events.gehealthcare.com
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2.16.1.193
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Submitted URL: https://click1.gehealthcare.com/MDA1LVNIUy03NjcAAAGRAt9mvWEYmiKrh4uuQCCOcjKrvjWgxF37_xMLBsjwtBiJY11YYOazz6-GHNZwQkhV4IB-iQE=
Effective URL: https://events.gehealthcare.com/product_categories/magnetic-resonance-imaging-ecr-2024/?utm_source=marketo&utm_medium=smartmail&...
Submission: On February 01 via api from PT — Scanned from PT
Effective URL: https://events.gehealthcare.com/product_categories/magnetic-resonance-imaging-ecr-2024/?utm_source=marketo&utm_medium=smartmail&...
Submission: On February 01 via api from PT — Scanned from PT
Form analysis
5 forms found in the DOM<form class="digitalpass-form d-flex">
<img width="20" height="36" class="bubble-button mr-1" src="https://gehccdxcdnprduseafi0101.blob.core.windows.net/events/wp-content/uploads/2022/09/information.svg">
<div class="bubble-popup aos-init aos-animate" data-aos="fade-down" data-aos-duration="700" data-aos-once="true" data-aos-delay="100">
<div class="bubble-close">⨉</div> Log in for limited-access content and to securely engage with our team. It's as simple as an email address. We won't sell your data and you control how we use it. Join us now!
</div>
<button class="ml-1 primary-button smaller-button digitalpass-button adobe-tracking-element" data-analytics-link-name="Login" data-analytics-link-type="Primary navigation" data-analytics-link-title="Header">Login</button>
<!--<input type="email" name="email" placeholder="Enter your email to unlock full access" required /> -->
</form>
<form class="digitalpass-form hidden mr-3">
<img width="20" height="36" class="bubble-button mr-1" src="https://gehccdxcdnprduseafi0101.blob.core.windows.net/events/wp-content/uploads/2022/09/information.svg">
<div class="bubble-popup aos-init aos-animate" data-aos="fade-down" data-aos-duration="700" data-aos-once="true" data-aos-delay="100">
<div class="bubble-close">⨉</div> Log in for limited-access content and to securely engage with our team. It's as simple as an email address. We won't sell your data and you control how we use it. Join us now!
</div>
<button class="ml-1 primary-button smaller-button digitalpass-button adobe-tracking-element" data-analytics-link-name="Login" data-analytics-link-type="Primary navigation" data-analytics-link-title="Header">Login</button>
<!--<input type="email" name="email" placeholder="Enter your email to unlock full access" required /> -->
</form>
<form id="policy-form" class="mt-4">
<div class="d-flex align-items-start">
<label class="checkbox-wrapper" style="padding-top:1px;">
<input type="checkbox" class="policy-checkbox" required="">
</label>
<div class="policies-items">
<div>Product availability <div class="sub"> Not all products and solutions, shown on the GE HealthCare Events Center, may be available in your country. Please contact a GE HealthCare representative to confirm availability. </div>
</div>
</div>
</div>
<div class="d-flex align-items-start mt-3">
<label class="checkbox-wrapper" style="padding-top:1px;">
<input type="checkbox">
</label>
<div class="policies-items grey-box">
<div class="cookie-div">Cookie policy <div class="sub"> We use cookies to improve your browsing experience. Without them, site functionality and content access may be impaired. We don't store or sell your personal data, and only use information
collected in an aggregated and anonymized form.<br> Know more about the <a href="https://www.gehealthcare.com/about/privacy/privacy-policy?showPopup=false" target="_blank" onclick="event.stopPropagation()">GE Privacy policy</a>. <br>
<a class="policy-options">What are my options?</a>
<br>
</div>
</div>
</div>
</div>
<button class="primary-button mt-4" type="submit">Accept</button>
</form>
<form class="mt-3" id="login-form">
<div class="row">
<div class="col-lg-6">
<label> *Email<br>
<input name="email" type="email" placeholder="" required="">
</label>
</div>
<div class="col-lg-6 phone-wrapper">
<label> *Contact number (with country code)<br>
<input name="phone" type="text" placeholder="" autocomplete="phone">
</label>
</div>
<div class="extrainfo">
<div class="row">
<div class="col-lg-12 mb-2">
<div class="extrainfo-title mt-5"> We are unable to locate your information in our systems. Please complete this form to access the site. <b>Upon return visits, you will only need to enter your email to access.</b>
</div>
</div>
<div class="col-lg-6 mt-4">
<label> *Identification<br>
<select name="identification">
<option value="" class="hidden">Select your identifier</option>
<option value="Healthcare Professional">Healthcare Professional</option>
