Application Form Page
<!– AWeber Web Form Generator 3.0.1 –>
<style type=”text/css”>
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#af-form-648275968 .af-body .privacyPolicy{color:#000000;font-size:11px;font-family:Verdana, sans-serif;}
#af-form-648275968 .af-body a{color:#000000;text-decoration:underline;font-style:normal;font-weight:normal;}
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.lbl-right .af-element label{text-align:right;}
body {
}
#af-form-648275968 .bodyText p {
margin: 0 0 1em !important;
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padding-top:
}
#af-form-648275968 .af-body .af-textWrap {
width: 100% !important;
}
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padding-top: 0px!important;
padding-bottom: 0px!important;
}
#af-form-648275968 .af-body .af-element:first-child {
margin-top: 0 !important;
}
#af-form-648275968 .af-body label.previewLabel {
font-weight: 700 !important;
margin-top: 0.25rem !important;
margin-bottom: .25rem !important;
}
#af-form-648275968 .af-body input.text,
#af-form-648275968 .af-body textarea {
border-radius: 3px !important;
box-sizing: border-box !important;
color: #444444 !important;
font-size: 1rem !important;
margin-bottom: 0.75rem !important;
padding: 8px 12px !important;
-webkit-transition-duration: 0.3s;
transition-duration: 0.3s;
}
#af-form-648275968 .af-body select {
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}
#af-form-648275968 .af-body .af-dateWrap select {
width: 33%;
}
#af-form-648275968 .choiceList-radio-stacked {
margin-bottom: 1rem !important;
width: 100% !important;
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opacity: 0;
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width: 0;
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border-radius: 3px !important;
display: block !important;
font-weight: 300 !important;
margin: 0.5rem 0 !important;
padding: 1rem 1rem 1rem 2rem !important;
position: relative;
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border: 1px solid #d6dee3;
border-radius: 50%;
content: ”;
height: 0.75rem;
margin-left: -1.3rem;
position: absolute;
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transition-duration: 0.3s;
width: 0.75rem;
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#af-form-648275968 .buttonContainer {
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#af-form-648275968 #webFormSubmitButton {
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border-radius: 3px !important;
font-weight: bold;
margin-top: 0.5rem !important;
margin-bottom: 1rem !Important;
padding: 0.6rem 1.5rem !important;
-webkit-transition-duration: 0.3s;
transition-duration: 0.3s;
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#af-form-648275968 input.submit:hover,
#af-form-648275968 #webFormSubmitButton:hover {
cursor: pointer;
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#af-form-648275968 input.text:hover {
cursor: pointer;
opacity: 0.8;
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.poweredBy a,
.privacyPolicy p {
color: #000000 !important;
font-size: 0.65rem !important;
}
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<form method=”post” class=”af-form-wrapper” accept-charset=”UTF-8″ action=”https://www.aweber.com/scripts/addlead.pl” target=”_blank” >
<div style=”display: none;”>
<input type=”hidden” name=”meta_web_form_id” value=”648275968″ />
<input type=”hidden” name=”meta_split_id” value=”” />
<input type=”hidden” name=”listname” value=”awlist6054989″ />
<input type=”hidden” name=”redirect” value=”https://legacytrustmalaysia.com/thank-you/” id=”redirect_736630b4d9e8287f89596afc567fc649″ />
<input type=”hidden” name=”meta_redirect_onlist” value=”https://legacytrustmalaysia.com/thank-you/” />
<input type=”hidden” name=”meta_adtracking” value=”Legacy_Trust_Application_Form” />
<input type=”hidden” name=”meta_message” value=”1″ />
<input type=”hidden” name=”meta_required” value=”name,custom Mobile No,email,custom Have you written your will,custom Ask us any questions you may have” />
<input type=”hidden” name=”meta_tooltip” value=”” />
</div>
<div id=”af-form-648275968″ class=”af-form”><div id=”af-header-648275968″ class=”af-header”><div class=”bodyText”><p> </p></div></div>
<div id=”af-body-648275968″ class=”af-body af-standards”>
<div class=”af-element”>
<label class=”previewLabel” for=”awf_field-111969124″>Name: </label>
<div class=”af-textWrap”>
<input id=”awf_field-111969124″ type=”text” name=”name” class=”text” value=”” onfocus=” if (this.value == ”) { this.value = ”; }” onblur=”if (this.value == ”) { this.value=”;} ” tabindex=”500″ />
