<div class=”form-wrapper”>
<h2>Contact Us</h2>
<form action=”https://crm.zoho.in/crm/WebToLeadForm” method=”POST” accept-charset=”UTF-8″>
<input type=”hidden” name=”xnQsjsdp” value=”your_encrypted_token_here”>
<input type=”hidden” name=”zc_gad” id=”zc_gad” value=””>
<input type=”hidden” name=”xmIwtLD” value=”your_token_here”>
<input type=”hidden” name=”actionType” value=”TGVhZHM=”>
<input type=”hidden” name=”returnURL” value=”https://yourdomain.com/thank-you”>

<div class=”form-group”>
<label for=”Last Name”>Name</label>
<input type=”text” id=”Last Name” name=”Last Name” maxlength=”80″ required />
</div>

<div class=”form-group”>
<label for=”Email”>Email</label>
<input type=”email” id=”Email” name=”Email” maxlength=”100″ required />
</div>

<div class=”form-group”>
<label for=”Phone”>Phone</label>
<input type=”text” id=”Phone” name=”Phone” maxlength=”20″ />
</div>

<div class=”form-group”>
<label for=”City”>City</label>
<input type=”text” id=”City” name=”City” maxlength=”100″ />
</div>

<div class=”submit-btn”>
<input type=”submit” value=”Submit” />
</div>
</form>
</div>
<style>
.form-wrapper {
max-width: 600px;
margin: 0 auto;
background: #fff;
border-radius: 10px;
padding: 30px;
box-shadow: 0 4px 12px rgba(0, 0, 0, 0.1);
}

h2 {
text-align: center;
margin-bottom: 20px;
color: #333;
}

.form-group {
margin-bottom: 20px;
}

.form-group label {
display: block;
font-weight: bold;
margin-bottom: 6px;
color: #555;
}

.form-group input {
width: 100%;
padding: 10px;
border: 1px solid #ccc;
border-radius: 5px;
font-size: 14px;
}

.submit-btn {
text-align: center;
}

.submit-btn input {
background-color: #0073e6;
color: #fff;
padding: 12px 25px;
font-size: 16px;
border: none;
border-radius: 5px;
cursor: pointer;
}

.submit-btn input:hover {
background-color: #005bb5;
}
</style>