Apply

<!-- 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='max-width:600px;margin:auto;padding: 20px 30px;background: #429fe6;'>
    <META HTTP-EQUIV='content-type' CONTENT='text/html;charset=UTF-8'>
    <form action='https://crm.zoho.com/crm/WebToLeadForm' name=WebToLeads1513294000000291145 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='8090017c4bd29868d26538cb58edc3d3b0537a31b1490228b2d87436e48b38c5'
        />
        <input type='hidden' name='zc_gad' id='zc_gad' value='' />
        <input type='text' style='display:none;' name='xmIwtLD' value='30c31191529271084615e483ace669a7b9b89174a3f84699f0e29a0d4addb01f'
        />
        <input type='text' style='display:none;' name='actionType' value='TGVhZHM=' />

        <input type='text' style='display:none;' name='returnURL' value='http://www.escolainternacionalsp.com.br/success' />
        <!-- Do not remove this code. -->
        <input type='text' style='display:none;' id='ldeskuid' name='ldeskuid'></input>
        <input type='text' style='display:none;' id='LDTuvid' name='LDTuvid'></input>
        <!-- Do not remove this code. -->
        <style>
            tr,
            td {
                padding: 6px;
                border-spacing: 0px;
                border-width: 0px;
            }

            .input_wrapper input {
                width: 100%;
                border-radius: 3px;
            }

            p {
                color: #fff;
            }

            .buttons_wrapper .button_form {
                border-radius: 5px;
                font-weight: bold;
                font-size: 14px;
            }

            .button_form {
                background: #2980b9;
                background-image: -webkit-linear-gradient(top, #2980b9, #18557a) !important;
                background-image: -moz-linear-gradient(top, #2980b9, #18557a) !important;
                background-image: -ms-linear-gradient(top, #2980b9, #18557a) !important;
                background-image: -o-linear-gradient(top, #2980b9, #18557a) !important;
                background-image: linear-gradient(to bottom, #2980b9, #18557a) !important;
                padding: 10px 20px 10px 20px;
                text-decoration: none;
              }
              
              .button_form:hover {
                background: #18547a;
                background-image: -webkit-linear-gradient(top, #18547a, #0c2636) !important;
                background-image: -moz-linear-gradient(top, #18547a, #0c2636) !important;
                background-image: -ms-linear-gradient(top, #18547a, #0c2636) !important;
                background-image: -o-linear-gradient(top, #18547a, #0c2636) !important;
                background-image: linear-gradient(to bottom, #18547a, #0c2636) !important;
                text-decoration: none;
              }
        </style>
        <p><strong>Welcome to International School of São Paulo.</strong></p>
        <div class="input_wrapper">
            <input type='text' maxlength='80' placeholder="Nome" name='Last Name' />
        </div>
        <div class="input_wrapper">
            <input type='text' placeholder="E-mail" maxlength='100' name='Email' />
        </div>

        <div class="input_wrapper">
            <input type='text' placeholder="Telefone" maxlength='30' name='Phone' />
        </div>

        <div class="input_wrapper">
            <input type='text' placeholder="Nome do 1o filho" maxlength='255' name='LEADCF1' />
        </div>

        <div class="input_wrapper">
            <input type='text' placeholder="Idade 1o Filho" maxlength='255' name='LEADCF6' />
        </div>

        <div class="input_wrapper">
            <input type='text' placeholder="Nome do 2o filho" maxlength='255' name='LEADCF2' />
        </div>

        <div class="input_wrapper">
            <input type='text' placeholder="Idade 2o Filho" maxlength='255' name='LEADCF7' />
        </div>

        <div class="buttons_wrapper">
            <input type='submit' class="button_form" value='Submeter' />
        </div>
        <script>
            var mndFileds = new Array('Last Name');
            var fldLangVal = new Array('Nome');
            var name = '';
            var email = '';

            function checkMandatory() {
                for (i = 0; i < mndFileds.length; i++) {
                    var fieldObj = document.forms['WebToLeads1513294000000291145'][mndFileds[i]];
                    if (fieldObj) {
                        if (((fieldObj.value).replace(/^\s+|\s+$/g, '')).length == 0) {
                            if (fieldObj.type == 'file') {
                                alert('Selecione um arquivo para fazer o upload.');
                                fieldObj.focus();
                                return false;
                            }
                            alert(fldLangVal[i] + ' não pode ficar em branco.');
                            fieldObj.focus();
                            return false;
                        } else if (fieldObj.nodeName == 'SELECT') {
                            if (fieldObj.options[fieldObj.selectedIndex].value == '-None-') {
                                alert(fldLangVal[i] + ' não pode ficar em branco.');
                                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) {}
                    }
                }
                trackVisitor();
            }
        </script>
        <script type='text/javascript' id='VisitorTracking'>
            var $zoho = $zoho || {};
            $zoho.salesiq = $zoho.salesiq || {
                widgetcode: "1d2a74c8bce96883ce5282880ec54ad2f67746131b3be61f2bb3bb306d16fd0640e329eb3ad7c022c71f780c7f21011a",
                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['WebToLeads1513294000000291145']['LDTuvid'];
                        if (LDTuvidObj) {
                            LDTuvidObj.value = $zoho.salesiq.visitor.uniqueid();
                        }
                        var firstnameObj = document.forms['WebToLeads1513294000000291145']['First Name'];
                        if (firstnameObj) {
                            name = firstnameObj.value + ' ' + name;
                        }
                        $zoho.salesiq.visitor.name(name);
                        var emailObj = document.forms['WebToLeads1513294000000291145']['Email'];
                        if (emailObj) {
                            email = emailObj.value;
                            $zoho.salesiq.visitor.email(email);
                        }
                    }
                } catch (e) {}
            }
        </script>
    </form>
</div>

no-repeat;center top;;

auto

20px 0 0 0

