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<!-- Note :
   - You can modify the font style and form style to suit your website. 
   - 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. 
   - The Mandatory check script can modified as to suit your business needs. 
   - It is important that you test the modified form before going live.--></p>
<div id='crmWebToEntityForm' class='zcwf_lblRight crmWebToEntityForm' style='background-color: #FFFFFF;color: black;max-width: 600px;'>
  <meta name='viewport' content='width=device-width, initial-scale=1.0'><br />
   <META HTTP-EQUIV ='content-type' CONTENT='text/html;charset=UTF-8'></p>
<form action='https://crm.zoho.com.au/crm/WebToLeadForm' name=WebToLeads26798000026255799 method='POST' onSubmit='javascript:document.charset="UTF-8"; return checkMandatory26798000026255799()' accept-charset='UTF-8'>
 <input type='text' style='display:none;' name='xnQsjsdp' value='d33a72f5c4b70ac6bf3dcbf872727f9e22d771160f90d51a90dec1780dfc93ae'></input><br />
 <input type='hidden' name='zc_gad' id='zc_gad' value=''></input><br />
 <input type='text' style='display:none;' name='xmIwtLD' value='6731f530d996f8aebfb56c0218b1fd7477774a765523f1fa974059753d3b4639'></input><br />
 <input type='text'  style='display:none;' name='actionType' value='TGVhZHM='></input><br />
 <input type='text' style='display:none;' name='returnURL' value='https://ghostfiregaming.com/abberations-landing-page/' > </input><br />
	 <!-- Do not remove this code. --></p>
<style>
html,body{
	margin: 0px;
}
#crmWebToEntityForm.zcwf_lblRight {
	width:100%;
	padding: 25px;
	margin: 0 auto;
	box-sizing: border-box;
}
#crmWebToEntityForm.zcwf_lblRight * {
	box-sizing: border-box;
}
#crmWebToEntityForm{text-align: left;}
#crmWebToEntityForm * {
	direction: ltr;
}
.zcwf_lblRight .zcwf_title {
	word-wrap: break-word;
	padding: 0px 6px 10px;
	font-weight: bold;
}
.zcwf_lblRight .zcwf_col_fld input[type=text], .zcwf_lblRight .zcwf_col_fld textarea {
	width: 60%;
	border: 1px solid #ccc !important;
	resize: vertical;
	border-radius: 2px;
	float: left;
}
.zcwf_lblRight .zcwf_col_lab {
	width: 30%;
	word-break: break-word;
	padding: 0px 6px 0px;
	margin-right: 10px;
	margin-top: 5px;
	float: left;
	min-height: 1px;
	text-align: right;
}
.zcwf_lblRight .zcwf_col_fld {
	float: left;
	width: 68%;
	padding: 0px 6px 0px;
	position: relative;
	margin-top: 5px;
}
.zcwf_lblRight .zcwf_privacy{padding: 6px;}
.zcwf_lblRight .wfrm_fld_dpNn{display: none;}
.dIB{display: inline-block;}
.zcwf_lblRight .zcwf_col_fld_slt {
	width: 60%;
	border: 1px solid #ccc;
	background: #fff;
	border-radius: 4px;
	font-size: 12px;
	float: left;
	resize: vertical;
	padding: 2px 5px;
}
.zcwf_lblRight .zcwf_row:after, .zcwf_lblRight .zcwf_col_fld:after {
	content: '';
	display: table;
	clear: both;
}
.zcwf_lblRight .zcwf_col_help {
	float: left;
	margin-left: 7px;
	font-size: 12px;
	max-width: 35%;
	word-break: break-word;
}
.zcwf_lblRight .zcwf_help_icon {
	cursor: pointer;
	width: 16px;
	height: 16px;
	display: inline-block;
	background: #fff;
	border: 1px solid #ccc;
	color: #ccc;
	text-align: center;
	font-size: 11px;
	line-height: 16px;
	font-weight: bold;
	border-radius: 50%;
}
.zcwf_lblRight .zcwf_row {margin: 15px 0px;}
.zcwf_lblRight .formsubmit {
	margin-right: 5px;
	cursor: pointer;
	color: #333;
	font-size: 12px;
}
.zcwf_lblRight .zcwf_privacy_txt {
	width: 90%;
	color: rgb(0, 0, 0);
	font-size: 12px;
	font-family: Arial;
	display: inline-block;
	vertical-align: top;
	color: #333;
	padding-top: 2px;
	margin-left: 6px;
}
.zcwf_lblRight .zcwf_button {
	font-size: 12px;
	color: #333;
	border: 1px solid #ccc;
	padding: 3px 9px;
	border-radius: 4px;
	cursor: pointer;
	max-width: 120px;
	overflow: hidden;
	text-overflow: ellipsis;
	white-space: nowrap;
}
.zcwf_lblRight .zcwf_tooltip_over{
	position: relative;
}
.zcwf_lblRight .zcwf_tooltip_ctn{
	position: absolute;
	background: #dedede;
	padding: 3px 6px;
	top: 3px;
	border-radius: 4px;word-break: break-word;
	min-width: 100px;
	max-width: 150px;
	color: #333;
	z-index: 100;
}
.zcwf_lblRight .zcwf_ckbox{
	float: left;
}
.zcwf_lblRight .zcwf_file{
	width: 55%;
	box-sizing: border-box;
	float: left;
}
.clearB:after{
	content:'';
	display: block;
	clear: both;
}
@media all and (max-width: 600px) {
	.zcwf_lblRight .zcwf_col_lab, .zcwf_lblRight .zcwf_col_fld {
