<!

-- 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' class='zcwf_lblLeft crmWebToEntityForm' style='background-color:

white;color: #000000;max-width: 600px;'>

<meta name='viewport' content='width=device-width, initial-scale=1.0'>

<META HTTP-EQUIV ='content-type' CONTENT='text/html;charset=UTF-8'>

<form action='https://crm.zoho.in/crm/WebToLeadForm' name=WebToLeads196947000003284019

method='POST' onSubmit='javascript:document.charset="UTF-8"; return
checkMandatory196947000003284019()' accept-charset='UTF-8'>

<input type='text' style='display:none;' name='xnQsjsdp'

value='48a1f9c03dd46a45124498c2a83d0389ee8908a9e181f2a49b3561bad2da7c04'></input>

<input type='hidden' name='zc_gad' id='zc_gad' value=''></input>

<input type='text' style='display:none;' name='xmIwtLD'

value='ed2bfb6ea870855fd8e6c2618429352ab198e8706b4ebfe46e710f2eb589e8c5'></input>

<input type='text' style='display:none;' name='actionType' value='TGVhZHM='></input>

<input type='text' style='display:none;' name='returnURL'

value='https&#x3a;&#x2f;&#x2f;www.dynamicssquare.com&#x2f;thank-you&#x2f;email-
subscriber&#x2f;' > </input>

<!-- Do not remove this code. -->

<style>

html,body{

margin: 0px;

#crmWebToEntityForm.zcwf_lblLeft {

width:100%;

padding: 25px;

margin: 0 auto;

box-sizing: border-box;
}

#crmWebToEntityForm.zcwf_lblLeft * {

box-sizing: border-box;

#crmWebToEntityForm{text-align: left;}

#crmWebToEntityForm * {

direction: ltr;

.zcwf_lblLeft .zcwf_title {

word-wrap: break-word;

padding: 0px 6px 10px;

font-weight: bold;

.zcwf_lblLeft .zcwf_col_fld input[type=text], .zcwf_lblLeft .zcwf_col_fld textarea {

width: 60%;

border: 1px solid #ccc !important;

resize: vertical;

border-radius: 2px;

float: left;

.zcwf_lblLeft .zcwf_col_lab {

width: 30%;

word-break: break-word;

padding: 0px 6px 0px;

margin-right: 10px;

margin-top: 5px;

float: left;

min-height: 1px;

}
.zcwf_lblLeft .zcwf_col_fld {

float: left;

width: 68%;

padding: 0px 6px 0px;

position: relative;

margin-top: 5px;

.zcwf_lblLeft .zcwf_privacy{padding: 6px;}

.zcwf_lblLeft .wfrm_fld_dpNn{display: none;}

.dIB{display: inline-block;}

.zcwf_lblLeft .zcwf_col_fld_slt {

width: 60%;

border: 1px solid #ccc;

background: #fff;

border-radius: 4px;

font-size: 12px;

float: left;

resize: vertical;

.zcwf_lblLeft .zcwf_row:after, .zcwf_lblLeft .zcwf_col_fld:after {

content: '';

display: table;

clear: both;

.zcwf_lblLeft .zcwf_col_help {

float: left;

margin-left: 7px;

font-size: 12px;

max-width: 35%;
 word-break: break-word;

.zcwf_lblLeft .zcwf_help_icon {

cursor: pointer;

width: 16px;

height: 16px;

display: inline-block;

background: #fff;

border: 1px solid #ccc;

color: #ccc;

text-align: center;

font-size: 11px;

line-height: 16px;

font-weight: bold;

border-radius: 50%;

.zcwf_lblLeft .zcwf_row {margin: 15px 0px;}

.zcwf_lblLeft .formsubmit {

margin-right: 5px;

cursor: pointer;

color: #333;

font-size: 12px;

.zcwf_lblLeft .zcwf_privacy_txt {

width: 90%;

color: rgb(0, 0, 0);

font-size: 12px;

font-family: Arial;

display: inline-block;
 vertical-align: top;

color: #333;

padding-top: 2px;

margin-left: 6px;

