Description
Full-width split-screen layout pairing a brand panel with a lead form. The Split Image-Panel Capture Form is a complete, ready-to-use lead capture form built with plain HTML, CSS and JavaScript — no frameworks, plugins, or build tools required. It’s fully responsive, works on any website or CMS, and is easy to restyle with a handful of CSS color variables at the top of the file. Out of the box it’s wired to submit to any form backend (Formspree, Zapier, Mailchimp, ConvertKit, or Google Sheets) — just swap in your endpoint URL. Layout: split-screen (message left, form right). Best for: agencies, consultants, service businesses.



