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Split section with benefit checklist left and a white card lead form right on a two-tone grey background.
Summary
Sales contact block combining persuasive copy and checkmarked benefits beside a multi-field financing inquiry form.
Visual description
Background split horizontally: light grey upper band, white lower band. Left column: bold headline "Speak to our financing experts," grey paragraph about self-serve vs expert help, and three bullets each with light blue circle and blue checkmark (working capital talk, similar companies, application process). Right column: white rounded card with subtle shadow holding a dense form: paired First/Last name, Work email/Phone, full-width website, paired incorporation and revenue dropdowns, business description dropdown, marketing checkbox, and solid blue Submit button. Labels are small bold black above thin-bordered inputs.
Key takeaway
Keep the form in an elevated card while copy stays on the flat background so the eye lands on fields. Icon bullets sell the human call without competing with the form hierarchy.
Reuse notes
Template for high-touch B2B lead gen where self-serve is primary but sales is available. Long forms need progressive disclosure on mobile.
