Contact, classic form

Lead capture form template

Qualifies a sales enquiry with a few questions on the site, spend, timing and who decides, plus a separate marketing consent.

9 questions, 8 required, as a classic form

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The Lead capture form template as a respondent sees it, top of the form

Every question

  1. What should we call you? (required)

    Short answer

  2. Where should the indication go? (required)

    Short answer

  3. Which business is it for? (required)

    Short answer

  4. What sort of building are we looking at? (required)

    Dropdown: Warehouse or distribution shed, Light industrial or workshop, Retail or hospitality premises, Office building, Cold store or food processing, Farm sheds, Something else

  5. Roughly what does the site spend on electricity a quarter? (required)

    Single choice: Under $4,000, $4,000 to $10,000, $10,000 to $30,000, Over $30,000, I would have to check

  6. When are you hoping to do something about it? (required)

    Single choice: This quarter, Within six months, Sometime this financial year, No timeline, I am gathering numbers

  7. Who signs off on something like this? (required)

    Single choice: I do, I do, with one other person, A board or committee, The landlord owns the roof, I am gathering information for somebody else

  8. What made you look into this now?

    Long answer

  9. Before you send it (required)

    Multiple choice: Send me the written indication I have asked for, You may also email me occasionally about rebates and case studies, and I can stop that at any time

What you fill in

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