Validation test form

Home

Embedded form test

Breadcrumbs

As a leading specialist fibre and network solutions provider, Vocus connects people, businesses, governments, and communities across Australia and New Zealand, to the world.

Vocus Group Pty Ltd

description

generator

vocus,network,fibre,telco,connectivity,collaboration,cloud,data centre

keywords

https://files.vocus.com.au/www/resources/_1200x630_crop_center-center_82_none/vocus-site-image.png?mtime=1615187224

The Vocus logo over a colourful background.

https://www.linkedin.com/company/vocus-communications/

https://www.vocus.com.au/embedded-form-test

referrer

robots

twitter:card

twitter:creator

twitter:description

https://files.vocus.com.au/www/resources/_800x418_crop_center-center_82_none/vocus-site-image.png?mtime=1615187224

twitter:image

twitter:image:alt

twitter:image:height

twitter:image:width

twitter:site

twitter:title

{"title":{"title":"Validation test form | Vocus"}}

<META HTTP-EQUIV="Content-type" CONTENT="text/html; charset=UTF-8"/>




<form class="lfWrapper" action="https://webto.salesforce.com/servlet/servlet.WebToCase?encoding=UTF-8" method="POST">

    <input type=hidden id="orgid" name="orgid" value="00D2w000005ns3y">
    <input type=hidden id="retURL" name="retURL" value="https://www.vocus.com.au">
    <input type=hidden id="recordType" name="recordType" value="0124a0000004S3a">

    
    
    
    
    
    
    

    <label for="name"></label><input  id="name" maxlength="80" name="name" size="20" type="text" required="required" placeholder="Contact name"/>
    <label for="email"></label><input  id="email" maxlength="80" name="email" size="20" type="text" required="required" placeholder="Email"/>
    <label for="phone"></label><input  id="phone" maxlength="40" name="phone" size="20" type="text" required="required" placeholder="Phone" />
    <label for="company"></label><input  id="company" maxlength="80" name="company" size="20" type="text" required="required" placeholder="Company name" />

    <label for="subject"></label><input  id="subject" maxlength="80" name="subject" size="20" type="text" required="required" placeholder="Subject" />

    <label for="description"></label><textarea id="form-textarea" name="description" rows = "3" required="required" placeholder="Tell us more about your enquiry"></textarea>

    

    <label for="type"></label><select id="type" name="type" placeholder="Subject of enquiry">
    <option value="General Enquiry" placeholder="Please select a support team">General Enquiry</option>
    <option value="Billing Enquiry">Billing Enquiry</option>
    <option value="Provide Feedback">Provide Feedback</option>
    <option value="Security &amp; Privacy">Security &amp; Privacy</option>
    </select>
    <input type="hidden"  id="priority" name="priority" value="P7" />
    <input type="hidden"  id="external" name="external" value="1" />
</form>

Validation test form

Embedded form test

About us

Support

Legal

About us

Support

Legal