		width: auto;
		float: none !important;
	}
	.zcwf_lblRight .zcwf_col_help {width: 40%;}
	.zcwf_lblRight.zcwf_rtl .zcwf_col_lab {text-align: left;}
	.zcwf_lblRight.zcwf_rtl .zcwf_col_lab {text-align: right;}
}
</style>
<div class='zcwf_title' style='max-width: 600px;color: black;'>aberration leads test</div>
<div class='zcwf_row'>
<div class='zcwf_col_lab' style='font-size:12px; font-family: Arial;'><label for='Email'>Email</label></div>
<div class='zcwf_col_fld'><input type='text' ftype='email' id='Email' name='Email' maxlength='100'></input></p>
<div class='zcwf_col_help'></div>
</div>
</div>
<div class='zcwf_row'>
<div class='zcwf_col_lab' style='font-size:12px; font-family: Arial;'><label for='First_Name'>First Name</label></div>
<div class='zcwf_col_fld'><input type='text' id='First_Name' name='First Name' maxlength='40'></input></p>
<div class='zcwf_col_help'></div>
</div>
</div>
<div class='zcwf_row'>
<div class='zcwf_col_lab' style='font-size:12px; font-family: Arial;'><label for='Last_Name'>Last Name<span style='color:red;'>*</span></label></div>
<div class='zcwf_col_fld'><input type='text' id='Last_Name' name='Last Name' maxlength='80'></input></p>
<div class='zcwf_col_help'></div>
</div>
</div>
<div class='zcwf_row'>
<div class='zcwf_col_lab'></div>
<div class='zcwf_col_fld'><input type='submit' id='formsubmit' class='formsubmit zcwf_button' value='Submit' title='Submit'><input type='reset' class='zcwf_button' name='reset' value='Reset' title='Reset'></div>
</div>
<p>	<script>
	function validateEmail26798000026255799()
	{
		var form = document.forms['WebToLeads26798000026255799'];
		var emailFld = form.querySelectorAll('[ftype=email]');
		var i;
		for (i = 0; i < emailFld.length; i++)
		{
			var emailVal = emailFld[i].value;
			if((emailVal.replace(/^s+|s+$/g, '')).length!=0 )
			{
				var atpos=emailVal.indexOf('@');
				var dotpos=emailVal.lastIndexOf('.');
				if (atpos<1 || dotpos<atpos+2 || dotpos+2>=emailVal.length)
				{
					alert('Please enter a valid email address. ');
					emailFld[i].focus();
					return false;
				}
			}
		}
		return true;
	}</p>
<p> 	  function checkMandatory26798000026255799() {
		var mndFileds = new Array('Last Name');
		var fldLangVal = new Array('Lastx20Name');
		for(i=0;i<mndFileds.length;i++) {
		  var fieldObj=document.forms['WebToLeads26798000026255799'][mndFileds[i]];
		  if(fieldObj) {
			if (((fieldObj.value).replace(/^s+|s+$/g, '')).length==0) {
			 if(fieldObj.type =='file')
				{ 
				 alert('Please select a file to upload.'); 
				 fieldObj.focus(); 
				 return false;
				} 
			alert(fldLangVal[i] +' cannot be empty.'); 
   	   	  	  fieldObj.focus();
   	   	  	  return false;
			}  else if(fieldObj.nodeName=='SELECT') {
  	   	   	 if(fieldObj.options[fieldObj.selectedIndex].value=='-None-') {
				alert(fldLangVal[i] +' cannot be none.'); 
				fieldObj.focus();
				return false;
			   }
			} else if(fieldObj.type =='checkbox'){
 	 	 	 if(fieldObj.checked == false){
				alert('Please accept  '+fldLangVal[i]);
				fieldObj.focus();
				return false;
			   } 
			 } 
			 try {
			     if(fieldObj.name == 'Last Name') {
				name = fieldObj.value;
 	 	 	    }
			} catch (e) {}
		    }
		}
		if(!validateEmail26798000026255799()){return false;}
		document.querySelector('.crmWebToEntityForm .formsubmit').setAttribute('disabled', true);
	}

function tooltipShow26798000026255799(el){
	var tooltip = el.nextElementSibling;
	var tooltipDisplay = tooltip.style.display;
	if(tooltipDisplay == 'none'){
		var allTooltip = document.getElementsByClassName('zcwf_tooltip_over');
		for(i=0; i<allTooltip.length; i++){
			allTooltip[i].style.display='none';
		}
		tooltip.style.display = 'block';
	}else{
		tooltip.style.display='none';
	}
}
</script><br />
	<!-- Do not remove this --- Analytics Tracking code starts --><script id='wf_anal' src='https://crm.zohopublic.com.au/crm/WebFormAnalyticsServeServlet?rid=6731f530d996f8aebfb56c0218b1fd7477774a765523f1fa974059753d3b4639gidd33a72f5c4b70ac6bf3dcbf872727f9e22d771160f90d51a90dec1780dfc93aegid92577701044453f8ad3404d253167a68gid2fb5ca1d0d0b12c1418bd6a4a80f2823&tw=60feb7774ac7eecee7bc7cebfacaa3df2fb4fdaef50e1767a1614c4965d9498f'></script><!-- Do not remove this --- Analytics Tracking code ends. --></form>
</div>
<p>

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