<option value="GE Sales Representative/GE Sales Distributor">GE Sales Representative/GE Sales Distributor</option>
<option value="Other (Media, Investors, Other GE Employees, Other visitors…)">Other (Media, Investors, Other GE Employees, Other visitors…)</option>
</select>
</label>
</div>
<div class="col-lg-12">
<div class="mt-4 mb-2">Please enter your name and where you work?</div>
</div>
<div class="col-lg-6">
<label> *First Name<br>
<input name="name" type="text" placeholder="" autocomplete="name">
</label>
</div>
<div class="col-lg-6">
<label> *Last Name<br>
<input name="surname" type="text" placeholder="" autocomplete="family-name">
</label>
</div>
<div class="col-lg-6">
<label> *Country<br>
<select name="country" class="country-input">
<option code="AF" value="Afghanistan">Afghanistan</option>
<option code="AX" value="Åland Islands">Åland Islands</option>
<option code="AL" value="Albania">Albania</option>
<option code="DZ" value="Algeria">Algeria</option>
<option code="AS" value="American Samoa">American Samoa</option>
<option code="AD" value="Andorra">Andorra</option>
<option code="AO" value="Angola">Angola</option>
<option code="AI" value="Anguilla">Anguilla</option>
<option code="AQ" value="Antarctica">Antarctica</option>
<option code="AG" value="Antigua and Barbuda">Antigua and Barbuda</option>
<option code="AR" value="Argentina">Argentina</option>
<option code="AM" value="Armenia">Armenia</option>
<option code="AW" value="Aruba">Aruba</option>
<option code="AU" value="Australia">Australia</option>
<option code="AT" value="Austria">Austria</option>
<option code="AZ" value="Azerbaijan">Azerbaijan</option>
<option code="BS" value="Bahamas">Bahamas</option>
<option code="BH" value="Bahrain">Bahrain</option>
<option code="BD" value="Bangladesh">Bangladesh</option>
<option code="BB" value="Barbados">Barbados</option>
<option code="BY" value="Belarus">Belarus</option>
<option code="BE" value="Belgium">Belgium</option>
<option code="BZ" value="Belize">Belize</option>
<option code="BJ" value="Benin">Benin</option>
<option code="BM" value="Bermuda">Bermuda</option>
<option code="BT" value="Bhutan">Bhutan</option>
<option code="BO" value="Bolivia">Bolivia</option>
<option code="BA" value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option code="BW" value="Botswana">Botswana</option>
<option code="BV" value="Bouvet Island">Bouvet Island</option>
<option code="BR" value="Brazil">Brazil</option>
<option code="IO" value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option code="BN" value="Brunei Darussalam">Brunei Darussalam</option>
<option code="BG" value="Bulgaria">Bulgaria</option>
<option code="BF" value="Burkina Faso">Burkina Faso</option>
<option code="BI" value="Burundi">Burundi</option>
<option code="KH" value="Cambodia">Cambodia</option>
<option code="CM" value="Cameroon">Cameroon</option>
<option code="CA" value="Canada">Canada</option>
<option code="CV" value="Cape Verde">Cape Verde</option>
<option code="KY" value="Cayman Islands">Cayman Islands</option>
<option code="CF" value="Central African Republic">Central African Republic</option>
<option code="TD" value="Chad">Chad</option>
<option code="CL" value="Chile">Chile</option>
<option code="CN" value="China">China</option>
<option code="CX" value="Christmas Island">Christmas Island</option>
<option code="CC" value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
<option code="CO" value="Colombia">Colombia</option>
<option code="KM" value="Comoros">Comoros</option>
<option code="CG" value="Congo">Congo</option>
<option code="CD" value="Congo, The Democratic Republic of the">Congo, The Democratic Republic of the</option>
<option code="CK" value="Cook Islands">Cook Islands</option>
<option code="CR" value="Costa Rica">Costa Rica</option>
<option code="CI" value="Cote D'Ivoire">Cote D'Ivoire</option>
<option code="HR" value="Croatia">Croatia</option>
<option code="CU" value="Cuba">Cuba</option>
<option code="CY" value="Cyprus">Cyprus</option>
<option code="CZ" value="Czech Republic">Czech Republic</option>
<option code="DK" value="Denmark">Denmark</option>
<option code="DJ" value="Djibouti">Djibouti</option>
<option code="DM" value="Dominica">Dominica</option>
<option code="DO" value="Dominican Republic">Dominican Republic</option>
<option code="EC" value="Ecuador">Ecuador</option>
<option code="EG" value="Egypt">Egypt</option>
<option code="SV" value="El Salvador">El Salvador</option>
<option code="GQ" value="Equatorial Guinea">Equatorial Guinea</option>
<option code="ER" value="Eritrea">Eritrea</option>
<option code="EE" value="Estonia">Estonia</option>
<option code="ET" value="Ethiopia">Ethiopia</option>
<option code="FK" value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option>
