This is my form:
<p class="error">[+validationmessage+]</p>
<form action="[~[*id*]~]" method="post" name="EmailForm" >
<fieldset>
<input name="formid" type="hidden" value="HomeLoan" />
<label>* indicates a required field</label>
<label>First Name *:</label>
<input name="fname" type="text" value="" eform="Your First Name::1:" />
<br />
<label>Last Name *:</label>
<input name="lname" type="text" value="" eform="Your Last Name::1:" />
<br />
<label>Phone Number *:</label>
<input name="pnumber" type="text" value="" eform="Your Phone Number::1:" />
<br />
<label>Fax Number:</label>
<input name="fnumber" type="text" value="" />
<br />
<label>Email *:</label>
<input name="email" type="text" value="" eform="Your Email::1:" />
<br />
<label>State *:</label>
<select name="state" eform="State::1:">
<option selected="selected">Property Location</option>
<option value="AL">Alabama</option><option value="AK">Alaska</option><option value="AZ">Arizona</option><option value="AR">Arkansas</option><option value="CA">California</option><option value="CO">Colorado</option><option value="CT">Connecticut</option><option value="DE">Delaware</option><option value="DC">District of Columbia</option><option value="FL">Florida</option><option value="GA">Georgia</option><option value="HI">Hawaii</option><option value="ID">Idaho</option><option value="IL">Illinois</option><option value="IN">Indiana</option><option value="IA">Iowa</option><option value="KS">Kansas</option><option value="KY">Kentucky</option><option value="LA">Louisiana</option><option value="ME">Maine</option><option value="MD">Maryland</option><option value="MA">Massachusetts</option><option value="MI">Michigan</option><option value="MN">Minnesota</option><option value="MS">Mississippi</option><option value="MO">Missouri</option><option value="MT">Montana</option><option value="NE">Nebraska</option><option value="NV">Nevada</option><option value="NH">New Hampshire</option><option value="NJ">New Jersey</option><option value="NM">New Mexico</option><option value="NY">New York</option><option value="NC">North Carolina</option><option value="ND">North Dakota</option><option value="OH">Ohio</option><option value="OK">Oklahoma</option><option value="OR">Oregon</option><option value="PA">Pennsylvania</option><option value="RI">Rhode Island</option><option value="SC">South Carolina</option><option value="SD">South Dakota</option><option value="TN">Tennessee</option><option value="TX">Texas</option><option value="UT">Utah</option><option value="VT">Vermont</option><option value="VA">Virginia</option><option value="WA">Washington</option><option value="WV">West Virginia</option><option value="WI">Wisconsin</option><option value="WY">Wyoming</option>
</select>
<br />
<label>Loan Purpose *:</label>
<select name="loan-purpose" eform="Loan Purpose::1:">
<option value="0" Selected>-- Select --</option>
<option value="1" >Home Purchase</option>
<option value="2" >Home Refinance</option>
<option value="6" >Home Equity</option>
<option value="7" >Debt Consolidation</option>
<option value="3" >Construction</option>
</select>
<br />
<label>Loan Amount *:</label>
<input name="loan-amount" type="text" value="" eform="Loan Amount::1:" />
<br />
<label>Property Value *:</label>
<input name="property-value" type="text" value="" eform="Property Value::1:" />
<br />
<label>Credit Rating *:</label>
<select name="credit-rating" eform="Credit Rating::1:">
<option value="0" selected>-- Select --</option>
<option value="1:Excellent">Excellent</option>
<option value="2:Good">Good</option>
<option value="4:Poor">Poor</option>
</select>
<br />
<label>Specialty Loan *:</label>
<select name="specialty-loan" eform="Specialty Loan::1:">
<option value="0">-- Select --</option>
<option value="1:FHA">FHA</option>
<option value="2:VA">VA</option>
