Demo page
<div id=’crmWebToEntityForm’ style=’width:600px;margin:
<META HTTP-EQUIV =’content-type’ CONTENT=’text/html;charset=
<form action=’https://crm.zoho.com/
<input type=’text’ style=’display:none;’ name=’xnQsjsdp’ value=’
<input type=’hidden’ name=’zc_gad’ id=’zc_gad’ value=”></input>
<input type=’text’ style=’display:none;’ name=’xmIwtLD’ value=’
<input type=’text’ style=’display:none;’ name=’actionType’ value=’TGVhZHM=’></input>
<input type=’text’ style=’display:none;’ name=’returnURL’ value=’https://
<!– Do not remove this code. –>
<style>
#crmWebToEntityForm tr , #crmWebToEntityForm td {
padding:6px;
border-spacing:0px;
border-width:0px;
}
</style>
<table style=’width:600px;background-
<select style=’width:100%;box-sizing:
<option value=’-None-‘>-None-</option>
<option value=’select your 
<option value=’uncontested 
<option value=’contested Divorce’
<option value=’Divorce with 
<option value=’Child custody’>
<option value=’Child support&#
<option value=’Child support&#
<option value=’Adoption/
<option value=’Grandparents 
<option value=’Others’>Others</option>
</select></td><td style=’width:30%;’></td></tr><
<select style=’width:100%;box-sizing:
<option value=’-None-‘>-None-</option>
<option value=’-Select state-‘>-
<option value=’Alamaba’>Alamaba</
<option value=’Alaska’>Alaska</option>
<option value=’Arizona’>Arizona</
<option value=’Arkansas’>Arkansas</
<option value=’California’>California<
<option value=’Colorado’>Colorado</
<option value=’Connecticut’>
<option value=’Delaware’>Delaware</
<option value=’Florida’>Florida</
<option value=’Georgia’>Georgia</
<option value=’Hawaii’>Hawaii</option>
<option value=’Idaho’>Idaho</option>
<option value=’Illinois’>Illinois</
<option value=’Indiana’>Indiana</
<option value=’Lowa’>Lowa</option>
<option value=’Kansas’>Kansas</option>
<option value=’Kentucky’>Kentucky</
<option value=’Louisiana’>Louisiana</
<option value=’Maine’>Maine</option>
<option value=’Maryland’>Maryland</
<option value=’Massachusetts’>
<option value=’Michigan’>Michigan</
<option value=’Minnesota’>Minnesota</
<option value=’Mississippi’>
<option value=’Missouri’>Missouri</
<option value=’Montana’>Montana</
<option value=’Nebraska’>Nebraska</
<option value=’Nevada’>Nevada</option>
<option value=’New Hamsphire’>New Hamsphire</option>
<option value=’New jersey’>New jersey</option>
<option value=’New Mexico’>New Mexico</option>
<option value=’New York’>New York</option>
<option value=’North Carolina’>
<option value=’North Dakota’>
<option value=’Ohio’>Ohio</option>
<option value=’Oklahoma’>Oklahoma</
<option value=’Oregon’>Oregon</option>
<option value=’Pennsylvania’>
<option value=’Rhode Island’>
<option value=’South carolina’>
<option value=’South Dakota’>
<option value=’Tennessee’>Tennessee</
<option value=’Texas’>Texas</option>
<option value=’Utah’>Utah</option>
<option value=’Vermont’>Vermont</
<option value=’Virginia’>Virginia</
<option value=’Washington’>Washington<
<option value=’Washington DC’>
<option value=’ARMED FORCES 
<option value=’ARMED FORCES 
<option value=’ARMED FORCES 
</select></td><td style=’width:30%;’></td></tr><
<tr><td colspan=’2′ style=’text-align:center; padding-top:15px;font-size:
<input style=’margin-right: 5px;cursor: pointer;font-size:12px;color:
<script>
var mndFileds=new Array(‘First Name’,’Last Name’,’LEADCF3′,’Email’,’
var fldLangVal=new Array(‘First Name’,’Last Name’,’-State-‘,’Email’,’
var name=”;
var email=”;
function checkMandatory4220162000000251
for(i=0;i<mndFileds.length;i++
var fieldObj=document.forms[‘
if(fieldObj) {
if (((fieldObj.value).replace(/^\
if(fieldObj.type ==’file’)
{
alert(‘Please select a file to upload.’);
fieldObj.focus();
return false;
}
alert(fldLangVal[i] +’ cannot be empty.’);
fieldObj.focus();
return false;
} else if(fieldObj.nodeName==’SELECT’
if(fieldObj.options[fieldObj.
alert(fldLangVal[i] +’ cannot be none.’);
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(‘
}
</script>
</form>
</div>