Here's your code. It's designed for the right sidebar:
Include this meta tag:
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
Put this between the <body> and </body> tag:
<form action="https://www.salesforce.com/servlet/servlet.WebToLead?encoding=UTF-8" method="post">
<table width="215" border="0" align="center" cellpadding="0" cellspacing="0">
<tr>
<td height="84" colspan="2" align="center" valign="top"><img src="http://www.freesolarwebinar.org/images/freesolarwebinar.jpg" width="208" height="74" alt="free solar webinar" /><br />
<br /><font size="-1">
Fill out the form to view <br />
Current Webinar Calendar</font><br />
<br /></td>
</tr>
<tr>
<td height="50" colspan="2" align="left">
First Name:<br />
<input id="first_name" maxlength="20" name="first_name" size="25" type="text" />
</td>
</tr>
<tr>
<td height="50" colspan="2" align="left">Last Name: <br />
<input id="last_name" maxlength="25" name="last_name" size="25" type="text" /></td>
</tr>
<tr>
<td height="50" colspan="2" align="left">Address:<br />
<input name="street" id="street" type="text" value="" size="25" /></td>
</tr>
<tr>
<td height="50" colspan="2" align="left">City:<br />
<input id="city" maxlength="40" name="city" size="25" type="text" />
</td>
</tr>
<tr>
<td width="100" height="50" align="left">State:<br />
<input id="state" maxlength="2" name="state" size="5" type="text" /></td>
<td width="115" height="50" align="left">Zip:<br />
<input id="zip" maxlength="5" name="zip" size="10" type="text" /></td>
</tr>
<tr>
<td height="50" colspan="2" align="left">
Email:<br />
<input id="email" maxlength="80" name="email" size="25" type="text" /> </td>
</tr>
<tr>
<td height="50" colspan="2" align="left">
Phone:<br />
<input id="phone" maxlength="15" name="phone" size="25" type="text" /> </td>
</tr>
<tr>
<td height="50" colspan="2" align="left">
<input type="submit" name="Submit" id="Submit" value="Submit" />
<input type="hidden" name="oid" value="00D80000000bnRW" />
<input type="hidden" name="retURL" value="http://americanecoenergy.freesolarwebinar.org/thank_you.php" />
<input id="00N80000004Gkzs" maxlength="25" name="00N80000004Gkzs" size="10" type="hidden" value="AEE0110"/>
<input id="00N80000004HC6h" type="hidden" name="00N80000004HC6h" title="PI" value="Homeowner Webinar" />
<input id="00N80000003J0Zn" maxlength="35" name="00N80000003J0Zn" size="20" type="hidden" value="123 Form - FSW" /> </td>
</tr>
</table>
</form> |
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Sample Form:
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