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Lead Capture5 fields

Demo Request

Let prospects request a product demo with company size and goals.

Spam protectionEmail notificationsAI sales agentSubmission dashboardNo backend needed

Live Preview

Exactly what visitors will see on your site

Request a Demo

What you'll collect

Every field in this template, ready to use out of the box.

Full Name

text · required

Work Email

email · required

Company

text · required

Company Size

select · required

What are you hoping to achieve?

textarea · required

Copy the Code

Choose HTML for static sites or React for component-based apps. Replace YOUR_FORM_ID with your Flowqen endpoint ID.

<form
action="https://flowqen.com/api/f/YOUR_FORM_ID"
method="POST"
class="max-w-xl mx-auto rounded-[32px] border-2 border-[#231b17] bg-[#fffdf9] px-6 py-7 shadow-none sm:px-8"
>
<h2 class="text-2xl font-semibold tracking-tight text-[#231b17] mb-6">Request a Demo</h2>
<div class="space-y-4">
<div>
<label class="mb-1.5 block text-sm font-medium text-[#4f4138]">Full Name</label>
<input type="text" name="full_name" class="w-full rounded-[18px] border border-[#d9cdc3] bg-white px-4 py-3 text-sm text-[#231b17] outline-none transition focus:border-[#231b17] focus:ring-4 focus:ring-[#231b17]/8" placeholder="Jane Doe" required />
</div>
<div>
<label class="mb-1.5 block text-sm font-medium text-[#4f4138]">Work Email</label>
<input type="email" name="work_email" class="w-full rounded-[18px] border border-[#d9cdc3] bg-white px-4 py-3 text-sm text-[#231b17] outline-none transition focus:border-[#231b17] focus:ring-4 focus:ring-[#231b17]/8" placeholder="jane@acme.com" required />
</div>
<div>
<label class="mb-1.5 block text-sm font-medium text-[#4f4138]">Company</label>
<input type="text" name="company" class="w-full rounded-[18px] border border-[#d9cdc3] bg-white px-4 py-3 text-sm text-[#231b17] outline-none transition focus:border-[#231b17] focus:ring-4 focus:ring-[#231b17]/8" placeholder="Acme Inc." required />
</div>
<div>
<label class="mb-1.5 block text-sm font-medium text-[#4f4138]">Company Size</label>
<select name="company_size" class="w-full rounded-[18px] border border-[#d9cdc3] bg-white px-4 py-3 text-sm text-[#231b17] outline-none transition focus:border-[#231b17] focus:ring-4 focus:ring-[#231b17]/8" required>
<option value="">Select...</option>
<option value="1-10">1-10</option>
<option value="11-50">11-50</option>
<option value="51-200">51-200</option>
<option value="200+">200+</option>
</select>
</div>
<div>
<label class="mb-1.5 block text-sm font-medium text-[#4f4138]">What are you hoping to achieve?</label>
<textarea name="goals" rows="4" class="w-full rounded-[18px] border border-[#d9cdc3] bg-white px-4 py-3 text-sm text-[#231b17] outline-none transition focus:border-[#231b17] focus:ring-4 focus:ring-[#231b17]/8 resize-none" placeholder="Tell us about your goals..." required></textarea>
</div>
</div>
<!-- Honeypot (spam protection) -->
<div style="display:none">
<input type="text" name="_gotcha" style="display:none" />
</div>
<button type="submit" class="mt-6 w-full rounded-[18px] bg-[#231b17] py-3 text-sm font-semibold text-white transition hover:bg-[#3a2f29]">
Request Demo
</button>
</form>

What is a Demo Request?

A demo request form template lets potential customers schedule a product walkthrough with your team. This HTML form collects work email, company size, and goals so your sales reps can tailor the demo to each prospect. Essential for SaaS companies, enterprise software vendors, and any business with a sales-led motion.

Frequently Asked Questions

Common questions about lead capture form templates.

More Lead Capture templates

Other free templates in the same category.

Start with this Demo Request

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