.zcwf_lblLeft .zcwf_button {

font-size: 12px;

color: #333;

border: 1px solid #ccc;

padding: 3px 9px;

border-radius: 4px;

cursor: pointer;

max-width: 120px;

overflow: hidden;

text-overflow: ellipsis;

white-space: nowrap;

.zcwf_lblLeft .zcwf_tooltip_over{

position: relative;

.zcwf_lblLeft .zcwf_tooltip_ctn{

position: absolute;

background: #dedede;

padding: 3px 6px;

top: 3px;

border-radius: 4px;word-break: break-all;

min-width: 100px;

max-width: 150px;

color: #333;
 z-index: 100;

.zcwf_lblLeft .zcwf_ckbox{

float: left;

.zcwf_lblLeft .zcwf_file{

width: 55%;

box-sizing: border-box;

float: left;

.clearB:after{

content:'';

display: block;

clear: both;

@media all and (max-width: 600px) {

.zcwf_lblLeft .zcwf_col_lab, .zcwf_lblLeft .zcwf_col_fld {

width: auto;

float: none !important;

.zcwf_lblLeft .zcwf_col_help {width: 40%;}

</style>

<div class='zcwf_title' style='max-width: 600px;color: #000000;'>DS US Email Subscriber</div>

<div class='zcwf_row'><div class='zcwf_col_lab' style='font-size:12px; font-family: Arial;'><label

for='Last_Name'>Full Name<span style='color:red;'>*</span></label></div><div
class='zcwf_col_fld'><input type='text' id='Last_Name' name='Last Name' maxlength='80'></input><div
class='zcwf_col_help'></div></div></div>

<div class='zcwf_row'><div class='zcwf_col_lab' style='font-size:12px; font-family: Arial;'><label

for='Email'>Work Email<span style='color:red;'>*</span></label></div><div class='zcwf_col_fld'><input
type='text' ftype='email' id='Email' name='Email' maxlength='100'></input><div
class='zcwf_col_help'></div></div></div>

<div class='zcwf_row'><div class='zcwf_col_lab' style='font-size:12px; font-family: Arial;'><label

for='Company'>Company Name<span style='color:red;'>*</span></label></div><div
class='zcwf_col_fld'><input type='text' id='Company' name='Company' maxlength='200'></input><div
class='zcwf_col_help'></div></div></div>

<div class='zcwf_row wfrm_fld_dpNn'><div class='zcwf_col_lab' style='font-size:12px; font-family:

Arial;'><label for='Lead_Source'>Lead Source</label></div><div class='zcwf_col_fld'><select
class='zcwf_col_fld_slt' id='Lead_Source' name='Lead Source' >

