Lead Upload Form Salutation -None-Mr.Mrs.Ms.Dr.Prof. First Name Last Name* Company* City* State* Mobile* Lead Source* -None-SupplierDirect ContactCold CallEmployeeAdvertisementFacebookTwitter Sales Person Name* Sales Person Email Supplier* -None-Not ApplicableAfrit (Pty) LtdBabcock Africa Services (Pty) Ltd trading as Babcock CommercialCriterion Equipment (Pty) LtdDISA Equipment (Pty) Ltd trading as DISAGRW Engineering (Pty) LtdHigh Power Equipment Africa (Pty) LtdHumulani Marketing (Pty) Ltd trading as CSELakeside City Trading 250 (Pty) Ltd trading as D’AvinoTop Trailers (Pty) LtdVolvo Group (Pty) LtdOther Supplier Other Name Lead Lead Source* -None-SupplierDirect ContactCold CallEmployeeAdvertisementFacebookTwitter Supplier* -None-Afrit (Pty) LtdBabcock Africa Services (Pty) Ltd trading as Babcock CommercialCriterion Equipment (Pty) LtdDISA Equipment (Pty) Ltd trading as DISAHigh Performance Equipment Africa (Pty) LtdHumulani Marketing (Pty) Ltd trading as CSETop Trailers (Pty) LtdLakeside City Trading 250 (Pty) Ltd trading as D'AvinoOther Supplier Other Name Sales Person Name* Sales Person Contact Number* Company* Title First Name* Last Name* Email Mobile* Phone City* Province* Fleet Size Industry -None-Agriculture, Forestry, Fishing and HuntingMining, Quarrying, and Oil and Gas ExtractionUtilitiesConstructionManufacturingWholesale TradeRetail TradeTransportation and WarehousingInformationFinance and InsuranceReal Estate and Rental and LeasingProfessional, Scientific, and Technical ServicesManagement of Companies and EnterprisesAdministrative and Support and Waste Management and Remediation ServicesEducational ServicesHealth Care and Social AssistanceArts, Entertainment, and RecreationAccommodation and Food ServicesOther Services (except Public Administration)Public Administration File Upload File(s) size limit is 20MB. Enter the Captcha Reload var mndFileds=new Array('First Name','Last Name','City','State','Mobile','Lead Source','LEADCF2','LEADCF4','LEADCF5','Company'); var fldLangVal=new Array('First Name','Last Name','City','Province','Mobile','Lead Source','Supplier','Sales Person Name','Sales Person Contact Number','Company'); var name=''; var email=''; /* Do not remove this code. */ function reloadImg() { if(document.getElementById('imgid').src.indexOf('&d') !== -1 ) { document.getElementById('imgid').src=document.getElementById('imgid').src.substring(0,document.getElementById('imgid').src.indexOf('&d'))+'&d'+new Date().getTime(); } else { document.getElementById('imgid').src = document.getElementById('imgid').src+'&d'+new Date().getTime(); } } function checkMandatory() { for(i=0;i3){ alert('You can upload a maximum of three files at a time.'); return false; } if ('files' in uploadedFiles) { if (uploadedFiles.files.length != 0) { for (var i = 0; i < uploadedFiles.files.length; i++) { var file = uploadedFiles.files[i]; if ('size' in file) { totalFileSize = totalFileSize + file.size; } } if(totalFileSize > 20971520){ alert('Total file(s) size should not exceed 20MB.'); return false; } } } }