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Lead Capture Form Template

Effortlessly Capture Leads and Grow Your Audience

If you're struggling to collect valuable lead information, this Lead Capture Form template is designed for you. Perfect for marketers, small business owners, and anyone aiming to grow their audience, this template streamlines the process of gathering contact details effectively. Capture potential customers' information, boost your email list, and improve your follow-up strategy, all while ensuring compliance with WCAG guidelines. Discover how easy it is to customize and start capturing leads with the live template today.

Use this Template (FREE) Live Preview
Full name
Email address
Phone number
Company or organization
Preferred contact method
Email
Phone call
Text message
Any is fine
What are you interested in?
Product information
Pricing or quote
Demo or consultation
Implementation or onboarding
Support question
Partnership or reseller
Other
Please Specify:
Please describe your needs or project
Estimated timeline to get started
ASAP (0-2 weeks)
This month (2-4 weeks)
This quarter (1-3 months)
This year (3-12 months)
Just exploring/unsure
If Other, please specify
How did you hear about us?
Search engine
Social media
Referral or word of mouth
Online ad
Event or webinar
Blog or article
Marketplace or directory
Prefer not to say
Other
Please Specify:
May we contact you about this inquiry?
Yes
No
Consent date
Subscribe me to product updates and marketing emails
Yes
No
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Paper art illustration depicting a lead capture form design and elements related to FormCreatorAI

When to use this form

Use this template when you need to turn interest into qualified contacts on landing pages, pricing pages, and demo signups. It also works at events: embed it in a tablet kiosk, link it from a QR code at your booth, or add it to webinar registration. Marketers and sales teams benefit from cleaner data, faster routing, and clear consent. Ask only what you need, then trigger follow-up like emails or calls. For top-of-funnel list growth, pair it with an Email signup form to capture subscribers who are not ready to talk. If your goal is ongoing content updates, a Newsletter subscription form can keep leads warm while you nurture them.

Must Ask Lead Capture Questions

  1. What is your work email?

    A work email improves deliverability and helps you identify the company domain for routing and enrichment. With a dedicated Email capture form in your flow, you can confirm consent and keep emails clean.

  2. What is your full name?

    Full name lets you personalize messages and set a professional tone. It also helps your CRM match duplicates and keeps your pipeline tidy.

  3. What is your company name?

    Company name enables account-level qualification and enrichment. It helps you route to the right rep and segment by industry or size.

  4. What is your role or job title?

    Role signals buying authority and the kind of content that will help. It lets sales prioritize outreach and tailor the conversation.

  5. What challenge are you trying to solve right now?

    This reveals urgency and use case so you can deliver value fast. If they are not ready for sales, a Newsletter signup form keeps them engaged while you nurture.

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