<form action="https://formsubmit.co/support@snowremovalwinnipeg.co" method="POST" class="lead-form">

  <input type="hidden" name="_subject" value="New Snow Removal Lead (Winnipeg)">

  <input type="hidden" name="_captcha" value="false">

  <input type="hidden" name="_template" value="table">

  <input type="hidden" name="_next" value="https://snowremovalwinnipeg.co/thanks.html">

  <input type="text" name="_honey" style="display:none">


  <label>Full Name

    <input name="name" type="text" required>

  </label>


  <label>Phone

    <input name="phone" type="tel" required>

  </label>


  <label>Email (optional)

    <input name="email" type="email">

  </label>


  <label>Address / Area

    <input name="address" type="text" required>

  </label>


  <label>Property Type

    <select name="property_type" required>

      <option value="">Select…</option>

      <option>Residential</option>

      <option>Commercial</option>

    </select>

  </label>


  <label>Service Needed

    <select name="service" required>

      <option value="">Select…</option>

      <option>Snow clearing (driveway/walkway)</option>

      <option>Plowing</option>

      <option>Ice control / salting</option>

      <option>Seasonal contract</option>

    </select>

  </label>


  <label>Details (optional)

    <textarea name="details" rows="4" placeholder="Gate code, timing, urgency, etc."></textarea>

  </label>


  <button type="submit">Request Service</button>

</form>