contact.nxp.com Open in urlscan Pro
192.29.69.178 Public Scan

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Submitted URL:
https://app.contact.nxp.com/e/er?elq_mid=9409&elq_cid=3334064&s=1764&lid=16554&elqTrackId=f71e879f08f242abaaa60a7b8ac10acf&e...
Effective URL:
https://contact.nxp.com/Talk-with-NXP-advisor?elq_mid=9409&elq_cid=3334064
Submission: On July 25 via api (July 25th 2023, 3:42:28 am UTC) from AE — Scanned from CA

Form analysis
2 forms found in the DOM

Name: ABM-Talk-To-Sales-JUN-2021 — POST //s1764.t.eloqua.com/e/f2

<form action="//s1764.t.eloqua.com/e/f2" class="mt0" id="form1232" method="post" name="ABM-Talk-To-Sales-JUN-2021"
  onsubmit="if(validateSpam()){setTimeout(function(){if(document.querySelector){var s=document.querySelector('form#form1232 input[type=submit]');if(s){s.disabled=true;}}},100);return true;}else{console.log('Ends here, because of spam');}"><input
    name="elqFormName" type="hidden" value="ABM-Talk-To-Sales-JUN-2021"><input name="elqSiteId" type="hidden" value="1764"><input name="elqCampaignId" type="hidden"><input id="field40" name="tempContactSourceId1" type="hidden"
    value="__FORM_ABM_Talk_To_Sales_Form_JUN_2021_FORM__">
  <!-- ############################################ -->
  <!-- ############# NAME (FIRST/LAST) ############ -->
  <!-- ############################################ -->
  <div class="row">
    <div class="col-sm-6">
      <div class="form-group" id="formElement1">
        <label class="form-label collapse" for="field1"> First Name <span class="glyphicon-asterisk txt-red"></span>
        </label>
        <input class="form-control" id="field1" name="washFirstName1" required="" type="text" value="" placeholder="First Name (required)">
      </div>
    </div>
    <div class="col-sm-6">
      <div class="form-group" id="formElement2">
        <label class="form-label collapse" for="field2"> Last Name <span class="glyphicon-asterisk txt-red"></span>
        </label>
        <input class="form-control" id="field2" name="washLastName1" required="" type="text" value="" placeholder="Last Name (required)">
      </div>
    </div>
  </div>
  <!-- ############################################ -->
  <!-- ############# EMAIL AND COMPANY ############ -->
  <!-- ############################################ -->
  <div class="row">
    <div class="col-md-6">
      <div class="form-group" id="formElement0">
        <label class="form-label collapse" for="field0"> Email Address <span class="glyphicon-asterisk txt-red"></span>
        </label>
        <input class="form-control" id="field0" name="emailAddress" required="" type="text" value="" placeholder="Email (required)">
      </div>
    </div>
    <div class="col-md-6">
      <div class="form-group" id="formElement3">
        <label class="form-label collapse" for="field3"> Full Company Name <span class="glyphicon-asterisk txt-red"></span>
        </label>
        <input class="form-control" id="field3" name="company" required="" type="text" value="" placeholder="Full Company Name (required)">
      </div>
    </div>
  </div>
  <!-- ############################################# -->
  <!-- #############     COUNTRY - -    ############ -->
  <!-- ############# MATCHES SALESFORCE ############ -->
  <!-- ############################################# -->
  <div class="row">
    <div class="col-md-12">
      <div id="formElement4" class="form-group">
        <label class="form-label collapse" for="field4"> Territory/Country <span class="glyphicon-asterisk txt-red"></span>
        </label>
        <select id="field4" name="country" class="form-control country" required="">
          <option value="">Territory/Country</option>
          <option value="USA">USA</option>
          <option value="AFG">AFGHANISTAN</option>
          <option value="ALB">ALBANIA</option>
          <option value="DZA">ALGERIA</option>
          <option value="ASM">AMERICAN SAMOA</option>
          <option value="AND">ANDORRA</option>
          <option value="AGO">ANGOLA</option>
          <option value="ATA">ANTARCTICA</option>
          <option value="ATG">ANTIGUA</option>
          <option value="ARG">ARGENTINA</option>
          <option value="ARM">ARMENIA</option>
          <option value="AUS">AUSTRALIA</option>
          <option value="AUT">AUSTRIA</option>
          <option value="BHS">BAHAMAS</option>
          <option value="BHR">BAHRAIN</option>
          <option value="BGD">BANGLADESH</option>
          <option value="BRB">BARBADOS</option>
          <option value="BYS">BELARUS</option>
          <option value="BEL">BELGIUM</option>
          <option value="BLZ">BELIZE</option>
          <option value="BMU">BERMUDA</option>
          <option value="BTN">BHUTAN</option>
          <option value="BOL">BOLIVIA</option>
          <option value="BHE">BOSNIA-HERZEGOVINA</option>
          <option value="BWA">BOTSWANA</option>
          <option value="BVT">BOUVET ISLAND</option>
          <option value="BRA">BRAZIL</option>
          <option value="IOT">BRITISH INDIAN OCEAN TERRITORY</option>
          <option value="VGB">BRITISH VIRGIN ISLANDS</option>
          <option value="BRN">BRUNEI</option>
          <option value="BGR">BULGARIA</option>
          <option value="BFA">BURKINA FASO</option>
          <option value="BDI">BURUNDI</option>
          <option value="KHM">CAMBODIA</option>
          <option value="CMR">CAMEROON</option>
          <option value="CAN">CANADA</option>
          <option value="CPV">CAPE VERDE</option>
          <option value="CYM">CAYMAN ISLANDS</option>
          <option value="CAF">CENTRAL AFRICAN REPUBLIC</option>
          <option value="TCD">CHAD</option>
          <option value="CHL">CHILE</option>
          <option value="CHN">CHINA</option>
          <option value="CXR">CHRISTMAS ISLAND</option>
          <option value="CCK">COCOS (KEELING) ISLANDS</option>
          <option value="COL">COLOMBIA</option>
          <option value="COM">COMORO ISLANDS</option>
          <option value="COG">CONGO</option>
          <option value="ZAR">CONGO, THE DEMOCRATIC REPUBLIC OF THE</option>
          <option value="COK">COOK ISLANDS</option>
          <option value="CRI">COSTA RICA</option>
          <option value="CIV">CÔTE D'IVOIRE</option>
          <option value="CRO">CROATIA</option>
          <option value="CYP">CYPRUS</option>
          <option value="CSK">CZECH REPUBLIC</option>
          <option value="DNK">DENMARK</option>
          <option value="DMA">DOMINICA</option>
          <option value="DOM">DOMINICAN REPUBLIC</option>
          <option value="ECU">ECUADOR</option>
