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Suite 302, Level 8, Pavilion 168, Jalan Bukit Bintang 55100, Kuala Lumpur, Malaysia

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Your Name*
Lead Status -None- Attempted to Contact Contact in Future Contacted Junk Lead Lost Lead Not Contacted Pre-Qualified
Lead Source -None- Advertisement Cold Call Employee Referral External Referral Online Store Partner Public Relations Sales Email Alias Seminar Partner Internal Seminar Trade Show Web Download Web Research Chat
var mndFileds=new Array('Last Name','Email','Mobile'); var fldLangVal=new Array('Your Name','Email','Mobile'); var name=''; var email=''; function checkMandatory3006001000000223344() { for(i=0;i<mndFileds.length;i++) { var fieldObj=document.forms['WebToLeads3006001000000223344'][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( == 'Last Name') { name = fieldObj.value; } } catch (e) {} } } }