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page-scheduler.php
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page-scheduler.php
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<?php
/*
Template Name: Scheduler Template
*/
?>
<?php require('header-scheduler.php'); ?>
<div class="w-row scheduleTime">
<div class="w-col-12">
<div class="w-col-6 form-template">
<h1 class="main-header">Schedule Time to Chat</h1>
<form action="https://www.salesforce.com/servlet/servlet.WebToLead?encoding=UTF-8" id="datePicker" class="form-scheduler" method="POST">
<input type="hidden" name="oid" value="00DG0000000i5W2">
<input type="hidden" name="retURL" value="http://www.talix.com/thanks">
<input type="hidden" select="" id="lead_source" name="lead_source" value="Coding-InSight-Demo" class="special">
<label for="first_name" class="placeholder-hide"></label>
<input type="text" name="first_name" id="first_name" class="sudoPicker" placeholder="First Name" size="20" maxlength="40" required />
<label for="last_name" class="placeholder-hide"></label>
<input type="text" name="last_name" id="last_name" class="sudoPicker" placeholder="Last Name" size="20" maxlength="40" required />
<label for="email" class="placeholder-hide"></label>
<input type="text" name="email" id="email" class="sudoPicker" placeholder="Email" size="20" maxlength="40" required>
<label for="calendar"></label>
<input type="text" id="calendar" class="preferred_day sudoPicker" name="preferred_day" placeholder="Preferred Day" required/>
<label for="clock"></label>
<input type="text" id="clock" name="preferred_time" class="preferred_time sudoPicker" placeholder="Preferred Time" required/>
<div class="w-row" id="salesSubmit">
<input type="submit" name="submit" value="Let's Talk!" id="submitTime" class="sudoPicker">
</div>
</form>
</div>
</div>
</div>
<?php require('footer-scheduler.php'); ?>