Thank you for your interest.

Oops something went wrong.

Field will not be visible to web visitor

Opt-in for receiving important information and updates on WhatsApp *

To continue, please type the characters below:*

{"LSQLeadFields":[{"Seq":1,"Name":"First Name","SchemaName":"FirstName","Type":"text","CtrlType":"textbox","IsMandatory":"1","DisplayName":"Name","MinLength":"","MaxLength":"100","DefaultValue":"","MaskText":null,"OptionValues":"","ChildFields":[],"FormLabel":"First Name","Position":"1,1","IsHidden":"0","IsUsedinForm":"1","Height":"0","SMSVerification":"0","AllowOnlyValidData":true,"ParentField":"","IsUnique":false,"FieldConfiguration":null,"IsSearchKey":false},{"Seq":3,"Name":"Email","SchemaName":"EmailAddress","Type":"email","CtrlType":"email","IsMandatory":"1","DisplayName":"Email","MinLength":"","MaxLength":"100","DefaultValue":"","MaskText":null,"OptionValues":"","ChildFields":[],"FormLabel":"Email","Position":"3,1","IsHidden":"0","IsUsedinForm":"1","Height":"0","SMSVerification":"0","AllowOnlyValidData":true,"ParentField":"","IsUnique":true,"FieldConfiguration":{"IsDefaultSearchKey":false,"FormatValidationRequired":true,"ValidationRegex":"","ValidationMessage":"","MaxLength":100,"ValidationFor":"","AdditionalConfiguration":{"AllowLeadingZero":false,"DefaultCC":null,"IfCCNotProvided":0,"PhoneNumberFormat":0}},"IsSearchKey":false},{"Seq":4,"Name":"Phone Number","SchemaName":"Phone","Type":"phone","CtrlType":"phone","IsMandatory":"1","DisplayName":"Phone Number","MinLength":"10","MaxLength":"10","DefaultValue":"","MaskText":null,"OptionValues":"","ChildFields":[],"FormLabel":"Phone Number","Position":"2,1","IsHidden":"0","IsUsedinForm":"1","Height":"0","SMSVerification":"0","AllowOnlyValidData":true,"ParentField":"","IsUnique":true,"FieldConfiguration":{"IsDefaultSearchKey":true,"FormatValidationRequired":true,"ValidationRegex":"","ValidationMessage":"","MinLength":10,"MaxLength":10,"AdditionalConfiguration":{"AllowLeadingZero":false,"DefaultCC":"91","IfCCNotProvided":1,"PhoneNumberFormat":1}},"IsSearchKey":true},{"Seq":37,"Name":"City","SchemaName":"mx_City","Type":"text","CtrlType":"textbox","IsMandatory":"0","DisplayName":"City","MinLength":"","MaxLength":"50","DefaultValue":"","MaskText":null,"OptionValues":"","ChildFields":[],"FormLabel":"City","Position":"4,1","IsHidden":"0","IsUsedinForm":"1","Height":"0","SMSVerification":"0","AllowOnlyValidData":true,"ParentField":null,"IsUnique":false,"FieldConfiguration":null,"IsSearchKey":false},{"Seq":248,"Name":"Opt in for receiving details on WhatsApp","SchemaName":"mx_Opt_in_for_receiving_details_on_WhatsApp","Type":"boolean","CtrlType":"checkbox","IsMandatory":"1","DisplayName":"Opt-in for receiving important information and updates on WhatsApp","MinLength":"","MaxLength":"50","DefaultValue":"1","MaskText":null,"OptionValues":"[{\"Text\":\"Yes\",\"Value\":\"1\",\"IsDefault\":false},{\"Text\":\"No\",\"Value\":\"0\",\"IsDefault\":true}]","ChildFields":[],"FormLabel":"Opt in for receiving details on WhatsApp","Position":"5,1","IsHidden":"0","IsUsedinForm":"1","Height":"0","SMSVerification":"0","AllowOnlyValidData":true,"ParentField":"","IsUnique":false,"FieldConfiguration":null,"IsSearchKey":false}],"Version":"2.0","FormWidth":"530","FormSize":"","FieldLabelColor":"#787676","FieldLabelFontSize":12,"FieldLabelFontWeight":"normal","FieldLabelFontFamily":"Open Sans","FieldHeight":"30","FieldColor":"#999999","FieldBackgroundColor":"#ffffff","FieldFontFamily":"Open Sans","FieldBorderColor":"#dedede","FieldBorderWidth":"1","FieldCornerRadius":"0","FieldShadow":"0","ButtonText":"Submit","ButtonTextFontFamily":"Open Sans","ButtonTextFontSize":16,"ButtonTextFontWeight":"bold","ButtonTextColor":"#ffffff","ButtonColor":"#eb6200","ButtonWidth":"148","ButtonHeight":"37","ButtonCornerRadius":"5","ButtonStyle":"gradient","ButtonAlignment":"center","BackgroundColor":"transparent","Layout":"fluid","LabelPlacement":"top","ContainsCaptcha":true,"ContainsGoogleRecaptcha":false,"GoogleRecaptchaVersion":"","GoogleRecaptchaScore":"0.5","ContainsPasswordField":false,"AccountPhoneNumberFormat":"DEFAULT","DefaultCountryCode":"","ContainsDPR":false,"ContainsDPRDetails":false}