https://www.marziahassan.org/forms/209692/embed.js

1(function() {
2  // write the form
3  document.write("<link href=\'//fonts.googleapis.com/css2?family=Inter:wght@400;500;600;700&display=swap\' rel=\'stylesheet\' type=\'text/css\'>\n<link rel=\"stylesheet\" href=\"https://kajabi-app-assets.kajabi-cdn.com/assets/form_embed-3a49b12193128ad87d0e989c4328fc95cdd597d02bf555b2aa415abb33319d86.css\" media=\"all\" />\n<script src=\"https://kajabi-app-assets.kajabi-cdn.com/assets/form_embed-078db9fbd605f88cacf4be4e946422176a701acc2cd5302f65edd45a886797a1.js\"><\/script>\n\n<div id=\"kajabi-form\" class=\"kajabi-form--popup\">\n  <div class=\"kajabi-modal\">\n    <div class=\"kajabi-modal__content\">\n      <form data-parsley-validate=\"true\" class=\"kajabi-form--form\" action=\"https://www.marziahassan.org/forms/209692/form_submissions\" accept-charset=\"UTF-8\" method=\"post\"><input type=\"hidden\" name=\"authenticity_token\" value=\"4-bPBxMluxATd4I1iDOOF4sO12teGw9QPZXhy5XzF3Gk5MJmeEIyvodume4mZ-09fPfPqfO6jeig4ir-Zs_-Pg\" autocomplete=\"off\" />\n          <style id=\"form-embed-style\" type=\"text/css\">\n      #kajabi-form .kajabi-form__btn {\n        color: #ffffff;\n        background-color: #27ae60 !important;\n      }\n      #kajabi-form .kajabi-form__btn:not(.kajabi-form__btn--disabled):hover {\n        background-color: #145b32;\n      }\n\n  <\/style>\n\n\n<div class=\"kajabi-form__content\">\n  <div class=\"kajabi-form__title\">Contact Me <\/div>\n  <div class=\"kajabi-form__subtitle\">\n    \n  <\/div>\n  <fieldset>\n      <div class=\"text-field kajabi-form__form-item\"><input type=\"text\" name=\"form_submission[name]\" id=\"form_submission_name\" value=\"\" required=\"required\" placeholder=\"Name\" /><\/div>\n      <div class=\"email-field kajabi-form__form-item\"><input required=\"required\" placeholder=\"Your best email\" type=\"email\" name=\"form_submission[email]\" id=\"form_submission_email\" /><\/div>\n      <div class=\"phone-field kajabi-form__form-item\"><input required=\"required\" placeholder=\"Phone Number\" type=\"tel\" name=\"form_submission[phone_number]\" id=\"form_submission_phone_number\" /><\/div>\n      <div class=\"text-field kajabi-form__form-item\"><input type=\"text\" name=\"form_submission[custom_12]\" id=\"form_submission_custom_12\" value=\"\" required=\"required\" placeholder=\"Location\" /><\/div>\n      <div class=\"text-field kajabi-form__form-item\"><input type=\"text\" name=\"form_submission[custom_11]\" id=\"form_submission_custom_11\" value=\"\" required=\"required\" placeholder=\"Time zone\" /><\/div>\n      <div class=\"text-field kajabi-form__form-item\"><input type=\"text\" name=\"form_submission[custom_4]\" id=\"form_submission_custom_4\" value=\"\" required=\"required\" placeholder=\"Message\" /><\/div>\n      <button class=\"kajabi-form__btn kajabi-form__btn--block-mobile\" type=\"submit\">Submit<\/button>\n  <\/fieldset>\n<\/div>\n\n          <input type=\"hidden\" name=\"kjb_visitor_time_zone\" class=\"kjb-visitor-time-zone\" autocomplete=\"off\">\n  <script type=\"text/javascript\">\n    (function () {\n      try {\n        var zone = Intl.DateTimeFormat().resolvedOptions().timeZone;\n        if (!zone) { return; }\n\n        var fields = document.getElementsByClassName(\"kjb-visitor-time-zone\");\n        for (var i = 0; i < fields.length; i++) {\n          fields[i].value = zone;\n        }\n      } catch (e) {\n        // An empty field is a no-op downstream. Never break the form.\n      }\n    })();\n  <\/script>\n\n<\/form>      <span class=\"kajabi-modal__close\">x<\/span>\n    <\/div>\n  <\/div>\n<\/div>\n<script type=\"text/javascript\">\n  (function(){\n    var delay = 2000;\n    var frequency = 0;\n    var cookieName = \"kjb_form_209692_viewed\";\n\n    _kajabi.embedModal(delay, frequency, cookieName);\n  })();\n<\/script>\n");
4})();