          <option value="EGY">EGYPT</option>
          <option value="SLV">EL SALVADOR</option>
          <option value="GNQ">EQUATORIAL GUINEA</option>
          <option value="EST">ESTONIA</option>
          <option value="ETH">ETHIOPIA</option>
          <option value="FLK">FALKLAND ISLANDS (MALVINAS)</option>
          <option value="FRO">FAROE ISLANDS</option>
          <option value="FJI">FIJI</option>
          <option value="FIN">FINLAND</option>
          <option value="FRA">FRANCE</option>
          <option value="GUF">FRENCH GUIANA</option>
          <option value="PYF">FRENCH POLYNESIA</option>
          <option value="ATF">FRENCH SOUTHERN TERRITORIES</option>
          <option value="GAB">GABON</option>
          <option value="GMB">GAMBIA</option>
          <option value="GEO">GEORGIA</option>
          <option value="DEU">GERMANY</option>
          <option value="GHA">GHANA</option>
          <option value="GIB">GIBRALTAR</option>
          <option value="GRC">GREECE</option>
          <option value="GRL">GREENLAND</option>
          <option value="GRD">GRENADA</option>
          <option value="GLP">GUADELOUPE</option>
          <option value="GUM">GUAM</option>
          <option value="GTM">GUATEMALA</option>
          <option value="GIN">GUINEA</option>
          <option value="GNB">GUINEA-BISSAU</option>
          <option value="GUY">GUYANA</option>
          <option value="HTI">HAITI</option>
          <option value="HMD">HEARD AND MCDONALD ISLANDS</option>
          <option value="HND">HONDURAS</option>
          <option value="HKG">HONG KONG</option>
          <option value="HUN">HUNGARY</option>
          <option value="ISL">ICELAND</option>
          <option value="IND">INDIA</option>
          <option value="IDN">INDONESIA</option>
          <option value="IRQ">IRAQ</option>
          <option value="IRL">IRELAND</option>
          <option value="ISR">ISRAEL</option>
          <option value="ITA">ITALY</option>
          <option value="JAM">JAMAICA</option>
          <option value="JPN">JAPAN</option>
          <option value="JOR">JORDAN</option>
          <option value="KAZ">KAZAKHSTAN</option>
          <option value="KEN">KENYA</option>
          <option value="KOR">KOREA, REPUBLIC OF</option>
          <option value="KWT">KUWAIT</option>
          <option value="LAO">LAOS</option>
          <option value="LAT">LATVIA</option>
          <option value="LBN">LEBANON</option>
          <option value="LSO">LESOTHO</option>
          <option value="LBR">LIBERIA</option>
          <option value="LBY">LIBYA</option>
          <option value="LIE">LIECHTENSTEIN</option>
          <option value="LTU">LITHUANIA</option>
          <option value="LUX">LUXEMBOURG</option>
          <option value="MKD">MACEDONIA</option>
          <option value="MDG">MADAGASCAR</option>
          <option value="MWI">MALAWI</option>
          <option value="MYS">MALAYSIA</option>
          <option value="MDV">MALDIVES</option>
          <option value="MLI">MALI</option>
          <option value="MLT">MALTA</option>
          <option value="MTQ">MARTINIQUE</option>
          <option value="MRT">MAURITANIA</option>
          <option value="MUS">MAURITIUS</option>
          <option value="MEX">MEXICO</option>
          <option value="MDA">MOLDOVA</option>
          <option value="MCO">MONACO</option>
          <option value="MNG">MONGOLIA</option>
          <option value="MNE">MONTENEGRO</option>
          <option value="MSR">MONTSERRAT</option>
          <option value="MAR">MOROCCO</option>
          <option value="MOZ">MOZAMBIQUE</option>
          <option value="NRU">NAURU</option>
          <option value="NPL">NEPAL</option>
          <option value="NLD">NETHERLANDS</option>
          <option value="NCL">NEW CALEDONIA</option>
          <option value="NZL">NEW ZEALAND</option>
          <option value="NIC">NICARAGUA</option>
          <option value="NER">NIGER</option>
          <option value="NGA">NIGERIA</option>
          <option value="NIU">NIUE</option>
          <option value="NFK">NORFOLK ISLAND</option>
          <option value="NOR">NORWAY</option>
          <option value="OMN">OMAN</option>
          <option value="PAK">PAKISTAN</option>
          <option value="PAN">PANAMA</option>
          <option value="PNG">PAPUA NEW GUINEA</option>
          <option value="PRY">PARAGUAY</option>
          <option value="PER">PERU</option>
          <option value="PHI">PHILIPPINES</option>
          <option value="PCN">PITCAIRN</option>
          <option value="POL">POLAND</option>
          <option value="PRT">PORTUGAL</option>
          <option value="PRI">PUERTO RICO</option>
          <option value="QAT">QATAR</option>
          <option value="REU">RÉUNION</option>
          <option value="ROM">ROMANIA</option>
          <option value="RUS">RUSSIAN FEDERATION</option>
          <option value="RWA">RWANDA</option>
          <option value="SHN">SAINT HELENA</option>
          <option value="LCA">SAINT LUCIA</option>
          <option value="SPM">SAINT PIERRE AND MIQUELON</option>
          <option value="VCT">SAINT VINCENT</option>
          <option value="SMR">SAN MARINO</option>
          <option value="STP">SAO TOME AND PRINCIPE</option>
          <option value="SAU">SAUDI ARABIA</option>
          <option value="SEN">SENEGAL</option>
          <option value="YUG">SERBIA</option>
          <option value="SYC">SEYCHELLES</option>
          <option value="SLE">SIERRA LEONE</option>
          <option value="SGP">SINGAPORE</option>
          <option value="SLK">SLOVAKIA</option>
          <option value="SLO">SLOVENIA</option>
          <option value="SLB">SOLOMON ISLANDS</option>
          <option value="SOM">SOMALIA</option>
          <option value="ZAF">SOUTH AFRICA</option>
          <option value="ESP">SPAIN</option>
          <option value="SUR">SURINAME</option>
          <option value="SWZ">SWAZILAND</option>
          <option value="SWE">SWEDEN</option>
          <option value="CHE">SWITZERLAND</option>
          <option value="TWN">TAIWAN</option>
          <option value="TZA">TANZANIA</option>
          <option value="THA">THAILAND</option>
          <option value="TGO">TOGO</option>
          <option value="TKL">TOKELAU</option>
          <option value="TON">TONGA</option>
          <option value="TTO">TRINIDAD AND TOBAGO</option>
          <option value="TUN">TUNISIA</option>
          <option value="TUR">TURKEY</option>
          <option value="TKM">TURKMENISTAN</option>
          <option value="TCA">TURKS AND CAICOS ISLANDS</option>
          <option value="UGA">UGANDA</option>