<option code="FO" value="Faroe Islands">Faroe Islands</option>
<option code="FJ" value="Fiji">Fiji</option>
<option code="FI" value="Finland">Finland</option>
<option code="FR" value="France">France</option>
<option code="GF" value="French Guiana">French Guiana</option>
<option code="PF" value="French Polynesia">French Polynesia</option>
<option code="TF" value="French Southern Territories">French Southern Territories</option>
<option code="GA" value="Gabon">Gabon</option>
<option code="GM" value="Gambia">Gambia</option>
<option code="GE" value="Georgia">Georgia</option>
<option code="DE" value="Germany">Germany</option>
<option code="GH" value="Ghana">Ghana</option>
<option code="GI" value="Gibraltar">Gibraltar</option>
<option code="GR" value="Greece">Greece</option>
<option code="GL" value="Greenland">Greenland</option>
<option code="GD" value="Grenada">Grenada</option>
<option code="GP" value="Guadeloupe">Guadeloupe</option>
<option code="GU" value="Guam">Guam</option>
<option code="GT" value="Guatemala">Guatemala</option>
<option code="GG" value="Guernsey">Guernsey</option>
<option code="GN" value="Guinea">Guinea</option>
<option code="GW" value="Guinea-Bissau">Guinea-Bissau</option>
<option code="GY" value="Guyana">Guyana</option>
<option code="HT" value="Haiti">Haiti</option>
<option code="HM" value="Heard Island and Mcdonald Islands">Heard Island and Mcdonald Islands</option>
<option code="VA" value="Holy See (Vatican City State)">Holy See (Vatican City State)</option>
<option code="HN" value="Honduras">Honduras</option>
<option code="HK" value="Hong Kong">Hong Kong</option>
<option code="HU" value="Hungary">Hungary</option>
<option code="IS" value="Iceland">Iceland</option>
<option code="IN" value="India">India</option>
<option code="ID" value="Indonesia">Indonesia</option>
<option code="IR" value="Iran, Islamic Republic Of">Iran, Islamic Republic Of</option>
<option code="IQ" value="Iraq">Iraq</option>
<option code="IE" value="Ireland">Ireland</option>
<option code="IM" value="Isle of Man">Isle of Man</option>
<option code="IL" value="Israel">Israel</option>
<option code="IT" value="Italy">Italy</option>
<option code="JM" value="Jamaica">Jamaica</option>
<option code="JP" value="Japan">Japan</option>
<option code="JE" value="Jersey">Jersey</option>
<option code="JO" value="Jordan">Jordan</option>
<option code="KZ" value="Kazakhstan">Kazakhstan</option>
<option code="KE" value="Kenya">Kenya</option>
<option code="KI" value="Kiribati">Kiribati</option>
<option code="KP" value="Korea, Democratic People'S Republic of">Korea, Democratic People'S Republic of</option>
<option code="KR" value="Korea, Republic of">Korea, Republic of</option>
<option code="KW" value="Kuwait">Kuwait</option>
<option code="KG" value="Kyrgyzstan">Kyrgyzstan</option>
<option code="LA" value="Lao People'S Democratic Republic">Lao People'S Democratic Republic</option>
<option code="LV" value="Latvia">Latvia</option>
<option code="LB" value="Lebanon">Lebanon</option>
<option code="LS" value="Lesotho">Lesotho</option>
<option code="LR" value="Liberia">Liberia</option>
<option code="LY" value="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option>
<option code="LI" value="Liechtenstein">Liechtenstein</option>
<option code="LT" value="Lithuania">Lithuania</option>
<option code="LU" value="Luxembourg">Luxembourg</option>
<option code="MO" value="Macao">Macao</option>
<option code="MK" value="Macedonia, The Former Yugoslav Republic of">Macedonia, The Former Yugoslav Republic of</option>
<option code="MG" value="Madagascar">Madagascar</option>
<option code="MW" value="Malawi">Malawi</option>
<option code="MY" value="Malaysia">Malaysia</option>
<option code="MV" value="Maldives">Maldives</option>
<option code="ML" value="Mali">Mali</option>
<option code="MT" value="Malta">Malta</option>
<option code="MH" value="Marshall Islands">Marshall Islands</option>
<option code="MQ" value="Martinique">Martinique</option>
<option code="MR" value="Mauritania">Mauritania</option>
<option code="MU" value="Mauritius">Mauritius</option>
<option code="YT" value="Mayotte">Mayotte</option>
<option code="MX" value="Mexico">Mexico</option>
<option code="FM" value="Micronesia, Federated States of">Micronesia, Federated States of</option>
<option code="MD" value="Moldova, Republic of">Moldova, Republic of</option>
<option code="MC" value="Monaco">Monaco</option>
<option code="MN" value="Mongolia">Mongolia</option>
<option code="MS" value="Montserrat">Montserrat</option>
<option code="MA" value="Morocco">Morocco</option>
<option code="MZ" value="Mozambique">Mozambique</option>
<option code="MM" value="Myanmar">Myanmar</option>
<option code="NA" value="Namibia">Namibia</option>
