/*--- Avanquest WebEasy Custom Script ---*/

form.elements<form action="https://officenter.infusionsoft.com/AddForms/processFormSecure.jsp" method='POST'> <input name="infusion_xid" id="infusion_xid" value="4c546438c082954f6b0d56bd2c1c8a2a" type="hidden" /> <input name="infusion_type" id="infusion_type" value="CustomFormWeb" type="hidden" /> <input name="infusion_name" id="infusion_name" value="SAMPLE: Newsletter Sign-up Form" type="hidden" /> <table> 
	<tr><td colspan=99 style="padding:4px;background-color:#000000;color:#FFFFFF">Contact Information</td></tr> 
		<tr><td>First Name *</td><td><input type='text' name='Contact0FirstName' value=''></td></tr> 
		<tr><td>Last Name *</td><td><input type='text' name='Contact0LastName' value=''></td></tr> 
		<tr><td>Email *</td><td><input type='text' name='Contact0Email' value=''></td></tr> 
	<tr><td colspan=2><input name="Submit" id="Submit" class="button np inf-button" value="Submit" type="submit" /></td></tr> </table> </form> 


/*--- EndOfFile ---*/