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| <!DOCTYPE html> | |
| <html> | |
| <!-- | |
| Copyright (c) 2017 - Patrick Haley | |
| https://github.com/pshaley/netsuite-recaptcha/blob/master/netsuite_recaptcha_online_form_template.html | |
| http://www.bcsprosoft.com/blog/netsuite-forms-recaptcha/ | |
| Original Author - Benji Sicam | |
| https://github.com/benjsicam/netsuite-recaptcha/blob/master/netsuite_recaptcha_online_form_template.html | |
| --> | |
| <head> | |
| <meta charset="utf-8"> | |
| <title>Registration Form</title> | |
| <meta name="viewport" content="width=device-width, initial-scale=1.0"> | |
| <link href="https://netdna.bootstrapcdn.com/twitter-bootstrap/2.3.2/css/bootstrap-combined.min.css" rel="stylesheet"> | |
| <script src="https://www.google.com/recaptcha/api.js"></script> | |
| <style> | |
| #main_section { | |
| padding-top: 60px; | |
| } | |
| input[type="text"], select { | |
| width: 90%; | |
| } | |
| option { | |
| font-size: 14px; | |
| font-weight: normal; | |
| line-height: 20px; | |
| } | |
| @media (min-width: 960px) { | |
| #captcha_section { | |
| margin-left: 55px; | |
| } | |
| } | |
| </style> | |
| </head> | |
| <body> | |
| <div id="main_section" class="container"> | |
| <div class="page-header"> | |
| <h3>Registration Form<br/> | |
| <small>Please complete the form below.</small></h3> | |
| </div> | |
| <NLFORM> | |
| <fieldset class="row span11"> | |
| <div class="control-group"> | |
| <label class="control-label">First Name</label> | |
| <div class="controls"> | |
| <NLFIRSTNAME> | |
| </div> | |
| </div> | |
| <div class="control-group"> | |
| <label class="control-label">Last Name</label> | |
| <div class="controls"> | |
| <NLLASTNAME> | |
| </div> | |
| </div> | |
| <div class="control-group"> | |
| <label class="control-label">Company Name</label> | |
| <NLCOMPANYNAME> | |
| </div> | |
| </fieldset> | |
| <fieldset id="captcha_section" class="row span11"> | |
| <div class="g-recaptcha" data-sitekey="YOUR_RECAPTCHA_SITE_KEY"></div> | |
| <input type="submit" class="btn btn-primary" style="margin-top: 20px;" value="Submit" /> | |
| <p style="text-align: center; font-size: 9px;"><a href="http://www.bcsprosoft.com/netsuite/">BCS ProSoft – NetSuite Solution Provider</a></p> | |
| </fieldset> | |
| </form> | |
| </div> | |
| <!--js--> | |
| <script src="https://ajax.googleapis.com/ajax/libs/jquery/1.11.1/jquery.min.js"></script> | |
| <script src="https://netdna.bootstrapcdn.com/twitter-bootstrap/2.3.2/js/bootstrap.min.js"></script> | |
| </body> | |
| </html> |
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