Business unit contact form

Form fields are fixed but their visibility is customizable. To create a form with different form fields, consider using a Marketo form. Business Unit contact forms are only available when using a Business Unit Contact page template.

User manual

• Form Title: Title that appears above the form
• Form Description: Text that appears to the left of the form
• Send to Email Address: Email address that the form will send to if no topics are set

Submission behavior settings

• Form Thank You Message*: Inline message that will appear when the form is submitted
• Page Redirect: Page the visitor will be redirected to if the "Page redirect" behavior is selected

Disclaimer settings

• Add Form Disclaimer Checkbox?: Displays a checkbox that the visitor can opt to select
• Form Disclaimer Checkbox Required?: Requires the checkbox to be selected before the form can be submitted
• Form Disclaimer: Text that will for the disclaimer

Field settings (Show, hide, require)

• First Name 
• Last Name
• Hospital Organization
• Title Speciality 
• Email Address
• Phone 
• State 
• Country
• Zipcode 
• City 
• Message

Topic list settings

Authors can configure optional topics that will appear as checkboxes to the left of the form. For each topic, the following settings are available:

• Label*: Topic name (e.g. Send me a brochure)
• Description: Optional description
• Email*: Email that the form will be sent to to fullfill the request

+Add a topic

Example business unit form