<option code="NR" value="Nauru">Nauru</option>
<option code="NP" value="Nepal">Nepal</option>
<option code="NL" value="Netherlands">Netherlands</option>
<option code="AN" value="Netherlands Antilles">Netherlands Antilles</option>
<option code="NC" value="New Caledonia">New Caledonia</option>
<option code="NZ" value="New Zealand">New Zealand</option>
<option code="NI" value="Nicaragua">Nicaragua</option>
<option code="NE" value="Niger">Niger</option>
<option code="NG" value="Nigeria">Nigeria</option>
<option code="NU" value="Niue">Niue</option>
<option code="NF" value="Norfolk Island">Norfolk Island</option>
<option code="MP" value="Northern Mariana Islands">Northern Mariana Islands</option>
<option code="NO" value="Norway">Norway</option>
<option code="OM" value="Oman">Oman</option>
<option code="PK" value="Pakistan">Pakistan</option>
<option code="PW" value="Palau">Palau</option>
<option code="PS" value="Palestinian Territory, Occupied">Palestinian Territory, Occupied</option>
<option code="PA" value="Panama">Panama</option>
<option code="PG" value="Papua New Guinea">Papua New Guinea</option>
<option code="PY" value="Paraguay">Paraguay</option>
<option code="PE" value="Peru">Peru</option>
<option code="PH" value="Philippines">Philippines</option>
<option code="PN" value="Pitcairn">Pitcairn</option>
<option code="PL" value="Poland">Poland</option>
<option code="PT" value="Portugal" selected="selected">Portugal</option>
<option code="PR" value="Puerto Rico">Puerto Rico</option>
<option code="QA" value="Qatar">Qatar</option>
<option code="RE" value="Reunion">Reunion</option>
<option code="RO" value="Romania">Romania</option>
<option code="RU" value="Russian Federation">Russian Federation</option>
<option code="RW" value="RWANDA">RWANDA</option>
<option code="SH" value="Saint Helena">Saint Helena</option>
<option code="KN" value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option code="LC" value="Saint Lucia">Saint Lucia</option>
<option code="PM" value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
<option code="VC" value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
<option code="WS" value="Samoa">Samoa</option>
<option code="SM" value="San Marino">San Marino</option>
<option code="ST" value="Sao Tome and Principe">Sao Tome and Principe</option>
<option code="SA" value="Saudi Arabia">Saudi Arabia</option>
<option code="SN" value="Senegal">Senegal</option>
<option code="CS" value="Serbia and Montenegro">Serbia and Montenegro</option>
<option code="SC" value="Seychelles">Seychelles</option>
<option code="SL" value="Sierra Leone">Sierra Leone</option>
<option code="SG" value="Singapore">Singapore</option>
<option code="SK" value="Slovakia">Slovakia</option>
<option code="SI" value="Slovenia">Slovenia</option>
<option code="SB" value="Solomon Islands">Solomon Islands</option>
<option code="SO" value="Somalia">Somalia</option>
<option code="ZA" value="South Africa">South Africa</option>
<option code="GS" value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
<option code="ES" value="Spain">Spain</option>
<option code="LK" value="Sri Lanka">Sri Lanka</option>
<option code="SD" value="Sudan">Sudan</option>
<option code="SR" value="Suriname">Suriname</option>
<option code="SJ" value="Svalbard and Jan Mayen">Svalbard and Jan Mayen</option>
<option code="SZ" value="Swaziland">Swaziland</option>
<option code="SE" value="Sweden">Sweden</option>
<option code="CH" value="Switzerland">Switzerland</option>
<option code="SY" value="Syrian Arab Republic">Syrian Arab Republic</option>
<option code="TW" value="Taiwan, Province of China">Taiwan, Province of China</option>
<option code="TJ" value="Tajikistan">Tajikistan</option>
<option code="TZ" value="Tanzania, United Republic of">Tanzania, United Republic of</option>
<option code="TH" value="Thailand">Thailand</option>
<option code="TL" value="Timor-Leste">Timor-Leste</option>
<option code="TG" value="Togo">Togo</option>
<option code="TK" value="Tokelau">Tokelau</option>
<option code="TO" value="Tonga">Tonga</option>
<option code="TT" value="Trinidad and Tobago">Trinidad and Tobago</option>
<option code="TN" value="Tunisia">Tunisia</option>
<option code="TR" value="Turkey">Turkey</option>
<option code="TM" value="Turkmenistan">Turkmenistan</option>
<option code="TC" value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option code="TV" value="Tuvalu">Tuvalu</option>
<option code="UG" value="Uganda">Uganda</option>
<option code="UA" value="Ukraine">Ukraine</option>
<option code="AE" value="United Arab Emirates">United Arab Emirates</option>
<option code="GB" value="United Kingdom">United Kingdom</option>
<option code="US" value="United States">United States</option>