          <option value="UKR">UKRAINE</option>
          <option value="ARE">UNITED ARAB EMIRATES</option>
          <option value="GBR">UNITED KINGDOM</option>
          <option value="USA">USA</option>
          <option value="URY">URUGUAY</option>
          <option value="VAT">VATICAN CITY</option>
          <option value="VEN">VENEZUELA</option>
          <option value="VNM">VIETNAM</option>
          <option value="VIR">VIRGIN ISLANDS OF THE U.S.</option>
          <option value="WLF">WALLIS AND FUTUNA</option>
          <option value="YEM">YEMEN</option>
          <option value="ZMB">ZAMBIA</option>
          <option value="ZWE">ZIMBABWE</option>
        </select>
      </div>
    </div>
  </div>
  <!-- ############################################ -->
  <!-- #############  PRIMARY BUSINESS ############ -->
  <!-- ############################################ -->
  <div class="row collapse" id="formElement5Row">
    <div class="col-md-12" id="formElement5Col">
      <div class="form-group" id="formElement5">
        <label class="form-label collapse" for="field5"> Primary Business <span class="txt-red"></span>
        </label>
        <select id="field5" name="primaryBusiness1" class="form-control">
          <option value="">Primary Business</option>
          <option value="Aerospace">Aerospace</option>
          <option value="Automotive">Automotive</option>
          <option value="Consultant/Design House">Consultant/Design House</option>
          <option value="Consumer">Consumer</option>
          <option value="Distributor">Distributor</option>
          <option value="EMSI">EMSI</option>
          <option value="Education">Education</option>
          <option value="Government">Government</option>
          <option value="Home Automation">Home Automation</option>
          <option value="Industrial/Commercial">Industrial/Commercial</option>
          <option value="Media/Analyst">Media/Analyst</option>
          <option value="Medical">Medical</option>
          <option value="Military">Military</option>
          <option value="Mobile Communications">Mobile Communications</option>
          <option value="Networking Infrastructure">Networking Infrastructure</option>
          <option value="Other">Other</option>
          <option value="Point of Sale">Point of Sale</option>
          <option value="Research and Development">Research and Development</option>
          <option value="Security">Security</option>
          <option value="Tools Vendor (RTOS, H/W, S/W)">Tools Vendor (RTOS, H/W, S/W)</option>
          <option value="Training">Training</option>
          <option value="Wireless">Wireless</option>
        </select>
      </div>
    </div>
  </div>
  <!-- ############################################ -->
  <!-- #############  JOB DESCRIPTION  ############ -->
  <!-- ############################################ -->
  <div class="row collapse">
    <div class="col-md-12">
      <div class="form-group" id="formElement6">
        <label class="form-label collapse" for="field6"> Job Description <span class="txt-red"></span>
        </label>
        <select id="field6" name="jobDescriptionForScoring1" class="form-control">
          <option value="">Job Description</option>
          <option value="Academic-Professor">Academic-Professor</option>
          <option value="Academic-Student">Academic-Student</option>
          <option value="Engineer - Applications">Engineer - Applications</option>
          <option value="Engineer - Component/Product">Engineer - Component/Product</option>
          <option value="Engineer - Design">Engineer - Design</option>
          <option value="Engineer - Firmware">Engineer - Firmware</option>
          <option value="Engineer - Hardware">Engineer - Hardware</option>
          <option value="Engineer-Manufacturing/Process">Engineer-Manufacturing/Process</option>
          <option value="Engineer - Software">Engineer - Software</option>
          <option value="Engineer - System">Engineer - System</option>
          <option value="Engineer - System Architect">Engineer - System Architect</option>
          <option value="Field Application Engineer">Field Application Engineer</option>
          <option value="Marketing">Marketing</option>
          <option value="Other">Other</option>
          <option value="Program/Project Manager">Program/Project Manager</option>
          <option value="Purchasing/Supply Management">Purchasing/Supply Management</option>
          <option value="Quality">Quality</option>
          <option value="Sales">Sales</option>
        </select>
      </div>
    </div>
  </div>
  <!-- ############################################ -->
  <!-- #############       TITLE       ############ -->
  <!-- ############################################ -->
  <div class="row collapse">
    <div class="col-md-12">
      <div class="form-group" id="formElement7">
        <label class="form-label collapse" for="field7"> Title <span class="txt-red"></span>
        </label>
        <select id="field7" name="jobTitleForScoring1" class="form-control">
          <option value="">Title</option>
          <option value="Consultant">Consultant</option>
          <option value="Director">Director</option>
          <option value="Executive - Business">Executive - Business</option>
          <option value="Executive - Technical">Executive - Technical</option>
          <option value="Individual">Individual</option>
          <option value="Manager">Manager</option>
          <option value="Senior/Team Lead">Senior/Team Lead</option>
          <option value="Staff/Fellow">Staff/Fellow</option>
          <option value="VP">VP</option>
        </select>
      </div>
    </div>
  </div>
  <!-- ############################################ -->
  <!-- #############   STREET ADDRESS  ############ -->
  <!-- ############################################ -->
  <div class="row collapse">
    <div class="col-md-12">
      <div class="form-group" id="formElement8">
        <label class="form-label collapse" for="field8"> Work Street Address <span class="txt-red"></span>
        </label>
        <input class="form-control" id="field8" name="address1" type="text" value="" placeholder="Work Street Address">
      </div>
    </div>
  </div>
  <!-- ############################################ -->
  <!-- #############        CITY       ############ -->
  <!-- ############################################ -->
  <div class="row collapse" id="formElement9Row">
    <div class="col-md-12" id="formElement9Col">
      <div class="form-group" id="formElement9">
