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<div id="enquiry-now"> <div id = 'crmWebToEntityForm' class = 'zcwf_lblTopBottom crmWebToEntityForm' style = 'background-color: white;color: black;max-width: 800px;'> <meta name = 'viewport' content = 'width=device-width, initial-scale=1.0'> <META HTTP-EQUIV = 'content-type' CONTENT = 'text/html;charset=UTF-8'> <form id = 'webform475371000012426115' action = 'https://crm.zoho.in/crm/WebToLeadForm' name = WebToLeads475371000012426115 method = 'POST' onSubmit = 'javascript:document.charset="UTF-8"; return checkMandatory475371000012426115()' accept-charset = 'UTF-8'> <input type = 'text' style = 'display:none;' name = 'xnQsjsdp' value = '9e277a835857ebdfe49ffb5a218fe4bf5fe9754d8957e8587d47f8a4d86bc4a0'> </input> <input type = 'hidden' name = 'zc_gad' id = 'zc_gad' value = ''> </input> <input type = 'text' style = 'display:none;' name = 'xmIwtLD' value = 'f295d5ee30515de867ac871ec7c0e70766978c8e9d571a53e7b3d65dd039f7e6754a70ad2268efd8c8c12977f7cd7760'> </input> <input type = 'text' style = 'display:none;' name = 'actionType' value = 'TGVhZHM='> </input> <input type = 'text' style = 'display:none;' name = 'returnURL' value = 'https://oshohimalayas.com/thank-you.php'> </input> <!-- Do not remove this code. --> <style> html,body{ margin: 0px; } .formsubmit.zcwf_button{ color: white !important; background: transparent linear-gradient(0deg, #0279FF 0%, #00A3F3 100%); } #crmWebToEntityForm.zcwf_lblTopBottom{ width: 100%; padding: 25px; margin: 0 auto; box-sizing: border-box; } #crmWebToEntityForm.zcwf_lblTopBottom *{ box-sizing: border-box; } #crmWebToEntityForm {text-align: left; } #crmWebToEntityForm *{ direction: ltr; } .zcwf_lblTopBottom .zcwf_title{ word-wrap: break-word; padding: 0px 6px 10px; font-weight: bold } .zcwf_lblTopBottom.cpT_primaryBtn:hover{ background: linear-gradient(#02acff 0,#006be4 100%)no-repeat padding-box !important; box-shadow: 0 -2px 0 0 #0159b9 inset !important; border: 0 !important; color: #fff !important; outline: 0 !important; } .zcwf_lblTopBottom .zcwf_col_fld input[ type = text], input[ type = password], .zcwf_lblTopBottom .zcwf_col_fld textarea{ width: 60%; border: 1px solid #c0c6cc !important; resize: vertical; border-radius: 2px; float: left; } .zcwf_lblTopBottom .zcwf_col_lab{ width: 30%; word-break: break-word; padding: 0px 6px 0px; margin-right: 10px; margin-top: 5px; padding-bottom: 4px; } .zcwf_lblTopBottom .zcwf_col_fld{ width: 60%; padding: 0px 6px 0px; position: relative; margin-top: 5px; } .zcwf_lblTopBottom .zcwf_privacy {padding: 6px; } .zcwf_lblTopBottom .wfrm_fld_dpNn {display: none; } .dIB {display: inline-block; } .zcwf_lblTopBottom .zcwf_col_fld_slt{ width: 60%; border: 1px solid #ccc; background: #fff; border-radius: 4px; font-size: 16px; float: left; resize: vertical; padding: 2px 5px; } .zcwf_lblTopBottom .zcwf_row:after, .zcwf_lblTopBottom .zcwf_col_fld:after{ content: ''; display: table; clear: both; } .zcwf_lblTopBottom .zcwf_col_help{ float: left; margin-left: 7px; font-size: 16px; max-width: 35%; word-break: break-word; } .zcwf_lblTopBottom .zcwf_help_icon{ cursor: pointer; width: 16px; height: 16px; display: inline-block; background: #fff; border: 1px solid #c0c6cc; color: #c1c1c1; text-align: center; font-size: 11px; line-height: 16px; font-weight: bold; border-radius: 50%; } .zcwf_lblTopBottom .zcwf_row {margin: 15px 0px; } .zcwf_lblTopBottom .formsubmit{ margin-right: 