\n document.getElementById('contact.form').addEventListener('submit', function(event) {\n event.preventDefault(); // Prevent default form submission\n\n const webhookUrl = 'https://n8n-ai.bsidesolutions.net/webhook-test/9974ca96-98ba-4e56-bb48-debfdad8cf59'; // use Webhook studio Global data var\n \n const name = document.getElementById('contact.name').value;\n const subject = document.getElementById('contact.subject').value;\n const sender = document.getElementById('contact.email').value;\n const message = document.getElementById('contact.message').value;\n const recipient = 'no-reply@inasahealthcare.com'; // use Webhook studio Global data var\n\n const formData = {\n name,\n subject,\n sender,\n message,\n recipient\n };\n\n fetch(webhookUrl, {\n method: 'POST',\n headers: {\n 'Content-Type': 'application/json' // Or 'application/x-www-form-urlencoded' if your webhook expects that\n },\n body: JSON.stringify(formData) // Send data as JSON\n })\n .then(response => {\n if (!response.ok) {\n throw new Error(`HTTP error! status: ${response.status}`);\n }\n return response.json(); // Or response.text() if your webhook doesn't return JSON\n })\n .then(data => {\n document.getElementById('contact.responseMessage').innerText = 'Message sent successfully!';\n console.log('Success:', data);\n document.getElementById('contact.form').reset(); // Clear the form\n })\n .catch(error => {\n document.getElementById('contact.responseMessage').innerText = 'Error sending message.';\n console.error('Error:', error);\n });\n});\n\n"}
+className={`w-html-embed`} />
+
-{(formState === 'initial' || formState === 'error') &&
-
+type={"text"}
+id={"contact.name"}
+name={"contact.name"}
+required={true}
+className={`w-element`} />
+
+
+type={"text"}
+id={"contact.subject"}
+name={"contact.subject"}
+required={true}
+className={`w-element`} />
+
+
+
+
+
+
+id={"contact.message"}
+name={"contact.message"}
+rows={5}
+required={true}
+className={`w-element`} />
+
+
-
-}
-{(formState === 'success') &&
+
-{"Thank you for getting in touch!"}
-
-}
-{(formState === 'error') &&
-
-{"Sorry, something went wrong."}
-
-}
-