        <label class="form-label collapse" for="field9"> City <span class="txt-red"></span>
        </label>
        <input class="form-control" id="field9" name="city" type="text" value="" placeholder="City">
      </div>
    </div>
  </div>
  <!-- ############################################ -->
  <!-- #############  STATES - SEE JS  ############ -->
  <!-- ############################################ -->
  <div class="row collapse" id="formElement10Row">
    <div class="col-md-12" id="formElement10Col">
      <div class="form-group collapse" id="formElement10">
        <label class="form-label collapse" for="field10"> State or Province <span class="txt-red"></span>
        </label>
      </div>
      <select class="form-control us states collapse" id="" name="">
        <option value="">State (required)</option>
        <option value="AL">Alabama</option>
        <option value="AK">Alaska</option>
        <option value="AZ">Arizona</option>
        <option value="AR">Arkansas</option>
        <option value="CA">California</option>
        <option value="CO">Colorado</option>
        <option value="CT">Connecticut</option>
        <option value="DE">Delaware</option>
        <option value="DC">District Of Columbia</option>
        <option value="FL">Florida</option>
        <option value="GA">Georgia</option>
        <option value="HI">Hawaii</option>
        <option value="ID">Idaho</option>
        <option value="IL">Illinois</option>
        <option value="IN">Indiana</option>
        <option value="IA">Iowa</option>
        <option value="KS">Kansas</option>
        <option value="KY">Kentucky</option>
        <option value="LA">Louisiana</option>
        <option value="ME">Maine</option>
        <option value="MD">Maryland</option>
        <option value="MA">Massachusetts</option>
        <option value="MI">Michigan</option>
        <option value="MN">Minnesota</option>
        <option value="MS">Mississippi</option>
        <option value="MO">Missouri</option>
        <option value="MT">Montana</option>
        <option value="NE">Nebraska</option>
        <option value="NV">Nevada</option>
        <option value="NH">New Hampshire</option>
        <option value="NJ">New Jersey</option>
        <option value="NM">New Mexico</option>
        <option value="NY">New York</option>
        <option value="NC">North Carolina</option>
        <option value="ND">North Dakota</option>
        <option value="OH">Ohio</option>
        <option value="OK">Oklahoma</option>
        <option value="OR">Oregon</option>
        <option value="PA">Pennsylvania</option>
        <option value="RI">Rhode Island</option>
        <option value="SC">South Carolina</option>
        <option value="SD">South Dakota</option>
        <option value="TN">Tennessee</option>
        <option value="TX">Texas</option>
        <option value="UT">Utah</option>
        <option value="VT">Vermont</option>
        <option value="VI">Virgin Islands</option>
        <option value="VA">Virginia</option>
        <option value="WA">Washington</option>
        <option value="WV">West Virginia</option>
        <option value="WI">Wisconsin</option>
        <option value="WY">Wyoming</option>
      </select>
      <select class="form-control cn states collapse" id="" name="">
        <option value="">Province (required)</option>
        <option value="AH">Anhui</option>
        <option value="BJ">Beijing</option>
        <option value="CQ">Chongqing</option>
        <option value="FJ">Fujian</option>
        <option value="GS">Gansu</option>
        <option value="GD">Guangdong</option>
        <option value="GX">Guangxi Zhuang</option>
        <option value="GZ">Guizhou</option>
        <option value="HI">Hainan</option>
        <option value="HE">Hebei</option>
        <option value="HL">Heilongjiang</option>
        <option value="HA">Henan</option>
        <option value="HB">Hubei</option>
        <option value="HN">Hunan</option>
        <option value="JS">Jiangsu</option>
        <option value="JX">Jiangxi</option>
        <option value="JL">Jilin</option>
        <option value="LN">Liaoning</option>
        <option value="NM">Nei Mongol</option>
        <option value="NX">Ningxia Hui</option>
        <option value="QH">Qinghai</option>
        <option value="SN">Shaanxi</option>
        <option value="SD">Shandong</option>
        <option value="SH">Shanghai</option>
        <option value="SX">Shanxi</option>
        <option value="SC">Sichuan</option>
        <option value="TJ">Tianjin</option>
        <option value="XJ">Xinjiang Uygur</option>
        <option value="XZ">Xizang</option>
        <option value="YN">Yunnan</option>
        <option value="ZJ">Zhejiang</option>
      </select>
      <select id="" name="" class="form-control ca states collapse">
        <option value="">Province (required)</option>
        <option value="AB">Alberta</option>
        <option value="BC">British Columbia</option>
        <option value="MB">Manitoba</option>
        <option value="NB">New Brunswick</option>
        <option value="NL">Newfoundland</option>
        <option value="NT">Northwest Territories</option>
        <option value="NS">Nova Scotia</option>
        <option value="ON">Ontario</option>
        <option value="PE">Prince Edward Island</option>
        <option value="QC">Quebec</option>
        <option value="SK">Saskatchewan</option>
        <option value="YT">Yukon Territory</option>
      </select>
    </div>
  </div>
  <!-- ############################################ -->
  <!-- #############    POSTAL CODE    ############ -->
  <!-- ############################################ -->
  <div class="row collapse" id="formElement11Row">
    <div class="col-md-12" id="formElement11Col">
      <div class="form-group" id="formElement11">
        <label class="form-label collapse" for="field11"> ZIP or Postal Code <span class="txt-red"></span>
        </label>
        <input class="form-control" id="field11" name="zipPostal" type="text" value="" placeholder="ZIP or Postal Code (required)">
      </div>
    </div>
  </div>
  <!-- ############################################ -->
  <!-- #############       PHONE       ############ -->
  <!-- ############################################ -->
  <div class="row collapse">
    <div class="col-md-12">
      <div class="form-group" id="formElement12">
        <label class="form-label collapse" for="field12"> Work Phone <span class="txt-red"></span>
        </label>
        <input class="form-control" id="field12" name="washPhone1" type="text" value="" placeholder="Work Phone">
      </div>
    </div>
