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Posted By

ryarwood on 07/09/10


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Vertical Response Form

 / Published in: HTML
 

Example vertical response form. Need to setup inside their system as well. Thus the whole ?fid=b995c25bd1 thing.

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  1. <form method="post" action="http://oi.vresp.com?fid=b995c25bd1" name="interestList" id="interestList" onsubmit="MM_validateForm('first_name','','R','last_name','','R','email_address','','R');return document.MM_returnValue">
  2.   <table width="420" border="0" cellspacing="0" cellpadding="0">
  3.     <tr>
  4.       <td width="220"><span class="formCopy">First Name*</span>
  5.         <input name="first_name" id="first_name" size="15" class="normalForm" alt="First Name" /></td>
  6.       <td width="200"><span class="formCopy">Last Name*</span>
  7.         <input name="last_name" id="last_name" size="15" class="normalForm" alt="Last Name" /></td>
  8.     </tr>
  9.     <tr>
  10.       <td width="220"><span class="formCopy">Email*</span>
  11.         <input name="email_address" id="email_address" size="15" class="normalForm" alt="Email" /></td>
  12.       <td width="200"><span class="formCopy">Phone</span>
  13.         <input name="home_phone" id="home_phone" size="15" class="normalForm" /></td>
  14.     </tr>
  15.     <tr>
  16.       <td width="220"><span class="formCopy">Address</span>
  17.         <input name="address_1" id="address_1" size="15" class="normalForm" /></td>
  18.       <td width="200"><span class="formCopy">City</span>
  19.         <input name="city" id="city" size="15" class="normalForm" /></td>
  20.     </tr>
  21.     <tr>
  22.       <td width="220"><span class="formCopy">State</span>
  23.         <select name="state" id="state" class="normalPull">
  24.           <option value=''></option>
  25.           <option value="_1">--United States--</option>
  26.           <option value="AL">Alabama</option>
  27.           <option value="AK">Alaska</option>
  28.           <option value="AS">American Samoa</option>
  29.           <option value="AZ">Arizona</option>
  30.           <option value="AR">Arkansas</option>
  31.           <option value="CA">California</option>
  32.           <option value="CO">Colorado</option>
  33.           <option value="CT">Connecticut</option>
  34.           <option value="DE">Delaware</option>
  35.           <option value="DC">District of Columbia</option>
  36.           <option value="FL">Florida</option>
  37.           <option value="GA">Georgia</option>
  38.           <option value="GU">Guam</option>
  39.           <option value="HI">Hawaii</option>
  40.           <option value="ID">Idaho</option>
  41.           <option value="IL">Illinois</option>
  42.           <option value="IN">Indiana</option>
  43.           <option value="IA">Iowa</option>
  44.           <option value="KS">Kansas</option>
  45.           <option value="KY">Kentucky</option>
  46.           <option value="LA">Louisiana</option>
  47.           <option value="ME">Maine</option>
  48.           <option value="MD">Maryland</option>
  49.           <option value="MA">Massachusetts</option>
  50.           <option value="MI">Michigan</option>
  51.           <option value="MN">Minnesota</option>
  52.           <option value="MS">Mississippi</option>
  53.           <option value="MO">Missouri</option>
  54.           <option value="MT">Montana</option>
  55.           <option value="NE">Nebraska</option>
  56.           <option value="NV">Nevada</option>
  57.           <option value="NH">New Hampshire</option>
  58.           <option value="NJ">New Jersey</option>
  59.           <option value="NM">New Mexico</option>
  60.           <option value="NY">New York</option>
  61.           <option value="NC">North Carolina</option>
  62.           <option value="ND">North Dakota</option>
  63.           <option value="OH">Ohio</option>
  64.           <option value="OK">Oklahoma</option>
  65.           <option value="OR">Oregon</option>
  66.           <option value="PA">Pennsylvania</option>
  67.           <option value="PR">Puerto Rico</option>
  68.           <option value="RI">Rhode Island</option>
  69.           <option value="SC">South Carolina</option>
  70.           <option value="SD">South Dakota</option>
  71.           <option value="TN">Tennessee</option>
  72.           <option value="TX">Texas</option>
  73.           <option value="UT">Utah</option>
  74.           <option value="VT">Vermont</option>
  75.           <option value="VI">Virgin Islands</option>
  76.           <option value="VA">Virginia</option>
  77.           <option value="WA">Washington</option>
  78.           <option value="WV">West Virginia</option>
  79.           <option value="WI">Wisconsin</option>
  80.           <option value="WY">Wyoming</option>
  81.           <option value="_2">--Canada--</option>
  82.           <option value="AB">Alberta</option>
  83.           <option value="BC">British Columbia</option>
  84.           <option value="MB">Manitoba</option>
  85.           <option value="NB">New Brunswick</option>
  86.           <option value="NL">Newfoundland</option>
  87.           <option value="NT">North West Territory</option>
  88.           <option value="NS">Nova Scotia</option>
  89.           <option value="NU">Nunavut</option>
  90.           <option value="ON">Ontario</option>
  91.           <option value="PE">Prince Edward Island</option>
  92.           <option value="QC">Quebec</option>
  93.           <option value="SK">Saskatchewan</option>
  94.           <option value="YT">Yukon Territory</option>
  95.           <option value="_3">Not Applicable</option>
  96.         </select></td>
  97.       <td width="200"><span class="formCopy">Zip</span>
  98.         <input name="postalcode" id="postalcode" size="15" class="normalForm" /></td>
  99.     </tr>
  100.     <tr>
  101.       <td>&nbsp;</td>
  102.       <td align="right"><input name="formSubmission" type="image" src="/img/submit.gif" id="formSubmission" /></td>
  103.     </tr>
  104.   </table>
  105. </form>

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