<option code="UM" value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>
<option code="UY" value="Uruguay">Uruguay</option>
<option code="UZ" value="Uzbekistan">Uzbekistan</option>
<option code="VU" value="Vanuatu">Vanuatu</option>
<option code="VE" value="Venezuela">Venezuela</option>
<option code="VN" value="Vietnam">Vietnam</option>
<option code="VG" value="Virgin Islands, British">Virgin Islands, British</option>
<option code="VI" value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>
<option code="WF" value="Wallis and Futuna">Wallis and Futuna</option>
<option code="EH" value="Western Sahara">Western Sahara</option>
<option code="YE" value="Yemen">Yemen</option>
<option code="ZM" value="Zambia">Zambia</option>
<option code="ZW" value="Zimbabwe">Zimbabwe</option>
</select>
</label>
</div>
<div class="col-lg-6">
<label> *Zip/Postal Code<br>
<input name="postal-code" type="text" placeholder="" autocomplete="postal-code">
</label>
</div>
<div class="col-lg-6">
<label> *Company/Facility name<br>
<input name="company" type="text" placeholder="" autocomplete="organization">
</label>
</div>
<div class="col-lg-6">
<label> *Job Title<br>
<input name="job" type="text" placeholder="" autocomplete="organization-title">
</label>
</div>
<div class="col-12 mt-4">
<label class="checkbox-wrapper">
<input type="checkbox" name="service" class="service-checkbox">
<div class="checkbox-text">
<div class="subtitle">By clicking here, you are agreeing to receive marketing emails, newsletters and other promotional communications from GE HealthCare from time to time. <br><br> You have a right to withdraw your consent at any time,
by clicking <a href="https://landing1.gehealthcare.com/UnsubscribePage.html" target="_blank">here</a> We may still continue to send you service-related and other non-promotional communications. For more information relating to our
privacy practices, we invite you to review our Privacy Policy at : <a href="https://www.gehealthcare.com/about/privacy/privacy-policy" target="_blank">https://www.gehealthcare.com/about/privacy/privacy-policy</a></div>
</div>
</label>
</div>
</div>
</div>
<div class="col-12 mt-3 mb-4">
<button type="submit" class="primary-button login-button">Continue</button>
</div>
<div class="col-12 disclaimer"> Required fields are marked with an asterisk (*). For conference information, or attendee support, please <a target="_blank" href="https://www.gehealthcare.com/about/contact-us">contact us</a>
</div>
</div>
</form>
<form id="login-form" class="contact-form">
<div class="title mb-3">We’re ready to support you.</div>
<div class="row">
<div class="col-12">
<!--<div class="d-flex mb-4">
<label class="radio-wrapper">
<input type="radio" value="Request info" name="radio" id="radio1" checked />
<div>Request info</div>
</label>
<label class="radio-wrapper">
<input type="radio" value="Book a demo" name="radio" id="radio2" required />
<div>Book a demo</div>
</label>
</div> -->
<label> *Message<br>
<textarea id="message" name="message" placeholder="I'd like to know more about..." required=""></textarea>
</label>
<div class="contact-title mt-3 mb-3"> Please enter your email. <div class="sub">Your privacy matters, learn about our <a href="https://www.gehealthcare.com/about/privacy/privacy-policy?showPopup=false" target="_blank">privacy policy</a>.</div>
</div>
</div>
</div>
<div class="row">
<div class="col-lg-6">
<label> *Email<br>
<input name="email" type="email" placeholder="" required="">
</label>
</div>
<div class="col-lg-6 phone-wrapper">
<label> *Contact number (with country code)<br>
<input name="phone" type="text" placeholder="" autocomplete="phone">
</label>
</div>
<div class="extrainfo">
<div class="row">
<div class="col-lg-12 mb-2">
<div class="extrainfo-title mt-5"> We are unable to locate your information in our systems. Please complete this form to access the site. <b>Upon return visits, you will only need to enter your email to access.</b>
</div>
</div>
<div class="col-lg-6 mt-4">
<label> *Identification<br>
<select name="identification">
<option value="" class="hidden">Select your identifier</option>
<option value="Healthcare Professional">Healthcare Professional</option>
<option value="GE Sales Representative/GE Sales Distributor">GE Sales Representative/GE Sales Distributor</option>
<option value="Other (Media, Investors, Other GE Employees, Other visitors…)">Other (Media, Investors, Other GE Employees, Other visitors…)</option>
</select>
</label>
</div>
<div class="col-lg-12">
<div class="mt-4 mb-2">Please enter your name and where you work?</div>
</div>
<div class="col-lg-6">
<label> *First Name<br>
<input name="name" type="text" placeholder="" autocomplete="name">
</label>
</div>
<div class="col-lg-6">
<label> *Last Name<br>