  </div>
  <!-- ############################################ -->
  <!-- #############  PRODUCT INTEREST ############ -->
  <!-- ############################################ -->
  <div class="row collapse">
    <div class="col-md-12">
      <div class="form-group" id="formElement13">
        <label class="form-label collapse" for="field13"> Product Interest </label>
        <select id="field13" name="prodInterest" class="form-control">
          <option value=""> Product Interest </option>
          <option value="Product Interest No. 1"> Product Interest No. 1 </option>
          <option value="Product Interest No. 2"> Product Interest No. 2 </option>
          <option value="Product Interest No. 3"> Product Interest No. 3 </option>
        </select>
      </div>
    </div>
  </div>
  <!-- ############################################ -->
  <!-- #############    PROJECT DESC   ############ -->
  <!-- ############################################ -->
  <div class="row">
    <div class="col-md-12">
      <div class="form-group" id="formElement14">
        <label class="form-label collapse" for="field14"> Please describe your interest or question <span class="glyphicon-asterisk txt-red"></span>
        </label>
        <textarea class="form-control" id="field14" name="paragraphText" placeholder="Please describe your interest or question"></textarea>
      </div>
    </div>
  </div>
  <!-- ############################################ -->
  <!-- #############   HIDDEN INPUTS   ############ -->
  <!-- ############################################ -->
  <div class="row collapse">
    <div class="col-md-12">
      <div class="form-group collapse" id="formElement15">
        <label class="form-label collapse" for="field15"> window.location (see JS in head tag) </label>
        <input class="form-control" id="field15" name="extraField1" type="hidden" value="https://contact.nxp.com/Talk-with-NXP-advisor?elq_mid=9409&amp;elq_cid=3334064">
      </div>
    </div>
  </div>
  <div class="row collapse">
    <div class="col-md-12">
      <div class="form-group" id="formElement16">
        <label class="form-label collapse" for="field16"> document.referrer (not working yet) </label>
        <input class="form-control" id="field16" name="extraField2" type="hidden">
      </div>
    </div>
  </div>
  <!-- ############################################ -->
  <!-- #############      INPUTS       ############ -->
  <!-- ############################################ -->
  <div class="row collapse">
    <div class="col-md-12">
      <div class="form-group" id="formElement17">
        <label class="form-label collapse" for="field17"> Additional Single-Line Input (user or admin use) </label>
        <input class="form-control" id="field17" name="singleLineText" type="text" placeholder="Additional Single-Line Input (user or admin use)">
      </div>
    </div>
  </div>
  <div class="row collapse">
    <div class="col-md-12">
      <div class="form-group" id="formElement18">
        <label class="form-label collapse" for="field18"> Additional Single-Line Input (user or admin use) </label>
        <input class="form-control" id="field18" name="singleLineText2" type="text" placeholder="Additional Single-Line Input (user or admin use)">
      </div>
    </div>
  </div>
  <div class="row collapse">
    <div class="col-md-12">
      <div class="form-group" id="formElement19">
        <label class="form-label collapse" for="field19"> Additional Single-Line Input (user or admin use) </label>
        <input class="form-control" id="field19" name="singleLineText3" type="text" placeholder="Additional Single-Line Input (user or admin use)">
      </div>
    </div>
  </div>
  <div class="row collapse">
    <div class="col-md-12">
      <div class="form-group" id="formElement20">
        <label class="form-label collapse" for="field20"> Additional Single-Line Input (user or admin use) </label>
        <input class="form-control" id="field20" name="singleLineText4" type="text" placeholder="Additional Single-Line Input (user or admin use)">
      </div>
    </div>
  </div>
  <div class="row collapse">
    <div class="col-md-12">
      <div class="form-group" id="formElement21">
        <label class="form-label collapse" for="field21"> Additional Single-Line Input (user or admin use) </label>
        <input class="form-control" id="field21" name="singleLineText5" type="text" placeholder="Additional Single-Line Input (user or admin use)">
      </div>
    </div>
  </div>
  <!-- ############################################ -->
  <!-- #############     TEXTAREAS     ############ -->
  <!-- ############################################ -->
  <div class="row collapse">
    <div class="col-md-12">
      <div class="form-group" id="formElement22">
        <label class="form-label collapse" for="field22"> Additional Paragraph Input (user or admin use) </label>
        <textarea class="form-control" id="field22" name="paragraphText2" placeholder="Additional Paragraph Input (user or admin use)"></textarea>
      </div>
    </div>
  </div>
  <div class="row collapse">
    <div class="col-md-12">
      <div class="form-group" id="formElement23">
        <label class="form-label collapse" for="field23"> Additional Paragraph Input (user or admin use) </label>
        <textarea class="form-control" id="field23" name="paragraphText3" placeholder="Additional Paragraph Input (user or admin use)"></textarea>
      </div>
    </div>
  </div>
  <div class="row collapse">
    <div class="col-md-12">
      <div class="form-group" id="formElement24">
        <label class="form-label collapse" for="field24"> Additional Paragraph Input (user or admin use) </label>
        <textarea class="form-control" id="field24" name="paragraphText4" placeholder="Additional Paragraph Input (user or admin use)"></textarea>
      </div>
    </div>
  </div>
  <div class="row collapse">
    <div class="col-md-12">
      <div class="form-group" id="formElement25">
        <label class="form-label collapse" for="field25"> Additional Paragraph Input (user or admin use) </label>
        <textarea class="form-control" id="field25" name="paragraphText5" placeholder="Additional Paragraph Input (user or admin use)"></textarea>
      </div>
    </div>
  </div>
  <div class="row collapse">
    <div class="col-md-12">
      <div class="form-group" id="formElement26">
        <label class="form-label collapse" for="field26"> Additional Paragraph Input (user or admin use) </label>
        <textarea class="form-control" id="field26" name="paragraphText6" placeholder="Additional Paragraph Input (user or admin use)"></textarea>
