<div id=’crmWebToEntityForm’ style=’width: 600px; margin: auto;’>
<meta http-equiv=’content-type’ content=’text/html;charset=UTF-8′>
<form action=’https://openapi.amis.vn/WebForm/savecollection’ name=”WebToContactsbb88cdd58416f20dc2751f7eb45c32ab” method=’POST’
onsubmit=’javascript:document.charset=”UTF-8″; return checkMandatorybb88cdd58416f20dc2751f7eb45c32ab()’ accept-charset=’UTF-8′>
<input type=’text’ style=’display: none;’ name=’ID’ value=’bb88cdd5-8416-f20d-c275-1f7eb45c32ab’> </input>
<input type=’text’ style=’display: none;’ name=’Companycode’ value=’7D7Q3Y8T’> </input>
<input type=’text’ style=’display: none;’ name=’AllowURL’ value=’*’> </input>
<input type=’text’ style=’display: none;’ name=’FormKey’ value=’HlZY8xkyrX+qHnwev8GIpBjFySczEXXZ6+S8eb4KSaY=’> </input>
<input type=’text’ style=’display: none;’ name=’RedirectURL’ value=’https://cannhacongnghe.com/trang-cam-on/’> </input>
<style>
tr, td {
padding: 6px;
border-spacing: 0px;
border-width: 0px;
}
</style>
<table style=’width: 600px; background-color: white; color: #212121′>
<tr>
<td colspan=’2′ align=’left’ style=’color: #212121; font-family: Roboto; font-size: 13px;’><strong>Form đăng ký thông tin</strong></td>
</tr>
<br></br>
<tr><td style = ‘nowrap: nowrap; text-align: left; font-size: 14px; font-family: Roboto; width: 200px;’>Tên<span style=’color:red;’>*</span></td> <td style=’width: 250px;’><input style=’width:250px;’ type=’text’ name= ‘LastName’/> </td></tr><tr><td style = ‘nowrap: nowrap; text-align: left; font-size: 14px; font-family: Roboto; width: 200px;’>Điện thoại</td> <td style=’width: 250px;’><input style=’width:250px;’ type=’text’ name= ‘Mobile’/> </td><td><a href=’https://’></a></td></tr><tr><td style = ‘nowrap: nowrap; text-align: left; font-size: 14px; font-family: Roboto; width: 200px;’>Địa chỉ</td> <td style=’width: 250px;’><input style=’width:250px;’ type=’text’ name= ‘Address’/> </td></tr><tr><td style = ‘nowrap: nowrap; text-align: left; font-size: 14px; font-family: Roboto; width: 200px;’>Mô tả</td> <td style=’width: 250px;’><input style=’width:250px;’ type=’text’ name= ‘Description’/> </td></tr>
<tr>
<td colspan=’2′ align=’center’ style=’text-align: left; padding-top: 15px; font-size: 13px;’>
<input type=’submit’ style=’ font-size: 13px; color: #212121′ id=’formsubmit’ value=’Gửi (Chúng tôi sẽ liên hệ lại bạn)’ />
<input type=’reset’ name=’reset’ style=’font-size: 13px; color: #212121′ value=’Đặt lại’ />
</td>
</tr>
</table>
<script>
var mndFileds = new Array(‘LastName’);var fldLangVal = new Array(‘Tên’);

var name = ”;
var email = ”;

 

function checkMandatorybb88cdd58416f20dc2751f7eb45c32ab() {
for (i = 0; i < mndFileds.length; i++) {
var fieldObj = document.forms[‘WebToContactsbb88cdd58416f20dc2751f7eb45c32ab’][mndFileds[i]];
if (fieldObj) {
if (((fieldObj.value).replace(/^\s+|\s+$/g, ”)).length == 0) {
if (fieldObj.type == ‘file’) {
alert(‘Bạn phải chọn file upload.’);
fieldObj.focus();
return false;
}
alert(fldLangVal[i] + ‘ không được để trống.’);
fieldObj.focus();
return false;
} else if (fieldObj.nodeName == ‘SELECT’) {
if (fieldObj.options[fieldObj.selectedIndex].value == ‘-None-‘) {
alert(fldLangVal[i] + ‘ không được để trống.’);
fieldObj.focus();
return false;
}
} else if (fieldObj.type == ‘checkbox’) {
if (fieldObj.checked == false) {
alert(‘Vui lòng chọn ‘ + fldLangVal[i]);
fieldObj.focus();
return false;
}
}
try {
if (fieldObj.name == ‘Last Name’) {
name = fieldObj.value;
}
} catch (e) { }
}
}
document.getElementById(‘formsubmit’).disabled = true;
}
</script>
</form>
</div>