</div>
<div class=”af-clear”></div></div>
<div class=”af-element”>
<label class=”previewLabel” for=”awf_field-111969125″>Mobile No:</label>
<div class=”af-textWrap”><input type=”text” id=”awf_field-111969125″ class=”text” name=”custom Mobile No” value=”” onfocus=” if (this.value == ”) { this.value = ”; }” onblur=”if (this.value == ”) { this.value=”;} ” tabindex=”501″ /></div>
<div class=”af-clear”></div></div><div class=”af-element”>
<label class=”previewLabel” for=”awf_field-111969126″>Email: </label>
<div class=”af-textWrap”><input class=”text” id=”awf_field-111969126″ type=”text” name=”email” value=”” tabindex=”502″ onfocus=” if (this.value == ”) { this.value = ”; }” onblur=”if (this.value == ”) { this.value=”;} ” />
</div><div class=”af-clear”></div>
</div>
<div class=”af-element”>
<label class=”previewLabel” for=”awf_field-111969127″>Address:</label>
<div class=”af-textWrap”><input type=”text” id=”awf_field-111969127″ class=”text” name=”custom Address” value=”” onfocus=” if (this.value == ”) { this.value = ”; }” onblur=”if (this.value == ”) { this.value=”;} ” tabindex=”503″ /></div>
<div class=”af-clear”></div></div><div class=”af-element”>
<label class=”previewLabel” for=”awf_field-111969128″>How did you know about this event</label>
<div class=”af-textWrap”><input type=”text” id=”awf_field-111969128″ class=”text” name=”custom Application form” value=”” onfocus=” if (this.value == ”) { this.value = ”; }” onblur=”if (this.value == ”) { this.value=”;} ” tabindex=”504″ /></div>
<div class=”af-clear”></div></div><div class=”af-element”><div><label class=”previewLabel” for=”awf_field-1119691290″>Have you ever attended a similar event</label><div class=”choiceList choiceList-radio-inline”>
<div class=”af-element-radio multiChoice”>
<input class=”radio” type=”radio” id=”awf_field-1119691290″ name=”custom Question 2″ value=”Yes” tabindex=”505″ />
<label class=”choice” for=”awf_field-1119691290″>Yes</label>
</div><div class=”af-element-radio multiChoice”>
<input class=”radio” type=”radio” id=”awf_field-1119691291″ name=”custom Question 2″ value=”No” tabindex=”506″ />
<label class=”choice” for=”awf_field-1119691291″>No</label>
</div></div></div><div class=”af-clear”></div></div><div class=”af-element”><div><label class=”previewLabel” for=”awf_field-1119691300″>Have you written your will:</label><div class=”choiceList choiceList-radio-inline”>
<div class=”af-element-radio multiChoice”>
<input class=”radio” type=”radio” id=”awf_field-1119691300″ name=”custom Have you written your will” value=”Yes” tabindex=”507″ />
<label class=”choice” for=”awf_field-1119691300″>Yes</label>
</div><div class=”af-element-radio multiChoice”>
<input class=”radio” type=”radio” id=”awf_field-1119691301″ name=”custom Have you written your will” value=”No” tabindex=”508″ />
<label class=”choice” for=”awf_field-1119691301″>No</label>
</div></div></div><div class=”af-clear”></div></div><div class=”af-element”>
<label class=”previewLabel” for=”awf_field-111969131″>Ask us any questions you may have:</label>
<div class=”af-textWrap”><textarea rows=”” cols=”” name=”custom Ask us any questions you may have” id=”awf_field-111969131″ onfocus=”if (this.value == ”) { this.value = ”; }” onblur=”if (this.value == ”) { this.value=”;}” tabindex=”509″ style=”height:100px”></textarea></div><div class=”af-clear”></div></div><div class=”af-element buttonContainer”>
<input name=”submit” class=”submit” type=”submit” value=”Submit” tabindex=”510″ />
<div class=”af-clear”></div>
</div>
<div class=”af-element privacyPolicy” style=”text-align: center”><p>We respect your <a title=”Privacy Policy” href=”https://www.aweber.com/permission.htm” target=”_blank” rel=”nofollow”>email privacy</a></p>
<div class=”af-clear”></div>
</div>
<div class=”af-element poweredBy” style=”text-align: center; font-size: 9px;”><p><a href=”https://www.aweber.com” title=”AWeber Email Marketing” target=”_blank” rel=”nofollow”>Powered by AWeber Email Marketing</a></p>
<div class=”af-clear”></div>
</div>
<div class=”af-element tag” style=”display:none;”><input id=”awf_tag-111969135″ type=”hidden” name=”tag_111969135″ value=”prospects” /></div>
</div>
<div id=”af-footer-648275968″ class=”af-footer”><div class=”bodyText”><p> </p></div></div>
</div>
<div style=”display: none;”><img src=”https://forms.aweber.com/form/displays.htm?id=bCwcTOysnGwc” alt=”” /></div>
</form>
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<!– /AWeber Web Form Generator 3.0.1 –>