      </div>
    </div>
  </div>
  <!-- ############################################ -->
  <!-- #############     CHECKBOXES    ############ -->
  <!-- ############################################ -->
  <div class="row collapse">
    <div class="col-md-12">
      <div class="form-group" id="formElement27">
        <div class="checkbox">
          <label for="field27">
            <input type="checkbox" id="field27" name="checkbox1"> Additional checkbox (user or admin use) </label>
        </div>
      </div>
    </div>
  </div>
  <div class="row collapse">
    <div class="col-md-12">
      <div class="form-group" id="formElement28">
        <div class="checkbox">
          <label for="field28">
            <input type="checkbox" id="field28" name="checkbox2"> Additional checkbox (user or admin use) </label>
        </div>
      </div>
    </div>
  </div>
  <div class="row collapse">
    <div class="col-md-12">
      <div class="form-group" id="formElement29">
        <div class="checkbox">
          <label for="field29">
            <input type="checkbox" id="field29" name="checkbox3"> Additional checkbox (user or admin use) </label>
        </div>
      </div>
    </div>
  </div>
  <div class="row collapse">
    <div class="col-md-12">
      <div class="form-group" id="formElement30">
        <div class="checkbox">
          <label for="field30">
            <input type="checkbox" id="field30" name="checkbox4"> Additional checkbox (user or admin use) </label>
        </div>
      </div>
    </div>
  </div>
  <div class="row collapse">
    <div class="col-md-12">
      <div class="form-group" id="formElement31">
        <div class="checkbox">
          <label for="field31">
            <input type="checkbox" id="field31" name="checkbox5"> Additional checkbox (user or admin use) </label>
        </div>
      </div>
    </div>
  </div>
  <!-- ############################################ -->
  <!-- #############      PICKLISTS    ############ -->
  <!-- ############################################ -->
  <div class="row collapse">
    <div class="col-md-12">
      <div class="form-group" id="formElement32">
        <label class="form-label collapse" for="field32"> Single Picklist 1 </label>
        <select id="field32" name="dropdownMenu" class="form-control">
          <option value="">Single Picklist 1</option>
          <option value="Picklist 1, Option 1">Picklist 1, Option 1</option>
          <option value="Picklist 1, Option 2">Picklist 1, Option 3</option>
          <option value="Picklist 1, Option 3">Picklist 1, Option 3</option>
        </select>
      </div>
    </div>
  </div>
  <div class="row collapse">
    <div class="col-md-12">
      <div class="form-group" id="formElement33">
        <label class="form-label collapse" for="field33"> Single Picklist 2 </label>
        <select id="field33" name="dropdownMenu2" class="form-control">
          <option value="">Single Picklist 2</option>
          <option value="Picklist 1, Option 1">Picklist 2, Option 1</option>
          <option value="Picklist 1, Option 2">Picklist 2, Option 2</option>
          <option value="Picklist 1, Option 3">Picklist 2, Option 3</option>
        </select>
      </div>
    </div>
  </div>
  <div class="row collapse">
    <div class="col-md-12">
      <div class="form-group" id="formElement34">
        <label class="form-label collapse" for="field34"> Single Picklist 3 </label>
        <select id="field34" name="dropdownMenu3" class="form-control">
          <option value="">Single Picklist 3</option>
          <option value="Picklist 1, Option 1">Picklist 3, Option 1</option>
          <option value="Picklist 1, Option 2">Picklist 3, Option 2</option>
          <option value="Picklist 1, Option 3">Picklist 3, Option 3</option>
        </select>
      </div>
    </div>
  </div>
  <div class="row collapse">
    <div class="col-md-12">
      <div class="form-group" id="formElement35">
        <label class="form-label collapse" for="field35"> Single Picklist 4 </label>
        <select id="field35" name="dropdownMenu4" class="form-control">
          <option value="">Single Picklist 4</option>
          <option value="Picklist 1, Option 1">Picklist 4, Option 1</option>
          <option value="Picklist 1, Option 2">Picklist 4, Option 2</option>
          <option value="Picklist 1, Option 3">Picklist 4, Option 3</option>
        </select>
      </div>
    </div>
  </div>
  <div class="row collapse">
    <div class="col-md-12">
      <div class="form-group" id="formElement36">
        <label class="form-label collapse" for="field36"> Single Picklist 5 </label>
        <select id="field36" name="dropdownMenu5" class="form-control">
          <option value="">Single Picklist 5</option>
          <option value="Picklist 1, Option 1">Picklist 5, Option 1</option>
          <option value="Picklist 1, Option 2">Picklist 5, Option 2</option>
          <option value="Picklist 1, Option 3">Picklist 5, Option 3</option>
        </select>
      </div>
    </div>
  </div>
  <!-- ############################################ -->
  <!-- #############        GDPR       ############ -->
  <!-- ############################################ -->
  <div class="row collapse" id="shareWithDisty">
    <div class="col-md-12">
      <div class="form-group" id="formElement37">
        <label for="field37" class="form-label">
          <strong>I give my permission to share my information with Authorized NXP Distribution Partners</strong> <span class="txt-red"></span>
        </label>
        <select id="field37" name="picklist2" class="form-control">
          <option class="lcq" value="">— Please Select —</option>
          <option class="lcy" value="Yes">Yes</option>
          <option class="lcn" value="No">No</option>
        </select>
      </div>
    </div>
  </div>
  <div class="row collapse" id="receiveUpdates">
    <div class="col-md-12">
      <div class="form-group" id="formElement38">
        <div class="checkbox">
          <label for="field38">
            <input type="checkbox" id="field38"> Yes, I would like to receive important technical updates and information on new products, training, and more from NXP. </label>
        </div>
      </div>
    </div>
  </div>
  <div class="row collapse">
    <div class="col-md-12 collapse">
      <div class="form-group collapse" id="formElement39">
        <label for="field39" class="form-label collapse">
          <strong>Receive Email Opt In (CHECKBOX FIELD 38 SELECTS THIS)</strong>
        </label>
        <select id="field39" name="picklist3" class="form-control collapse">
