Lead capture form: a short form that earns a reply

Updated 2026-10-30

It asks for a name, work email, company, job title, what the person wants and a short message. A consent checkbox records that you may contact them.

Make it with my AI

Paste this into your AI. It needs the creator MCP.

text

Create a form with AI Form API called "Talk to us".
Description: Tell us a little about you and what you are looking for. We will get back to you.
Required: full_name (short_text), work_email (email),
interest (single_choice: See a demo, Ask about pricing, Explore a partnership, Just looking),
contact_consent (checkbox, "You may contact me about this request").
Optional: company (short_text), job_title (short_text), phone (phone), message (long_text, max 2000).
Turn agent_fill on, then give me the public link.

Tips

Add a webhook so each lead reaches your CRM or chat when it arrives. Check the signature first.
Visitors can use their own AI: agent-fillable forms. More templates.

Questions

Can an AI agent capture leads with this form?

Yes. An agent can make the form with the creator MCP, share the link and read the responses.

How do leads reach my CRM?

Add a webhook. We post each new lead, signed, to your URL. There is no built-in CRM link.

Why is consent a required checkbox?

It records that the person agreed to be contacted. Follow the rules in your country.

Try the form

Live demo · nothing is saved

Talk to us

Tell us a little about you and what you are looking for. We will get back to you.

Use this template All templates

Or paste the JSON

Give this to your AI. It needs the AI Form API MCP server or an API key. It makes the form and sends you the link.

text

Create this form with the AI Form API create_form tool (or POST https://aiformapi.com/v1/forms with my API key). Then reply with the public_url.

{
  "title": "Talk to us",
  "description": "Tell us a little about you and what you are looking for. We will get back to you.",
  "fields": [
    {
      "id": "full_name",
      "label": "Your full name",
      "type": "short_text",
      "required": true,
      "max_length": 120
    },
    {
      "id": "work_email",
      "label": "Work email",
      "type": "email",
      "required": true
    },
    {
      "id": "company",
      "label": "Company",
      "type": "short_text",
      "max_length": 150
    },
    {
      "id": "job_title",
      "label": "Job title",
      "type": "short_text",
      "max_length": 100
    },
    {
      "id": "phone",
      "label": "Phone",
      "type": "phone"
    },
    {
      "id": "interest",
      "label": "What are you looking for?",
      "type": "single_choice",
      "required": true,
      "options": [
        "See a demo",
        "Ask about pricing",
        "Explore a partnership",
        "Just looking"
      ]
    },
    {
      "id": "message",
      "label": "Anything you want us to know",
      "type": "long_text",
      "max_length": 2000
    },
    {
      "id": "contact_consent",
      "label": "You may contact me about this request",
      "type": "checkbox",
      "required": true
    }
  ]
}

Or call the API

bash

curl -X POST https://aiformapi.com/v1/forms \
  -H "Authorization: Bearer $AIFORMAPI_KEY" \
  -H "Content-Type: application/json" \
  -d '{"title":"Talk to us","description":"Tell us a little about you and what you are looking for. We will get back to you.","fields":[{"id":"full_name","label":"Your full name","type":"short_text","required":true,"max_length":120},{"id":"work_email","label":"Work email","type":"email","required":true},{"id":"company","label":"Company","type":"short_text","max_length":150},{"id":"job_title","label":"Job title","type":"short_text","max_length":100},{"id":"phone","label":"Phone","type":"phone"},{"id":"interest","label":"What are you looking for?","type":"single_choice","required":true,"options":["See a demo","Ask about pricing","Explore a partnership","Just looking"]},{"id":"message","label":"Anything you want us to know","type":"long_text","max_length":2000},{"id":"contact_consent","label":"You may contact me about this request","type":"checkbox","required":true}]}'

JSON definition

json

{
  "title": "Talk to us",
  "description": "Tell us a little about you and what you are looking for. We will get back to you.",
  "fields": [
    {
      "id": "full_name",
      "label": "Your full name",
      "type": "short_text",
      "required": true,
      "max_length": 120
    },
    {
      "id": "work_email",
      "label": "Work email",
      "type": "email",
      "required": true
    },
    {
      "id": "company",
      "label": "Company",
      "type": "short_text",
      "max_length": 150
    },
    {
      "id": "job_title",
      "label": "Job title",
      "type": "short_text",
      "max_length": 100
    },
    {
      "id": "phone",
      "label": "Phone",
      "type": "phone"
    },
    {
      "id": "interest",
      "label": "What are you looking for?",
      "type": "single_choice",
      "required": true,
      "options": [
        "See a demo",
        "Ask about pricing",
        "Explore a partnership",
        "Just looking"
      ]
    },
    {
      "id": "message",
      "label": "Anything you want us to know",
      "type": "long_text",
      "max_length": 2000
    },
    {
      "id": "contact_consent",
      "label": "You may contact me about this request",
      "type": "checkbox",
      "required": true
    }
  ]
}