Contact Us

<!-- Note :<!-- [et_pb_line_break_holder] --> - You can modify the font style and form style to suit your website. <!-- [et_pb_line_break_holder] --> - Code lines with comments ���Do not remove this code��� are required for the form to work properly, make sure that you do not remove these lines of code. <!-- [et_pb_line_break_holder] --> - The Mandatory check script can modified as to suit your business needs. <!-- [et_pb_line_break_holder] --> - It is important that you test the modified form before going live.<!-- [et_pb_line_break_holder] --> - Do not remove captcha and other form elements that are necessary for the form to work. --><!-- [et_pb_line_break_holder] --><div id='crmWebToEntityForm' style='width:600px;margin:auto;'><!-- [et_pb_line_break_holder] --> <META HTTP-EQUIV ='content-type' CONTENT='text/html;charset=UTF-8'><!-- [et_pb_line_break_holder] --> <form action='https://crm.zoho.com/crm/WebToLeadForm' name=WebToLeads3069439000000243005 method='POST' onSubmit='javascript:document.charset="UTF-8"; return checkMandatory()' accept-charset='UTF-8'><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <!-- Do not remove this code. --><!-- [et_pb_line_break_holder] --> <input type='text' style='display:none;' name='xnQsjsdp' value='1fcb921cf191263b6bee1b008e898abb6b1c1a7b6e32dc71014126381c18e82f'/><!-- [et_pb_line_break_holder] --> <input type='hidden' name='zc_gad' id='zc_gad' value=''/><!-- [et_pb_line_break_holder] --> <input type='text' style='display:none;' name='xmIwtLD' value='673ab06efc94c7f6cd78724550a00f2dbbc8f86befa7c913c425a805ba05a893'/><!-- [et_pb_line_break_holder] --> <input type='text' style='display:none;' name='actionType' value='TGVhZHM='/><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <input type='text' style='display:none;' name='returnURL' value='https://www.themarsrisingnetwork.com/thank-you' /> <!-- [et_pb_line_break_holder] --> <!-- Do not remove this code. --><!-- [et_pb_line_break_holder] --> <style><!-- [et_pb_line_break_holder] --> tr , td { <!-- [et_pb_line_break_holder] --> padding:6px;<!-- [et_pb_line_break_holder] --> border-spacing:0px;<!-- [et_pb_line_break_holder] --> border-width:0px;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> </style><!-- [et_pb_line_break_holder] --> <table style='width:600px;background-color:#f5f5f5;color:black'><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td colspan='2' style='text-align:left;color:black;font-family:Arial;font-size:18px;'><strong>Website</strong></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr style='display:none;' ><td style='nowrap:nowrap;text-align:left;font-size:16px;font-family:Arial;width:50%'>Lead Source</td><td style='width:250px;'><!-- [et_pb_line_break_holder] --> <select style='width:250px;' name='Lead Source'><!-- [et_pb_line_break_holder] --> <option value='-None-'>-None-</option><!-- [et_pb_line_break_holder] --> <option value='Advertisement'>Advertisement</option><!-- [et_pb_line_break_holder] --> <option value='Cold Call'>Cold Call</option><!-- [et_pb_line_break_holder] --> <option value='Employee Referral'>Employee Referral</option><!-- [et_pb_line_break_holder] --> <option value='External Referral'>External Referral</option><!-- [et_pb_line_break_holder] --> <option value='Online Store'>Online Store</option><!-- [et_pb_line_break_holder] --> <option value='Partner'>Partner</option><!-- [et_pb_line_break_holder] --> <option value='Public Relations'>Public Relations</option><!-- [et_pb_line_break_holder] --> <option value='Sales Email Alias'>Sales Email Alias</option><!-- [et_pb_line_break_holder] --> <option value='Seminar Partner'>Seminar Partner</option><!-- [et_pb_line_break_holder] --> <option value='Internal Seminar'>Internal Seminar</option><!-- [et_pb_line_break_holder] --> <option value='Trade Show'>Trade Show</option><!-- [et_pb_line_break_holder] --> <option value='Web Download'>Web Download</option><!-- [et_pb_line_break_holder] --> <option value='Web Research'>Web Research</option><!-- [et_pb_line_break_holder] --> <option value='Chat'>Chat</option><!-- [et_pb_line_break_holder] --> <option value='Google Search'>Google Search</option><!-- [et_pb_line_break_holder] --> <option selected value='Website'>Website</option><!-- [et_pb_line_break_holder] --> </select></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td style='nowrap:nowrap;text-align:left;font-size:16px;font-family:Arial;width:200px;'>First Name<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='40' name='First Name' /></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td style='nowrap:nowrap;text-align:left;font-size:16px;font-family:Arial;width:200px;'>Last Name<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='80' name='Last Name' /></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td style='nowrap:nowrap;text-align:left;font-size:16px;font-family:Arial;width:200px;'>Street<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='250' name='Street' /></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td style='nowrap:nowrap;text-align:left;font-size:16px;font-family:Arial;width:200px;'>City<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='30' name='City' /></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td style='nowrap:nowrap;text-align:left;font-size:16px;font-family:Arial;width:200px;'>State<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='30' name='State' /></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td style='nowrap:nowrap;text-align:left;font-size:16px;font-family:Arial;width:200px;'>Zip Code<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='30' name='Zip