<option value="3:Neither" selected>Neither</option>
</select>
<br />
<label>Loan Type *:</label>
<select name="loan-type" eform="Loan Type::1:">
<option VALUE="0" >-- Loan Type --</option>
<option VALUE=1 Selected>30 Year Fixed Rate</option>
<option VALUE=2 >20 Year Fixed Rate</option>
<option VALUE=3 >15 Year Fixed Rate</option>
<option VALUE=5 >1 Year Adjustable Rate</option>
<option VALUE=6 >3 Year Adjustable Rate</option>
<option VALUE=7 >5 Year Adjustable Rate</option>
<option VALUE=8 >3/1 Adjustable Rate</option>
<option VALUE=9 >5/1 Adjustable Rate</option>
<option VALUE=10 >7/1 Adjustable Rate</option>
<option VALUE=11 >10/1 Adjustable Rate</option>
<option VALUE=12 >5/25 Balloon Program</option>
<option VALUE=13 >7/23 Balloon Program</option>
<option VALUE=14 >5/25 Two-Step Program</option>
<option VALUE=15 >7/23 Two-Step Program</option>
</select>
<br />
<label>Point Range *:</label>
<select name="point-range" eform="Point Range::1:">
<option VALUE="0" >-- Point Range --</option >
<option VALUE=1 >Zero Points/Zero Costs</option>
<option VALUE=2 Selected>0 - 1</option>
<option VALUE=3 >1 - 2</option>
<option VALUE=4 >2 - 3</option>
</select>
<br />
<label>Contact Method *:</label>
<select name="contact-method" eform="Contact Method::1:">
<option value="Email">Email</option>
<option value="Phone">Phone</option>
<option value="Fax">Fax</option>
</select>
<br />
<label>Time *:</label>
<select name="contact-time" eform="Time::1:">
<option value="Email">Morning</option>
<option value="Phone">Afternoon</option>
<option value="Fax">Evening</option>
<option value="Fax">Anytime</option>
</select>
<br />
<br />
<textarea name="message" onfocus="clearText(this)" onblur="replaceText(this)" rows="7" cols="15" eform="Message:textarea:1">Message</textarea>
<br />
<input name="Submit" class="submit" type="submit" value="" id="cfContact" />
</fieldset>
</form>
This is the report for it:
<p>Thank you for contacting easyonemortgages, you will be contacted by multiple lenders competing to offer you the lowest mortgage rate. Whether you're purchasing a new home, refinancing, or looking for a home equity loan, this process is simple, takes only a few minutes and puts the power of competitive bidding in your corner.</p>
<p>The details of your message follow below:</p>
<p>First Name: [+fname+]</p>
<p>Last Name: [+lname+]</p>
<p>Phone Number: [+pnumber+]</p>
<p>Property Location: [+state+]</p>
<p>Loan Purpose: [+loan-purpose+]</p>
<p>Loan Amount: [+loan-amount+]</p>
<p>Property Value: [+property-value+]</p>
<p>Credit Rating: [+credit-rating+]</p>
<p>Specialty Loan: [+specialty-loan+]</p>
<p>Loan Type: [+loan-type+]</p>
<p>Point Range: [+point-range+]</p>
<p>Specialty Loan: [+point-range+]</p>
<p>Fax Number: [+fnumber+]</p>
<p>Email: [+email+]</p>
<p>Preferred Contact Method: [+contact-method+]</p>
<p>Preferred Contact Time: [+contact-time+]</p>
<p>comments:<br />[+message+]</p>
<p>You can use this link to reply: <a href="mailto:[+email+]?subject=RE: [+subject+]">[+email+]</a></p>
<p>Powered by: <a href="http://www.easyonemortgages.com">Easy One Mortgages</a></p>
This is how im calling it out:
[!eForm? &formid=`HomeLoan` &report=`HomeLoanReport` &ccsender=`1` &to=`[email protected],[email protected]` &tpl=`HomeLoan` &category=`Home Loan Lead` &format=`fname:First Name:string:1,lname:Last Name:string:1,pnumber:Phone Number:string:1,contact-method:Contact Method:string:1,contact-time:Contact Time:string:1,state:Contact State:string:1,email:Email:email:1,loan-purpose:Loan Purpose:string:1,loan-amount:Loan Amount:string:1,property-value:Property Value:string:1,credit-rating:Credit Rating:string:1,specialty-loan:Specialty Loan:string:1,loan-type:Loan Type:string:1,point-range:Point Range:string:1,message:Message:html:1`!]
Thank you.