// SalesForce Contact Forms
function get_quote_form_shortcode() {
$theform = '<form action="https://webto.salesforce.com/servlet/servlet.WebToLead?encoding=UTF-8" id="contact-form" method="POST" data-disable="false">
<input type="hidden" name="oid" value="00D90000000JTJX" />
<input type="hidden" name="retURL" value="http://fielderscentenary.com.au/?form=success" />
<input type="hidden" name="recordType" id="recordType" value="01290000001UN6z" />
<input type="hidden" name="lead_source" value="Web" />
<div class="form-horizontal">
<div class="form-group">
<label for="first_name" class="col-sm-3 control-label">First Name</label>
<div class="col-sm-9">
<input id="first_name" maxlength="40" name="first_name" class="form-control" type="text" placeholder="John (required)" required />
</div>
</div>
<div class="form-group">
<label for="last_name" class="col-sm-3 control-label">Surname</label>
<div class="col-sm-9">
<input id="last_name" maxlength="80" name="last_name" class="form-control" type="text" placeholder="Smith (required)" required />
</div>
</div>
<div class="form-group">
<label for="email" class="col-sm-3 control-label">Email</label>
<div class="col-sm-9">
<input id="email" maxlength="80" name="email" class="form-control" type="email" placeholder="john.smith@mail.com (required)" required />
</div>
</div>
<div class="form-group">
<label for="phone" class="col-sm-3 control-label">Phone</label>
<div class="col-sm-9">
<input id="phone" maxlength="40" name="phone" class="form-control" type="text" placeholder="0403 000 000 (required)" required />
</div>
</div>
<div class="form-group">
<label for="street" class="col-sm-3 control-label">Address</label>
<div class="col-sm-9">
<input id="street" maxlength="40" name="street" class="form-control" type="text" placeholder="101 Your Street (required)" required />
</div>
</div>
<div class="form-group">
<label for="city" class="col-sm-3 control-label">Suburb</label>
<div class="col-sm-9">
<input id="city" maxlength="40" name="city" class="form-control" type="text" placeholder="Prospect (required)" required />
</div>
</div>
<div class="form-group">
<label for="state" class="col-sm-3 control-label">State</label>
<div class="col-sm-4">
<select id="state" name="state" class="form-control" required>
<option selected disabled value="">-- Select (required) --</option>
<option>ACT</option>
<option>NSW</option>
<option>NT</option>
<option>QLD</option>
<option>SA</option>
<option>TAS</option>
<option>VIC</option>
<option>WA</option>
</select>
</div>
<label for="zip" class="col-sm-2 control-label">Postcode</label>
<div class="col-sm-3">
<input id="zip" maxlength="20" name="zip" class="form-control" type="text" placeholder="5000 (required)" required />
</div>
</div>
<div class="form-group">
<label for="description" class="col-sm-3 control-label">Message</label>
<div class="col-sm-9">
<textarea name="description" rows="6" class="form-control" placeholder="Your Message..."></textarea>
</div>
</div>
<div class="form-group">
<div class="col-sm-offset-3 col-sm-9">
<div class="g-recaptcha" data-sitekey="6LdtCB4TAAAAAI8PkgHj22EAMVbBykB990lmDphy"></div>
<p class="help-text" id="recaptcha-error" style="display:none;">Please complete the CAPTCHA to provie you are human.</p>
</div>
</div>
<div class="form-group">
<div class="col-sm-offset-3 col-sm-9">
<input id="form-submit" type="submit" name="submit" class="btn btn-default" value="Send" />
</div>
</div>
</div><!-- /.form-horizontal -->
<script>
$("#contact-form").validator().on("submit", function (e) {
var response = grecaptcha.getResponse();
//recaptcha failed validation
if(response.length == 0) {
e.preventDefault();
$("#recaptcha-error").show();
}
//recaptcha passed validation
else {
$("#recaptcha-error").hide();
}
if (e.isDefaultPrevented()) {
return false;
} else {
return true;
}
});
</script>
</form>
';
/* $(document).ready(function() {
$("#form-submit").on("click", function(e) {
var cnt = $(".require-one:checked").length;
if (cnt < 1)
{
alert("Select at least 1 option");
e.preventDefault();
}
else
alert("Well Done!!!!");
});
})</script> */
return $theform;
}
add_shortcode('get_quote_form', 'get_quote_form_shortcode');
}