__CONFIG_lead_generation_code__
<style>
/* Box 1 */
* {
font-size: 1em;
padding: 0;
margin: 0;
-webkit-box-sizing: border-box;
-moz-box-sizing: border-box;
box-sizing: border-box;
}
form {
width: 100%;
margin: 0 auto;
}
.box {
padding: 0.5rem;
}
fieldset {
border: none;
}
label {
display: block;
}
input {
display: block;
width: 100%;
padding: 1rem;
}
#registernow {
background: rgba(0, 105, 255, 1);
font-weight: bold;
border-radius: 10px;
color: white;
border: none;
}
@media all and (min-width: 35rem) and (max-width: 60rem) {
.box {
float: left;
width: 100%;
}
label {
display: block;
}
#registernow {
width: 100%;
font-size: 1.2em;
}
}
@media all and (min-width: 60rem) {
label {
}
.box {
width: 100%;
}
input {
width: 100%;
}
#registernow {
width: 75%;
font-size: 1.6em;
}
}
</style>
<form
method="POST"
action="https://doubledot.aevent.online/registration"
target="_top"
>
<fieldset>
<div class="box">
<label for=" Name"> Full Name </label>
<input
type="text"
id="name"
placeholder="Enter Your Full Name"
name="name"
required
/>
<br />
<label for="email"> E-mail Address </label>
<input
type="email"
id="email"
placeholder="Enter your BEST Email"
name="email"
required
/>
<br />
<label for="phone"> Phone <em>(Optional)</em> : </label>
<input
type="text"
id="phone"
name="phone"
placeholder="Enter Your Phone Number (For Reminder Texts)"
/>
</div>
</fieldset>
<center>
<br />
<input type="submit" value="Register Now" id="registernow" />
</center>
<input name="customtag" type="hidden" value="" />
<input name="customtag2" type="hidden" value="" />
<input name="customtag3" type="hidden" value="" />
<input name="customtag4" type="hidden" value="" />
<input name="customtag5" type="hidden" value="" />
<input name="webinarid" type="hidden" value="" />
<input name="wtl" type="hidden" value="wjVJnnGpqW4R7n5" />
<input name="lp" type="hidden" value="" />
</form>
__CONFIG_lead_generation_code__
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