          <option class="mcq" value="" selected="">&nbsp;</option>
          <option class="mcy" value="Yes">Yes</option>
          <option class="mcn" value="No">No</option>
        </select>
      </div>
    </div>
  </div>
  <!-- ############################################ -->
  <!-- #############   SUBMIT BUTTON   ############ -->
  <!-- ############################################ -->
  <div class="row">
    <div class="col-md-12">
      <div class="form-group mb0 mt1 text-center" id="formElement41">
        <input id="field41" class="btn btn-orange btn-lg pr3 pl3" type="submit" value="Send">
      </div>
    </div>
  </div>
</form>

POST https://webto.salesforce.com/servlet/servlet.WebToCase?encoding=UTF-8

<form id="theSfdcForm" class="collapse" action="https://webto.salesforce.com/servlet/servlet.WebToCase?encoding=UTF-8" onsubmit="concatAll();return true;" method="POST">
  <input type="hidden" name="orgid" value="00D20000000NBgb">
  <input type="hidden" name="recordType" id="recordType" value="0122p000000Ycwj">
  <!-- ############################################ -->
  <!-- #############                   ############ -->
  <!-- #############  SANDBOX VALUES   ############ -->
  <!-- #############  1) FORM ACTION   ############ -->
  <!-- #############  2) SITEID (OID)  ############ -->
  <!-- #############  3) RECORD TYPE   ############ -->
  <!-- #############  DO NOT MODIFY!   ############ -->
  <!-- #############                   ############ -->
  <!-- ############################################ -->
  <!-- <form id="theSfdcForm" class="collapse" action="https://nxpHYPHENHYPHENfull.my.salesforce.com/servlet/servlet.WebToCase?encoding=UTF-8" onsubmit="concatAll();return true;" method="POST">
  <input type="hidden" name="orgid" value="00D0E000000AXGS">
  <input type="hidden" name="recordType" value="0122p000000Ycwj"> -->
  <!-- ############################################ -->
  <!-- #############   UNIQUE VALUE    ############ -->
  <!-- #############   FOR THIS FORM   ############ -->
  <!-- ############################################ -->
  <input type="hidden" class="" name="retURL" value="https://www.nxp.com/pages/thank-you:THANK-YOU?retCode=WPS-65WS#Design-Resources">
  <!-- ############################################ -->
  <!-- #############    DEBUG CODE     ############ -->
  <!-- #############   CHANGE EMAIL    ############ -->
  <!-- ############################################ -->
  <!-- <input type="hidden" name="debug" value="1">
  <input type="hidden" name="debugEmail" value="abc@def.com"> -->
  <!-- ############################################ -->
  <!-- #############                   ############ -->
  <!-- #############  DO NOT MODIFY!!  ############ -->
  <!-- #############   PRIORITY: LOW   ############ -->
  <!-- #############   TOPIC: OTHERS   ############ -->
  <!-- ############# SUB-TOPIC: OTHERS ############ -->
  <!-- #############    CASE OWNER:    ############ -->
  <!-- #############  BIZ DEVELOPMENT  ############ -->
  <!-- #############                   ############ -->
  <!-- ############################################ -->
  <!-- PRIORITY -->
  <select id="priority" class="" name="priority">
    <option class="collapse" value="Low">Low</option>
  </select>
  <!-- TOPIC -->
  <input type="text" id="00ND0000005xUVf" name="00ND0000005xUVf" value="Others">
  <!-- SUB TOPIC -->
  <input type="text" id="00N57000006HgX9" name="00N57000006HgX9" value="Others">
  <!-- ############################################ -->
  <!-- #############                   ############ -->
  <!-- #############  UNIQUE TO FORM:  ############ -->
  <!-- #############   PRODUCT LVL 1   ############ -->
  <!-- #############   PRODUCT LVL 2   ############ -->
  <!-- #############   PRODUCT LVL 3   ############ -->
  <!-- #############  PRODUCT TYPE NO  ############ -->
  <!-- #############                   ############ -->
  <!-- ############################################ -->
  <!-- SUBJECT LINE -->
  <input type="text" id="subject" name="subject" value="[Eloqua Form] Talk with NXP {UserID: 00557000006KKtuAAG}">
  <!-- PRODUCT LVL 1 -->
  <input type="text" id="00N57000006HgW6" name="00N57000006HgW6" value="Other">
  <!-- PRODUCT LVL 2 -->
  <input type="text" id="00ND0000003EYe6" name="00ND0000003EYe6" value="Other">
  <!-- PRODUCT LVL 3 -->
  <input type="text" id="00ND0000003EYe7" name="00ND0000003EYe7" value="Other">
  <!-- PRODUCT TYPE NUMBER -->
  <input type="text" id="00ND0000003EYe8" name="00ND0000003EYe8" value="Talk-with-NXP">
  <!-- ############################################ -->
  <!-- #############     FIRST NAME    ############ -->
  <!-- ############################################ -->
  <input type="text" id="00N57000006NSnS" class="collapse" name="00N57000006NSnS" value="">
  <!-- ############################################ -->
  <!-- #############     LAST NAME     ############ -->
  <!-- ############################################ -->
  <input type="text" id="00N57000006NSnU" class="collapse" name="00N57000006NSnU" value="">
  <!-- ############################################ -->
  <!-- #############       EMAIL       ############ -->
  <!-- ############################################ -->
  <input type="text" id="email" class="collapse" name="email" value="">
  <!-- ############################################ -->
  <!-- #############      COMPANY      ############ -->
  <!-- ############################################ -->
  <input type="text" id="eqCompanyConcat" class="collapse" name="eqCompanyConcat" value="">
  <!-- ############################################ -->
  <!-- ############# SFDC COUNTRY LIST ############ -->
  <!-- ############################################ -->
  <input id="00ND0000005x3LP" class="collapse" name="00ND0000005x3LP" value=""><!-- all we need is the value of the choice -->
  <!-- ############################################ -->
  <!-- #############  PRIMARY BUSINESS ############ -->
  <!-- ############################################ -->
  <input type="text" id="eqPrimBusConcat" class="collapse" name="eqPrimBusConcat" value=""><!-- all we need is the value of the choice -->
  <!-- ############################################ -->
  <!-- #############  JOB DESCRIPTION  ############ -->
  <!-- ############################################ -->
  <!-- <input type="text" id="eqJobDescConcat" class="collapse" name="eqJobDescConcat" value=""> --><!-- all we need is the value of the choice -->
  <!-- ############################################ -->
  <!-- #############       TITLE       ############ -->
