1. System Generated Field Panel
2. Author Entered Field Panel
3. Form Title Panel
4. End-user Entered Field Panel
5. Thank You and Error Message Panel
6. Hidden Panel

• System Generated Field Panel
• Author Entered Field Panel
• Form Title Panel
• End-user Entered Field Panel
• Thank You and Error Message Panel
• Hidden Panel

System Generated Field Panel 

*Market

*MarketUSA

Region

Region

Form Submission Source

Application URL

Visitor ID

*Lead source

*isSync

xmlDomain

xmlPath

 Author Entered Field Panel

Author Input Panel - Required fields

*Type of Form Integration

*Type of Form IntegrationsiteComponentslidercontactCardForm

*Type Of Form

*Type Of FormContactformInquiryGrievance

Analytics form title

Page from required for lead routing

Xmlformname

Author Input Panel - Optional fields

lead Source Category

Product Advertised

Date of Event

Event Category

Campaign Name

Campaign Term / Key Phrase

Analytics Source

Campaign Content

Analytics Medium

Analytics MediumWebsiteCampaign

Analytics testing id

Content variant id

WebformID

Status

LeadScore

External lead id

LiveOps Session ID

SFDC Call Disposition

SFDC Call DispositioneLead

leadID (SFDC Lead ID)

Form Title  Panel

End-user Entered Field Panel

*All fields are required

First Name*

Last Name*

Email

Company*

Address Line 1*

Address Line 2

City*

State*

State*AlaskaAlabamaArkansasArizonaCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMontanaMissisippiNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsingWest VirginiaWyoming

State*

• State*
• Alaska
• Alabama
• Arkansas
• Arizona
• California
• Colorado
• Connecticut
• District of Columbia
• Delaware
• Florida
• Georgia
• Hawaii
• Iowa
• Idaho
• Illinois
• Indiana
• Kansas
• Kentucky
• Louisiana
• Massachusetts
• Maryland
• Maine
• Michigan
• Minnesota
• Missouri
• Montana
• Missisippi
• North Carolina
• North Dakota
• Nebraska
• New Hampshire
• New Jersey
• New Mexico
• Nevada
• New York
• Ohio
• Oklahoma
• Oregon
• Pennsylvania
• Puerto Rico
• Rhode Island
• South Carolina
• South Dakota
• Tennessee
• Texas
• Utah
• Virginia
• Vermont
• Washington
• Wisconsing
• West Virginia
• Wyoming

Zip Code*

This is a Required field for CLR to process this request:

Phone*

Best Time to Call

Best Time to CallMorningAfternoonEvening

Best Time to Call

• Best Time to Call
• Morning
• Afternoon
• Evening

This is a Required field for CLR to process this request:

If you would like to submit a question for the financial professional, please include here

SUBMIT

Thank You/Error Panel Configuration

Message Option

Message OptionSame page-fadeoutSame page-fixedNew page

Settings for same page thank you/error message

Message Delay

Error!

An error occured while submitting your information.

Your information has been successfully submitted!

Thank you for your submission. A Barnum Group financial professional will contact you.

Settings for separate page thank you/error message

Error Page Text

Thank You Page Text

Page Target

Page TargetSame TabNew Tab

Hidden Panel

Name of Template