" />
<br style="clear:both;" />
</div>
<br style="clear:both;" />
<br style="clear:both;" /><br style="clear:both;" /><br style="clear:both;" /><br style="clear:both;" />
<br style="clear:both;" /><br style="clear:both;" /><br style="clear:both;" /><br style="clear:both;" />
</div>
</div>
<footer>
<div id="footer">
<div id="footer_links">
<? include("includes/footer.php"); ?>
</div>
</div>
</footer>
</div>
<div id="void"></div>
<? include("includes/analytics.php"); ?>
</body>
</html>