Embed

<!DOCTYPE html>
<html lang="en">
<head>
  <meta charset="UTF-8" />
  <meta name="viewport" content="width=device-width, initial-scale=1.0"/>
  <title>Praesto Network Lead Form</title>
  <style>
    body {
      font-family: Arial, sans-serif;
      background: #f4f7f9;
      display: flex;
      justify-content: center;
      align-items: center;
      padding: 40px;
    }

    form {
      background: white;
      padding: 30px;
      border-radius: 12px;
      box-shadow: 0 0 20px rgba(0,0,0,0.1);
      max-width: 500px;
      width: 100%;
    }

    .form-field {
      margin-bottom: 15px;
    }

    label {
      display: block;
      margin-bottom: 6px;
      font-weight: bold;
    }

    .required-note {
      font-weight: normal;
      font-size: 12px;
      color: red;
      margin-left: 6px;
    }

    input[type="text"],
    input[type="email"],
    textarea {
      width: 100%;
      padding: 10px;
      border: 1px solid #ccc;
      border-radius: 6px;
      font-size: 15px;
    }

    textarea {
      resize: vertical;
      min-height: 80px;
    }

    input[type="submit"] {
      background-color: #0077cc;
      color: white;
      font-size: 16px;
      padding: 12px 20px;
      margin-top: 10px;
      border: none;
      border-radius: 6px;
      cursor: pointer;
      width: 100%;
    }

    input[type="submit"]:hover {
      background-color: #005fa3;
    }

    select[hidden] {
      display: none !important;
    }
  </style>
</head>
<body>

<form id="__vtigerWebForm" name="Praesto.network Leadgen form"
      action="https://guard.360vew.com/modules/Webforms/capture.php"
      method="post" accept-charset="utf-8" enctype="multipart/form-data">

  
  <input type="hidden" name="__vtrftk" value="sid:d3d6561d1ce01349c43507b05c54e9fa2a0d54be,1749074366">
  <input type="hidden" name="publicid" value="729770251efff0e01f6d0c0db476821c">
  <input type="hidden" name="urlencodeenable" value="1">
  <input type="hidden" name="name" value="Praesto.network Leadgen form">

  
  <div class="form-field">
    <label for="firstname">First Name <span class="required-note">required</span></label>
    <input type="text" id="firstname" name="firstname" required>
  </div>

  <div class="form-field">
    <label for="lastname">Last Name <span class="required-note">required</span></label>
    <input type="text" id="lastname" name="lastname" required>
  </div>

  <div class="form-field">
    <label for="email">Primary Email <span class="required-note">required</span></label>
    <input type="email" id="email" name="email" required>
  </div>

  <div class="form-field">
    <label for="company">Company</label>
    <input type="text" id="company" name="company">
  </div>

  <div class="form-field">
    <label for="mobile">Mobile Phone</label>
    <input type="text" id="mobile" name="mobile">
  </div>

  <div class="form-field">
    <label for="cf_3543">Comments</label>
    <textarea id="cf_3543" name="cf_3543">How can we help?</textarea>
  </div>

  
  <select name="leadsource" hidden>
    <option value="Praesto.Network_form_simple" selected>Praesto.Network_form_simple</option>
  </select>

  <div class="form-field">
    <input type="submit" value="Submit">
  </div>
</form>

</body>
</html>