Code' /></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td style='nowrap:nowrap;text-align:left;font-size:16px;font-family:Arial;width:200px;'>Email<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='100' name='Email' /></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td style='nowrap:nowrap;text-align:left;font-size:16px;font-family:Arial;width:200px;'>Phone<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='30' name='Phone' /></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td style='nowrap:nowrap;text-align:left;font-size:16px;font-family:Arial;width:200px;'>Mobile</td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='30' name='Mobile' /></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td style='nowrap:nowrap;text-align:left;font-size:16px;font-family:Arial;width:200px;'>Invention Concept </td><td> <textarea name='Description' maxlength='32000' style='width:250px;'> </textarea></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td style='nowrap:nowrap;text-align:left;font-size:16px;font-family:Arial;width:200px;'><a href="#" class="eModal-1">NDA</a></td><td style='width:250px;' ><input type='checkbox' name='LEADCF102' /></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td style='nowrap:nowrap;text-align:left;font-size:16px;font-family:Arial;width:200px;'>Enter the Captcha</td><!-- [et_pb_line_break_holder] --> <td><input type='text' style='width:250px;' maxlength='80' name='enterdigest' /></td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td></td><!-- [et_pb_line_break_holder] --> <!-- Do not remove this code. --><!-- [et_pb_line_break_holder] --> <td><img id='imgid' src='https://crm.zoho.com/crm/CaptchaServlet?formId=673ab06efc94c7f6cd78724550a00f2dbbc8f86befa7c913c425a805ba05a893&grpid=1fcb921cf191263b6bee1b008e898abb6b1c1a7b6e32dc71014126381c18e82f'><!-- [et_pb_line_break_holder] --> <a href='javascript:;' onclick='reloadImg()'>Reload</a></td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td colspan='2' style='text-align:center; padding-top:15px;'><!-- [et_pb_line_break_holder] --> <input style='font-size:16px;color:#131307' type='submit' value='Submit' /><!-- [et_pb_line_break_holder] --> <input type='reset' style='font-size:16px;color:#131307' value='Reset' /><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </table><!-- [et_pb_line_break_holder] --> <script><!-- [et_pb_line_break_holder] --> var mndFileds=new Array('First Name','Last Name','Email','Phone','Street','City','State','Zip Code');<!-- [et_pb_line_break_holder] --> var fldLangVal=new Array('First Name','Last Name','Email','Phone','Street','City','State','Zip Code');<!-- [et_pb_line_break_holder] --> var name='';<!-- [et_pb_line_break_holder] --> var email='';<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> /* Do not remove this code. */<!-- [et_pb_line_break_holder] --> function reloadImg() {<!-- [et_pb_line_break_holder] --> if(document.getElementById('imgid').src.indexOf('&d') !== -1 ) {<!-- [et_pb_line_break_holder] --> document.getElementById('imgid').src=document.getElementById('imgid').src.substring(0,document.getElementById('imgid').src.indexOf('&d'))+'&d'+new Date().getTime();<!-- [et_pb_line_break_holder] --> } else {<!-- [et_pb_line_break_holder] --> document.getElementById('imgid').src = document.getElementById('imgid').src+'&d'+new Date().getTime();<!-- [et_pb_line_break_holder] --> } <!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> function checkMandatory() {<!-- [et_pb_line_break_holder] --> for(i=0;i<mndFileds.length;i++) {<!-- [et_pb_line_break_holder] --> var fieldObj=document.forms['WebToLeads3069439000000243005'][mndFileds[i]];<!-- [et_pb_line_break_holder] --> if(fieldObj) {<!-- [et_pb_line_break_holder] --> if (((fieldObj.value).replace(/^\s+|\s+$/g, '')).length==0) {<!-- [et_pb_line_break_holder] --> if(fieldObj.type =='file')<!-- [et_pb_line_break_holder] --> { <!-- [et_pb_line_break_holder] --> alert('Please select a file to upload.'); <!-- [et_pb_line_break_holder] --> fieldObj.focus(); <!-- [et_pb_line_break_holder] --> return false;<!-- [et_pb_line_break_holder] --> } <!-- [et_pb_line_break_holder] --> alert(fldLangVal[i] +' cannot be empty.'); <!-- [et_pb_line_break_holder] --> fieldObj.focus();<!-- [et_pb_line_break_holder] --> return false;<!-- [et_pb_line_break_holder] --> } else if(fieldObj.nodeName=='SELECT') {<!-- [et_pb_line_break_holder] --> if(fieldObj.options[fieldObj.selectedIndex].value=='-None-') {<!-- [et_pb_line_break_holder] --> alert(fldLangVal[i] +' cannot be none.'); <!-- [et_pb_line_break_holder] --> fieldObj.focus();<!-- [et_pb_line_break_holder] --> return false;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> } else if(fieldObj.type =='checkbox'){<!-- [et_pb_line_break_holder] --> if(fieldObj.checked == false){<!-- [et_pb_line_break_holder] --> alert('Please accept '+fldLangVal[i]);<!-- [et_pb_line_break_holder] --> fieldObj.focus();<!-- [et_pb_line_break_holder] --> return false;<!-- [et_pb_line_break_holder] --> } <!-- [et_pb_line_break_holder] --> } <!-- [et_pb_line_break_holder] --> try {<!-- [et_pb_line_break_holder] --> if(fieldObj.name == 'Last Name') {<!-- [et_pb_line_break_holder] --> name = fieldObj.value;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> } catch (e) {}<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --></script><!-- [et_pb_line_break_holder] --> </form><!-- [et_pb_line_break_holder] --> <!-- Do not remove this code. --><!-- [et_pb_line_break_holder] --> <iframe name='captchaFrame' style='display:none;'></iframe><!-- [et_pb_line_break_holder] --></div>