5px; cursor: pointer; color: #313949; font-size: 16px; } .zcwf_lblTopBottom .zcwf_privacy_txt{ width: 90%; color: rgb(0, 0, 0); font-size: 16px; font-family: Arial; display: inline-block; vertical-align: top; color: #313949; padding-top: 2px; margin-left: 6px; } .zcwf_lblTopBottom .zcwf_button{ font-size: 16px; color: #313949; border: 1px solid #c0c6cc; padding: 3px 9px; border-radius: 4px; cursor: pointer; max-width: 120px; overflow: hidden; text-overflow: ellipsis; white-space: nowrap; } .zcwf_lblTopBottom .zcwf_tooltip_over{ position: relative; } .zcwf_lblTopBottom .zcwf_tooltip_ctn{ position: absolute; background: #dedede; padding: 3px 6px; top: 3px; border-radius: 4px; word-break: break-word; min-width: 100px; max-width: 150px; color: #313949; z-index: 100; } .zcwf_lblTopBottom .zcwf_ckbox{ float: left; } .zcwf_lblTopBottom .zcwf_file{ width: 35%; box-sizing: border-box; float: left; } .cBoth:after{ content: ''; display: block; clear: both; } @media all { .zcwf_lblTopBottom .zcwf_col_lab, .zcwf_lblTopBottom .zcwf_col_fld{ width: auto; float: none !important; } .zcwf_lblTopBottom .zcwf_col_help {width: 40%; } } </style> <div class = 'zcwf_title' style = 'max-width: 800px;color: black; font-family:Arial;'>Contact Us</div> <div class = 'zcwf_row'> <div class = 'zcwf_col_lab' style = 'font-size:16px; font-family: Arial;'> <label for = 'Last_Name'>Your Name <span style = 'color:red;'>*</span> </label> </div> <div class = 'zcwf_col_fld'> <input type = 'text' id = 'Last_Name' aria-required = 'true' aria-label = 'Last Name' name = 'Last Name' aria-valuemax = '80' maxlength = '80'> </input> <div class = 'zcwf_col_help'> </div> </div> </div> <div class = 'zcwf_row'> <div class = 'zcwf_col_lab' style = 'font-size:16px; font-family: Arial;'> <label for = 'Phone'>Phone (preferably WhatsApp number)</label> </div> <div class = 'zcwf_col_fld'> <input type = 'text' id = 'Phone' aria-required = 'false' aria-label = 'Phone' name = 'Phone' aria-valuemax = '30' maxlength = '30'> </input> <div class = 'zcwf_col_help'> </div> </div> </div> <div class = 'zcwf_row'> <div class = 'zcwf_col_lab' style = 'font-size:16px; font-family: Arial;'> <label for = 'Email'>Email <span style = 'color:red;'>*</span> </label> </div> <div class = 'zcwf_col_fld'> <input type = 'text' ftype = 'email' autocomplete = 'false' id = 'Email' aria-required = 'true' aria-label = 'Email' name = 'Email' aria-valuemax = '100' crmlabel = '' maxlength = '100'> </input> <div class = 'zcwf_col_help'> </div> </div> </div> <div class = 'zcwf_row'> <div class = 'zcwf_col_lab' style = 'font-size:16px; font-family: Arial;'> <label for = 'LEADCF1'>Let us know about your plan (e.g: dates & course) <span style = 'color:red;'>*</span> </label> </div> <div class = 'zcwf_col_fld'> <textarea style = 'font-family: Arial, sans-serif;' aria-multiline = 'true' id = 'LEADCF1' aria-required = 'true' aria-label = 'LEADCF1' name = 'LEADCF1'> </textarea> <div class = 'zcwf_col_help'> </div> </div> </div> <div class = 'zcwf_row wfrm_fld_dpNn'> <div class = 'zcwf_col_lab' style = 'font-size:16px; font-family: Arial;'> <label for = 'Lead_Source'>Lead Source</label> </div> <div class = 'zcwf_col_fld'> <select class = 'zcwf_col_fld_slt' role = 'combobox' aria-expanded = 'false' aria-haspopup = 'listbox' id = 'Lead_Source' onChange = 'addAriaSelected475371000012426115()' aria-required = 'false' aria-label = 'Lead Source' name = 'Lead Source'> <option value = '-None-'>-None-</option> <option value = 'Google Ads: India level campaign'>Google Ads: India level campaign</option> <option selected value = 'Website Visit'>Website Visit</option> <option value = 'Meta Ads: Staycation'>Meta Ads: Staycation</option> <option value = 'Meta Ads'>Meta Ads</option> <option value = 'Meta Ads: In Tune With Nature'>Meta Ads: In Tune With Nature</option> <option value = 'Meta Ads: Parent child reboot camp'>Meta Ads: Parent child reboot camp</option> <option value = 'Meta Ads: Inner Journey'>Meta Ads: Inner Journey</option> <option value = 'Google-LP-Vipassana'>Google-LP-Vipassana</option> <option value = 'Meta Ads: Mystic Rose'>Meta Ads: Mystic Rose</option> <option value = 'Inboud Call'>Inboud Call</option> <option value = 'Meta-organic'>Meta-organic</option> <option value = 'Google Ad'>Google Ad</option> <option value = 'Double Tick'>Double Tick</option> <option value = 'Chat'>Chat</option> <option value = 'Twitter'>Twitter</option> <option value = 'Facebook Ads'>Facebook Ads</option> <option value = 'Google-LP-AWARENESS INTENSIVE'>Google-LP-AWARENESS INTENSIVE</option> <option value = 'Meta-LP-AWARENESS INTENSIVE'>Meta-LP-AWARENESS INTENSIVE</option> <option value = 'Wati'>Wati</option> <option value = 'Google Ads: Staycation campaign (Domestic)'>Google Ads: Staycation campaign (Domestic)</option> <option value = 'Old customer'>Old customer</option> <option value = 'by Ref.'>by Ref.</option> <option value = 'Whatsapp Group'>Whatsapp Group</option> <option value = 'Google search'>Google search</option> <option value = 'Google Ads: Mental Wellness seekers campaign'>Google Ads: Mental Wellness seekers campaign</option> <option value = 'Google Ads: Meditation retreat seekers campaign'>Google Ads: Meditation retreat seekers campaign</option> <option value = 'Youtube'>Youtube</option> </select> <div class = 'zcwf_col_help'> </div> </div> </div> <div class = 'zcwf_row'> <div class = 'zcwf_col_lab' style = 'font-size:16px; font-family: Arial;'> <label for = 'Country'>Country <span style = 'color:red;'>*</span> </label> </div> <div class = 'zcwf_col_fld'> <input type = 'text' id = 'Country' aria-required = 'true' aria-label = 'Country' name = 'Country' aria-valuemax = '100' maxlength = '100'> </input> <div class = 'zcwf_col_help'> </div> </div> </div> <div class = 'zcwf_row'> <div class = 'zcwf_col_lab' id = 'reCaptchaField' style = 'font-size:16px; font-family: Arial;'>Enter the Captcha</div> <div class = 'zcwf_col_fld'> <input type = 'text' id = 'captchaField475371000012426115' aria-labelledby = 'reCaptchaField' aria-valuemax = '10' maxlength = '10' name = 'enterdigest'/> </div> </div> <!-- Do not remove this code. --> <div class = 'zcwf_row'> <div class = 'zcwf_col_lab'> </div> <div class = 'zcwf_col_fld'> <img id = 'imgid475371000012426115' src = 'https://crm.zoho.in/crm/CaptchaServlet?formId=f295d5ee30515de867ac871ec7c0e70766978c8e9d571a53e7b3d65dd039f7e6754a70ad2268efd8c8c12977f7cd7760&grpid=9e277a835857ebdfe49ffb5a218fe4bf5fe9754d8957e8587d47f8a4d86bc4a0'> <a href = 'javascript:;' onclick = 'reloadImg475371000012426115();'>Reload</a> </div> <div class = ''> </div> </div> <input type = 'text' type = 'hidden' style = 'display: none;' name = 'aG9uZXlwb3Q' value = ''/> <div class = 'zcwf_row'> <div class = 'zcwf_col_lab'> </div> <div class = 'zcwf_col_fld'> <input type = 'submit' id = 'formsubmit' role = 'button' class = 'formsubmit zcwf_button' value = 'Submit' aria-label = 'Submit' title = 'Submit'> <input type = 'reset' class = 'zcwf_button' role = 'button' name = 'reset' value = 'Reset' aria-label = 'Reset' title = 'Reset'> </div> </div> <script> function addAriaSelected475371000012426115(){ var optionElem = event.target; var previousSelectedOption = optionElem.querySelector('[aria-selected=true]'); if( previousSelectedOption ){ previousSelectedOption.removeAttribute('aria-selected'); } optionElem.querySelectorAll('option')[ optionElem.selectedIndex ].ariaSelected = 'true'; } /* Do not remove this code. */ function reloadImg475371000012426115(){ var captcha = document.getElementById('imgid475371000012426115'); if( captcha.src.indexOf( '&d' ) !== -1 ){ captcha.src = captcha.src.substring(0, captcha.src.indexOf('&d')) + '&d' + new Date().getTime(); } else{ captcha.src = captcha.src + '&d' + new Date().getTime(); } } function historyBack475371000012426115(){ document.querySelector('.crmWebToEntityForm .formsubmit').removeAttribute('disabled'); reloadImg475371000012426115(); window.removeEventListener('focus', historyBack475371000012426115); } function validateEmail475371000012426115(){ var form = document.forms[ 'WebToLeads475371000012426115' ]; 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+$/g,'' )).length != 0 ){ var atpos = emailVal.indexOf('@'); var dotpos = emailVal.lastIndexOf('.'); if( atpos < 1 || dotpos < atpos + 2 || dotpos + 2 >= emailVal.length ){ alert('Please enter a valid email address. '); emailFld[ i ].focus(); return false; } } } return true; } function checkMandatory475371000012426115(){ var mndFileds = new Array('Last Name', 'Email', 'Country', 'LEADCF1'); var fldLangVal = new Array('Your\x20Name', 'Email', 'Country', 'Let\x20us\x20know\x20about\x20your\x20plan\x20\x28e.g\x3A\x20dates\x20\x26\x20course\x29'); for( i = 0; i < mndFileds.length; i++ ){ var fieldObj = document.forms[ 'WebToLeads475371000012426115' ][ mndFileds[ i ]]; if( fieldObj ){ if(((fieldObj.value ).replace( /^\s+|\s+$/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( !validateEmail475371000012426115()){ return false; } var urlparams = new URLSearchParams(window.location.search); if( urlparams.has( 'service' ) && ( urlparams.get( 'service' ) === 'smarturl' )){ var webform = document.getElementById('webform475371000012426115'); var service = urlparams.get('service'); var smarturlfield = document.createElement('input'); smarturlfield.setAttribute('type', 'hidden'); smarturlfield.setAttribute('value', service); smarturlfield.setAttribute('name', 'service'); webform.appendChild(smarturlfield); } document.querySelector('.crmWebToEntityForm .formsubmit').setAttribute('disabled', true); window.addEventListener('focus', historyBack475371000012426115); } function tooltipShow475371000012426115(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=00a4172d7f9b7ac1816af8aa354d28ebc988ce312f1b80289ce278d55eb11d4383f7d12dc34c3be1326d783d5932a41agid79991e7033a5976031db89e3f58e50e2315f23146c3b1cfd128a054a8b9673b0gid1c3cd55b886e9d87e7ed27e470e801993bd5477f39a3ca538c0a4bfcaeec11ebgid5b595fe75bb4b9c08ad2a22782ec004e116c2b99027f8a1b02f499ac14f64a61&tw=98a586bc58f597063703c057f3bba8b310c1e6de4dd0230a85db1c3416f568f8'> </script> <!-- Do not remove this --- Analytics Tracking code ends. --> </form> <!-- Do not remove this code. --> <iframe name = 'captchaFrame' style = 'display:none;'> </iframe> </div> </div>
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