<form action="https://webto.salesforce.com/servlet/servlet.WebToLead?encoding=UTF-8" method="POST">

<input type=hidden name="oid" value="00D36000000I9vB">
<input type=hidden name="retURL" value="https://www.reynoldspolymer.com/thank-you-2022-1/">
<input type=hidden name="lead_source" value="Website">


<label for="first_name">First Name</label><input  id="first_name" maxlength="40" name="first_name" size="20" type="text" /><br>

<label for="last_name">Last Name</label><input  id="last_name" maxlength="80" name="last_name" size="20" type="text" /><br>

<label for="email">Email</label><input  id="email" maxlength="80" name="email" size="20" type="text" /><br>

<label for="phone">Phone</label><input  id="phone" maxlength="40" name="phone" size="20" type="text" /><br>

<label for="country">Country</label><input  id="country" maxlength="40" name="country" size="20" type="text" /><br>

<label for="description">Interested In?</label><textarea name="description"></textarea><br>

<input type="submit" name="submit">

</form>