a:10:{s:2:"id";s:1:"8";s:12:"cms_headline";s:15:"Salesforce Form";s:7:"content";s:3184:"<div class='request-form'>
<form action="https://www.salesforce.com/servlet/servlet.WebToLead?encoding=UTF-8" method="POST">

<input type=hidden name="oid" value="00D400000007K1v">
<input type=hidden name="retURL" value="http://www.botaneco.com">

<!--  ----------------------------------------------------------------------  -->
<!--  NOTE: These fields are optional debugging elements. Please uncomment    -->
<!--  these lines if you wish to test in debug mode.                          -->
<!--  <input type="hidden" name="debug" value=1>                              -->
<!--  <input type="hidden" name="debugEmail" value="zielket@botaneco.ca">     -->
<!--  ----------------------------------------------------------------------  -->

<label for="first_name">First Name</label><input  id="first_name" maxlength="40" name="first_name" size="20" type="text" /><br>

<label for="last_name">Last Name</label><input  id="last_name" maxlength="80" name="last_name" size="20" type="text" /><br>

<label for="email">Email</label><input  id="email" maxlength="80" name="email" size="20" type="text" /><br>

<label for="company">Company</label><input  id="company" maxlength="40" name="company" size="20" type="text" /><br>

<label for="street">Address</label><textarea name="street"></textarea><br>

<label for="city">City</label><input  id="city" maxlength="40" name="city" size="20" type="text" /><br>

<label for="state">State/Province</label><input  id="state" maxlength="20" name="state" size="20" type="text" /><br>

<label for="zip">Zip</label><input  id="zip" maxlength="20" name="zip" size="20" type="text" /><br>

How did you find us?<select  id="00N400000037qDu" multiple="multiple" name="00N400000037qDu" title="How did you find us?"><option value="Blog">Blog</option>
<option value="Sales Rep Contact">Sales Rep Contact</option>
<option value="Social Media">Social Media</option>
<option value="Technical Seminar">Technical Seminar</option>
<option value="Trade Publication">Trade Publication</option>
<option value="Tradeshow">Tradeshow</option>
<option value="Webinar">Webinar</option>
<option value="Web Search">Web Search</option>
</select><br>

Intended Application?<select  id="00N400000037qDz" multiple="multiple" name="00N400000037qDz" title="Intended Application?"><option value="Active Loading and Delivery">Active Loading and Delivery</option>
<option value="Body Wash">Body Wash</option>
<option value="Hair Care">Hair Care</option>
<option value="Lip Care">Lip Care</option>
<option value="Other">Other</option>
<option value="Skin Care">Skin Care</option>
</select><br>

Please select applicable features<select  id="00N400000037qET" multiple="multiple" name="00N400000037qET" title="Please select applicable features"><option value="Botaneco Monthly Newsletter">Botaneco Monthly Newsletter</option>
<option value="Botaneco Product Guide">Botaneco Product Guide</option>
<option value="Hydresia® System Support">Hydresia® System Support</option>
<option value="None of these apply to me.">None of these apply to me</option>
</select><br>

<input class='btn' type="submit" name="submit">

</form>
</div>";s:7:"dynamic";s:1:"1";s:10:"cms_active";s:1:"1";s:11:"cms_deleted";s:1:"0";s:9:"cms_draft";s:1:"0";s:11:"cms_created";s:19:"2015-09-22 20:13:53";s:12:"cms_modified";s:19:"2015-09-23 15:20:27";s:20:"cms_modified_by_user";s:1:"7";}