  <!-- ############################################ -->
  <!-- <input type="text" id="eqTitleConcat" class="collapse" name="eqTitleConcat" value=""> --><!-- all we need is the value of the choice -->
  <!-- ############################################ -->
  <!-- #############   STREET ADDRESS  ############ -->
  <!-- ############################################ -->
  <!-- <input type="text" id="eqAddressConcat" class="collapse" name="eqAddressConcat" value=""> -->
  <!-- ############################################ -->
  <!-- #############        CITY       ############ -->
  <!-- ############################################ -->
  <input type="text" id="eqCityConcat" class="collapse" name="eqCityConcat" value="">
  <!-- ############################################ -->
  <!-- #############       STATE       ############ -->
  <!-- ############################################ -->
  <input type="text" id="eqStateConcat" class="collapse" name="eqStateConcat" value=""><!-- all we need is the value of the choice -->
  <!-- ############################################ -->
  <!-- #############    POSTAL CODE    ############ -->
  <!-- ############################################ -->
  <input type="text" id="eqPostalConcat" class="collapse" name="eqPostalConcat" value="">
  <!-- ############################################ -->
  <!-- #############       PHONE       ############ -->
  <!-- ############################################ -->
  <!-- <input type="text" id="phone" class="" name="phone" value=""> -->
  <!-- ############################################ -->
  <!-- #############  PRODUCT INTEREST ############ -->
  <!-- ############################################ -->
  <!-- <input type="text" id="eqProdIntConcat" class="collapse" name="eqProdIntConcat" value=""> --><!-- all we need is the value of the choice -->
  <!-- ############################################ -->
  <!-- #############   PROJECT DESC    ############ -->
  <!-- ############################################ -->
  <textarea id="eqProjectDesc" class="collapse" name="eqProjectDesc"></textarea>
  <!-- ############################################ -->
  <!-- #############   HIDDEN INPUTS   ############ -->
  <!-- ############################################ -->
  <!-- <input type="text" id="eqWindowLocConcat" class="collapse" name="eqWindowLocConcat" value=""> --><!-- window.location -->
  <!-- <input type="text" id="eqDocReferConcat" class="collapse" name="eqDocReferConcat" value=""> --><!-- document.referrer -->
  <!-- ############################################ -->
  <!-- #############      INPUTS       ############ -->
  <!-- ############################################ -->
  <!-- <input type="hidden" id="eqIn1Concat" class="collapse" name="eqIn1Concat" value="">
<input type="hidden" id="eqIn2Concat" class="collapse" name="eqIn2Concat" value="">
<input type="hidden" id="eqIn3Concat" class="collapse" name="eqIn3Concat" value="">
<input type="hidden" id="eqIn4Concat" class="collapse" name="eqIn4Concat" value="">
<input type="hidden" id="eqIn5Concat" class="collapse" name="eqIn5Concat" value=""> -->
  <!-- ############################################ -->
  <!-- #############     TEXTAREAS     ############ -->
  <!-- ############################################ -->
  <!-- <textarea id="eqTxt1Concat" class="collapse" name="eqTxt1Concat"></textarea>
<textarea id="eqTxt2Concat" class="collapse" name="eqTxt2Concat"></textarea>
<textarea id="eqTxt3Concat" class="collapse" name="eqTxt3Concat"></textarea>
<textarea id="eqTxt4Concat" class="collapse" name="eqTxt4Concat"></textarea>
<textarea id="eqTxt5Concat" class="collapse" name="eqTxt5Concat"></textarea> -->
  <!-- ############################################ -->
  <!-- #############     CHECKBOXES    ############ -->
  <!-- ############################################ -->
  <!-- <input id="eqCheckbox1" class=""collapse type="checkbox" name="eqCheckbox1">
<input id="eqCheckbox2" class=""collapse type="checkbox" name="eqCheckbox2">
<input id="eqCheckbox3" class=""collapse type="checkbox" name="eqCheckbox3">
<input id="eqCheckbox4" class=""collapse type="checkbox" name="eqCheckbox4">
<input id="eqCheckbox5" class=""collapse type="checkbox" name="eqCheckbox5"> -->
  <!-- ############################################ -->
  <!-- #############     PICKLISTS     ############ -->
  <!-- ############################################ -->
  <!-- only need the value, does not require select -->
  <!-- <input id="eqPicklist1" class="collapse" name="eqPicklist1" value="">
<input id="eqPicklist2" class="collapse" name="eqPicklist2" value="">
<input id="eqPicklist3" class="collapse" name="eqPicklist3" value="">
<input id="eqPicklist4" class="collapse" name="eqPicklist4" value="">
<input id="eqPicklist5" class="collapse" name="eqPicklist5" value=""> -->
  <!-- ############################################ -->
  <!-- #############                   ############ -->
  <!-- #############    DESCRIPTION:   ############ -->
  <!-- #############    CONCATENATED   ############ -->
  <!-- #############   FIELDS GO HERE  ############ -->
  <!-- #############                   ############ -->
  <!-- ############################################ -->
  <textarea name="description">Text in here</textarea>
  <!-- ############################################ -->
  <!-- #############   SUBMIT BUTTON   ############ -->
  <!-- ############################################ -->
  <input class="" type="submit" value="Submit">
</form>

Text Content

 * 
 * Talk with your NXP advisor


START A CONVERSATION WITH OUR DESIGN ADVISOR

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Last Name
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Territory/Country Territory/CountryUSAAFGHANISTANALBANIAALGERIAAMERICAN
SAMOAANDORRAANGOLAANTARCTICAANTIGUAARGENTINAARMENIAAUSTRALIAAUSTRIABAHAMASBAHRAINBANGLADESHBARBADOSBELARUSBELGIUMBELIZEBERMUDABHUTANBOLIVIABOSNIA-HERZEGOVINABOTSWANABOUVET
ISLANDBRAZILBRITISH INDIAN OCEAN TERRITORYBRITISH VIRGIN
ISLANDSBRUNEIBULGARIABURKINA FASOBURUNDICAMBODIACAMEROONCANADACAPE VERDECAYMAN
ISLANDSCENTRAL AFRICAN REPUBLICCHADCHILECHINACHRISTMAS ISLANDCOCOS (KEELING)
ISLANDSCOLOMBIACOMORO ISLANDSCONGOCONGO, THE DEMOCRATIC REPUBLIC OF THECOOK
ISLANDSCOSTA RICACÔTE D'IVOIRECROATIACYPRUSCZECH
REPUBLICDENMARKDOMINICADOMINICAN REPUBLICECUADOREGYPTEL SALVADOREQUATORIAL
GUINEAESTONIAETHIOPIAFALKLAND ISLANDS (MALVINAS)FAROE
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ARAB EMIRATESUNITED KINGDOMUSAURUGUAYVATICAN CITYVENEZUELAVIETNAMVIRGIN ISLANDS
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