<input name="surname" type="text" placeholder="" autocomplete="family-name">
</label>
</div>
<div class="col-lg-6">
<label> *Country<br>
<select name="country" class="country-input">
<option code="AF" value="Afghanistan">Afghanistan</option>
<option code="AX" value="Åland Islands">Åland Islands</option>
<option code="AL" value="Albania">Albania</option>
<option code="DZ" value="Algeria">Algeria</option>
<option code="AS" value="American Samoa">American Samoa</option>
<option code="AD" value="Andorra">Andorra</option>
<option code="AO" value="Angola">Angola</option>
<option code="AI" value="Anguilla">Anguilla</option>
<option code="AQ" value="Antarctica">Antarctica</option>
<option code="AG" value="Antigua and Barbuda">Antigua and Barbuda</option>
<option code="AR" value="Argentina">Argentina</option>
<option code="AM" value="Armenia">Armenia</option>
<option code="AW" value="Aruba">Aruba</option>
<option code="AU" value="Australia">Australia</option>
<option code="AT" value="Austria">Austria</option>
<option code="AZ" value="Azerbaijan">Azerbaijan</option>
<option code="BS" value="Bahamas">Bahamas</option>
<option code="BH" value="Bahrain">Bahrain</option>
<option code="BD" value="Bangladesh">Bangladesh</option>
<option code="BB" value="Barbados">Barbados</option>
<option code="BY" value="Belarus">Belarus</option>
<option code="BE" value="Belgium">Belgium</option>
<option code="BZ" value="Belize">Belize</option>
<option code="BJ" value="Benin">Benin</option>
<option code="BM" value="Bermuda">Bermuda</option>
<option code="BT" value="Bhutan">Bhutan</option>
<option code="BO" value="Bolivia">Bolivia</option>
<option code="BA" value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option code="BW" value="Botswana">Botswana</option>
<option code="BV" value="Bouvet Island">Bouvet Island</option>
<option code="BR" value="Brazil">Brazil</option>
<option code="IO" value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option code="BN" value="Brunei Darussalam">Brunei Darussalam</option>
<option code="BG" value="Bulgaria">Bulgaria</option>
<option code="BF" value="Burkina Faso">Burkina Faso</option>
<option code="BI" value="Burundi">Burundi</option>
<option code="KH" value="Cambodia">Cambodia</option>
<option code="CM" value="Cameroon">Cameroon</option>
<option code="CA" value="Canada">Canada</option>
<option code="CV" value="Cape Verde">Cape Verde</option>
<option code="KY" value="Cayman Islands">Cayman Islands</option>
<option code="CF" value="Central African Republic">Central African Republic</option>
<option code="TD" value="Chad">Chad</option>
<option code="CL" value="Chile">Chile</option>
<option code="CN" value="China">China</option>
<option code="CX" value="Christmas Island">Christmas Island</option>
<option code="CC" value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
<option code="CO" value="Colombia">Colombia</option>
<option code="KM" value="Comoros">Comoros</option>
<option code="CG" value="Congo">Congo</option>
<option code="CD" value="Congo, The Democratic Republic of the">Congo, The Democratic Republic of the</option>
<option code="CK" value="Cook Islands">Cook Islands</option>
<option code="CR" value="Costa Rica">Costa Rica</option>
<option code="CI" value="Cote D'Ivoire">Cote D'Ivoire</option>
<option code="HR" value="Croatia">Croatia</option>
<option code="CU" value="Cuba">Cuba</option>
<option code="CY" value="Cyprus">Cyprus</option>
<option code="CZ" value="Czech Republic">Czech Republic</option>
<option code="DK" value="Denmark">Denmark</option>
<option code="DJ" value="Djibouti">Djibouti</option>
<option code="DM" value="Dominica">Dominica</option>
<option code="DO" value="Dominican Republic">Dominican Republic</option>
<option code="EC" value="Ecuador">Ecuador</option>
<option code="EG" value="Egypt">Egypt</option>
<option code="SV" value="El Salvador">El Salvador</option>
<option code="GQ" value="Equatorial Guinea">Equatorial Guinea</option>
<option code="ER" value="Eritrea">Eritrea</option>
<option code="EE" value="Estonia">Estonia</option>
<option code="ET" value="Ethiopia">Ethiopia</option>
<option code="FK" value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option>
<option code="FO" value="Faroe Islands">Faroe Islands</option>
<option code="FJ" value="Fiji">Fiji</option>
<option code="FI" value="Finland">Finland</option>
<option code="FR" value="France">France</option>
<option code="GF" value="French Guiana">French Guiana</option>
<option code="PF" value="French Polynesia">French Polynesia</option>
<option code="TF" value="French Southern Territories">French Southern Territories</option>
<option code="GA" value="Gabon">Gabon</option>
<option code="GM" value="Gambia">Gambia</option>