<option value='-None-'>-None-</option>

<option value='Cold&#x20;Call'>Cold Call</option>

<option value='Chat'>Chat</option>

<option value='Website'>Website</option>

<option selected value='Webform'>Webform</option>

<option value='Webinar'>Webinar</option>

<option value='LinkedIn'>LinkedIn</option>

<option value='C'>C</option>

<option value='Web&#x20;Research'>Web Research</option>

<option value='Employee&#x20;Referral'>Employee Referral</option>

<option value='External&#x20;Referral'>External Referral</option>

<option value='Partner'>Partner</option>

<option value='Internal&#x20;Seminar'>Internal Seminar</option>

<option value='Trade&#x20;Show'>Trade Show</option>

<option value='DS&#x20;UK&#x20;Case&#x20;Study'>DS UK Case

Study</option>

<option value='Email'>Email</option>

</select><div class='zcwf_col_help'></div></div></div><div class='zcwf_row'><div

class='zcwf_privacy'><div class='dIB vat' align='left'><div class='displayPurpose f13'><label
class='newCustomchkbox-md dIB w100per'><input autocomplete='off'
id='privacyTool196947000003284019' type='checkbox' name='privacyTool'
onclick='disableErr196947000003284019()'></label></div></div><div class='dIB zcwf_privacy_txt'
style='font-size: 12px;font-family:Arial;color: #000000;'><div style=''><div><span style='font-family:
Verdana, arial, Helvetica, sans-serif;'>I agree to the <a href='https://www.dynamicssquare.com/privacy-
policy/' title='https://www.dynamicssquare.com/privacy-policy/' target='_blank'>privacy policy</a>, <a
href='https://www.dynamicssquare.com/terms-of-use/' title='https://www.dynamicssquare.com/terms-
of-use/' target='_blank'>terms of use</a> &amp; give consent to receive creatives, newsletters and
other updates.&nbsp;</span></div></div></div> <div id='privacyErr196947000003284019' style='font-
size:12px;color:red;padding-left: 5px;visibility:hidden;'>Please accept this</div></div></div><div
class='zcwf_row'><div class='zcwf_col_lab'></div><div class='zcwf_col_fld'><input type='submit'
id='formsubmit' class='formsubmit zcwf_button' value='Submit' title='Submit'><input type='reset'
class='zcwf_button' name='reset' value='Reset' title='Reset'></div></div>

<script>

function privacyAlert196947000003284019()

var privacyTool =
document.getElementById('privacyTool196947000003284019');

var privacyErr = document.getElementById('privacyErr196947000003284019');

if(privacyTool !=undefined && !privacyTool.checked )

privacyErr.style.visibility='visible';

privacyTool.focus();

return false;

return true;

function disableErr196947000003284019()

var privacyTool =
document.getElementById('privacyTool196947000003284019');

var privacyErr = document.getElementById('privacyErr196947000003284019');

if(privacyTool !=undefined && privacyTool.checked && privacyErr !=undefined )

privacyErr.style.visibility='hidden';

function validateEmail196947000003284019()
{

var form = document.forms['WebToLeads196947000003284019'];

var emailFld = form.querySelectorAll('[ftype=email]');

var i;

for (i = 0; i < emailFld.length; i++)

var emailVal = emailFld[i].value;

if((emailVal.replace(/^\s+|\s+$/g, '')).length!=0 )

var atpos=emailVal.indexOf('@');

var dotpos=emailVal.lastIndexOf('.');

if (atpos<1 || dotpos<atpos+2 || dotpos+2>=emailVal.length)

alert('Please enter a valid email address. ');

emailFld[i].focus();

return false;

return true;

function checkMandatory196947000003284019() {

var mndFileds = new Array('Company','Last Name','Email');

var fldLangVal = new Array('Company\x20Name','Full\x20Name','Work\x20Email');

for(i=0;i<mndFileds.length;i++) {

var fieldObj=document.forms['WebToLeads196947000003284019'][mndFileds[i]];

if(fieldObj) {

if (((fieldObj.value).replace(/^\s+|\s+$/g, '')).length==0) {
 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.selectedIndex].value=='-None-') {

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) {}

}
 if(!validateEmail196947000003284019()){return false;}

if(!privacyAlert196947000003284019()){return false;}

document.querySelector('.crmWebToEntityForm .formsubmit').setAttribute('disabled',
true);

function tooltipShow196947000003284019(el){

var tooltip = el.nextElementSibling;

var tooltipDisplay = tooltip.style.display;

if(tooltipDisplay == 'none'){

var allTooltip = document.getElementsByClassName('zcwf_tooltip_over');

for(i=0; i<allTooltip.length; i++){

allTooltip[i].style.display='none';

tooltip.style.display = 'block';

}else{

tooltip.style.display='none';

</script>

<!-- Do not remove this --- Analytics Tracking code starts --><script id='wf_anal'
src='https://crm.zohopublic.in/crm/WebFormAnalyticsServeServlet?
rid=ed2bfb6ea870855fd8e6c2618429352ab198e8706b4ebfe46e710f2eb589e8c5gid48a1f9c03dd46a45
124498c2a83d0389ee8908a9e181f2a49b3561bad2da7c04gid534cb20477b1d28b5f45f7cc241888c5gid4
ee3a7e9ace6ab1be7c541b329164307&tw=096a715cbfc30dc79d6dc215bf71c5b4284d938378e51186a6
daa9337f7519a8'></script><!-- Do not remove this --- Analytics Tracking code ends. --></form>

</div>