<option code="GE" value="Georgia">Georgia</option>
<option code="DE" value="Germany">Germany</option>
<option code="GH" value="Ghana">Ghana</option>
<option code="GI" value="Gibraltar">Gibraltar</option>
<option code="GR" value="Greece">Greece</option>
<option code="GL" value="Greenland">Greenland</option>
<option code="GD" value="Grenada">Grenada</option>
<option code="GP" value="Guadeloupe">Guadeloupe</option>
<option code="GU" value="Guam">Guam</option>
<option code="GT" value="Guatemala">Guatemala</option>
<option code="GG" value="Guernsey">Guernsey</option>
<option code="GN" value="Guinea">Guinea</option>
<option code="GW" value="Guinea-Bissau">Guinea-Bissau</option>
<option code="GY" value="Guyana">Guyana</option>
<option code="HT" value="Haiti">Haiti</option>
<option code="HM" value="Heard Island and Mcdonald Islands">Heard Island and Mcdonald Islands</option>
<option code="VA" value="Holy See (Vatican City State)">Holy See (Vatican City State)</option>
<option code="HN" value="Honduras">Honduras</option>
<option code="HK" value="Hong Kong">Hong Kong</option>
<option code="HU" value="Hungary">Hungary</option>
<option code="IS" value="Iceland">Iceland</option>
<option code="IN" value="India">India</option>
<option code="ID" value="Indonesia">Indonesia</option>
<option code="IR" value="Iran, Islamic Republic Of">Iran, Islamic Republic Of</option>
<option code="IQ" value="Iraq">Iraq</option>
<option code="IE" value="Ireland">Ireland</option>
<option code="IM" value="Isle of Man">Isle of Man</option>
<option code="IL" value="Israel">Israel</option>
<option code="IT" value="Italy">Italy</option>
<option code="JM" value="Jamaica">Jamaica</option>
<option code="JP" value="Japan">Japan</option>
<option code="JE" value="Jersey">Jersey</option>
<option code="JO" value="Jordan">Jordan</option>
<option code="KZ" value="Kazakhstan">Kazakhstan</option>
<option code="KE" value="Kenya">Kenya</option>
<option code="KI" value="Kiribati">Kiribati</option>
<option code="KP" value="Korea, Democratic People'S Republic of">Korea, Democratic People'S Republic of</option>
<option code="KR" value="Korea, Republic of">Korea, Republic of</option>
<option code="KW" value="Kuwait">Kuwait</option>
<option code="KG" value="Kyrgyzstan">Kyrgyzstan</option>
<option code="LA" value="Lao People'S Democratic Republic">Lao People'S Democratic Republic</option>
<option code="LV" value="Latvia">Latvia</option>
<option code="LB" value="Lebanon">Lebanon</option>
<option code="LS" value="Lesotho">Lesotho</option>
<option code="LR" value="Liberia">Liberia</option>
<option code="LY" value="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option>
<option code="LI" value="Liechtenstein">Liechtenstein</option>
<option code="LT" value="Lithuania">Lithuania</option>
<option code="LU" value="Luxembourg">Luxembourg</option>
<option code="MO" value="Macao">Macao</option>
<option code="MK" value="Macedonia, The Former Yugoslav Republic of">Macedonia, The Former Yugoslav Republic of</option>
<option code="MG" value="Madagascar">Madagascar</option>
<option code="MW" value="Malawi">Malawi</option>
<option code="MY" value="Malaysia">Malaysia</option>
<option code="MV" value="Maldives">Maldives</option>
<option code="ML" value="Mali">Mali</option>
<option code="MT" value="Malta">Malta</option>
<option code="MH" value="Marshall Islands">Marshall Islands</option>
<option code="MQ" value="Martinique">Martinique</option>
<option code="MR" value="Mauritania">Mauritania</option>
<option code="MU" value="Mauritius">Mauritius</option>
<option code="YT" value="Mayotte">Mayotte</option>
<option code="MX" value="Mexico">Mexico</option>
<option code="FM" value="Micronesia, Federated States of">Micronesia, Federated States of</option>
<option code="MD" value="Moldova, Republic of">Moldova, Republic of</option>
<option code="MC" value="Monaco">Monaco</option>
<option code="MN" value="Mongolia">Mongolia</option>
<option code="MS" value="Montserrat">Montserrat</option>
<option code="MA" value="Morocco">Morocco</option>
<option code="MZ" value="Mozambique">Mozambique</option>
<option code="MM" value="Myanmar">Myanmar</option>
<option code="NA" value="Namibia">Namibia</option>
<option code="NR" value="Nauru">Nauru</option>
<option code="NP" value="Nepal">Nepal</option>
<option code="NL" value="Netherlands">Netherlands</option>
<option code="AN" value="Netherlands Antilles">Netherlands Antilles</option>
<option code="NC" value="New Caledonia">New Caledonia</option>
<option code="NZ" value="New Zealand">New Zealand</option>
<option code="NI" value="Nicaragua">Nicaragua</option>
<option code="NE" value="Niger">Niger</option>
<option code="NG" value="Nigeria">Nigeria</option>
<option code="NU" value="Niue">Niue</option>
<option code="NF" value="Norfolk Island">Norfolk Island</option>
<option code="MP" value="Northern Mariana Islands">Northern Mariana Islands</option>
<option code="NO" value="Norway">Norway</option>
<option code="OM" value="Oman">Oman</option>
<option code="PK" value="Pakistan">Pakistan</option>
<option code="PW" value="Palau">Palau</option>
<option code="PS" value="Palestinian Territory, Occupied">Palestinian Territory, Occupied</option>
<option code="PA" value="Panama">Panama</option>
<option code="PG" value="Papua New Guinea">Papua New Guinea</option>
<option code="PY" value="Paraguay">Paraguay</option>
<option code="PE" value="Peru">Peru</option>
<option code="PH" value="Philippines">Philippines</option>
<option code="PN" value="Pitcairn">Pitcairn</option>
<option code="PL" value="Poland">Poland</option>
<option code="PT" value="Portugal" selected="selected">Portugal</option>
<option code="PR" value="Puerto Rico">Puerto Rico</option>
<option code="QA" value="Qatar">Qatar</option>
<option code="RE" value="Reunion">Reunion</option>
<option code="RO" value="Romania">Romania</option>
<option code="RU" value="Russian Federation">Russian Federation</option>
<option code="RW" value="RWANDA">RWANDA</option>
<option code="SH" value="Saint Helena">Saint Helena</option>
<option code="KN" value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option code="LC" value="Saint Lucia">Saint Lucia</option>
<option code="PM" value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
<option code="VC" value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
<option code="WS" value="Samoa">Samoa</option>
<option code="SM" value="San Marino">San Marino</option>
<option code="ST" value="Sao Tome and Principe">Sao Tome and Principe</option>
<option code="SA" value="Saudi Arabia">Saudi Arabia</option>
<option code="SN" value="Senegal">Senegal</option>
<option code="CS" value="Serbia and Montenegro">Serbia and Montenegro</option>
<option code="SC" value="Seychelles">Seychelles</option>
<option code="SL" value="Sierra Leone">Sierra Leone</option>
<option code="SG" value="Singapore">Singapore</option>
<option code="SK" value="Slovakia">Slovakia</option>
<option code="SI" value="Slovenia">Slovenia</option>
<option code="SB" value="Solomon Islands">Solomon Islands</option>
<option code="SO" value="Somalia">Somalia</option>
<option code="ZA" value="South Africa">South Africa</option>
<option code="GS" value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
<option code="ES" value="Spain">Spain</option>
<option code="LK" value="Sri Lanka">Sri Lanka</option>
<option code="SD" value="Sudan">Sudan</option>
<option code="SR" value="Suriname">Suriname</option>
<option code="SJ" value="Svalbard and Jan Mayen">Svalbard and Jan Mayen</option>
<option code="SZ" value="Swaziland">Swaziland</option>
<option code="SE" value="Sweden">Sweden</option>
<option code="CH" value="Switzerland">Switzerland</option>
<option code="SY" value="Syrian Arab Republic">Syrian Arab Republic</option>
<option code="TW" value="Taiwan, Province of China">Taiwan, Province of China</option>
<option code="TJ" value="Tajikistan">Tajikistan</option>
<option code="TZ" value="Tanzania, United Republic of">Tanzania, United Republic of</option>
<option code="TH" value="Thailand">Thailand</option>
<option code="TL" value="Timor-Leste">Timor-Leste</option>
<option code="TG" value="Togo">Togo</option>
<option code="TK" value="Tokelau">Tokelau</option>
<option code="TO" value="Tonga">Tonga</option>
<option code="TT" value="Trinidad and Tobago">Trinidad and Tobago</option>
<option code="TN" value="Tunisia">Tunisia</option>
<option code="TR" value="Turkey">Turkey</option>
<option code="TM" value="Turkmenistan">Turkmenistan</option>
<option code="TC" value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option code="TV" value="Tuvalu">Tuvalu</option>
<option code="UG" value="Uganda">Uganda</option>
<option code="UA" value="Ukraine">Ukraine</option>
<option code="AE" value="United Arab Emirates">United Arab Emirates</option>
<option code="GB" value="United Kingdom">United Kingdom</option>
<option code="US" value="United States">United States</option>
<option code="UM" value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>
<option code="UY" value="Uruguay">Uruguay</option>
<option code="UZ" value="Uzbekistan">Uzbekistan</option>
<option code="VU" value="Vanuatu">Vanuatu</option>
<option code="VE" value="Venezuela">Venezuela</option>
<option code="VN" value="Vietnam">Vietnam</option>
<option code="VG" value="Virgin Islands, British">Virgin Islands, British</option>
<option code="VI" value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>
<option code="WF" value="Wallis and Futuna">Wallis and Futuna</option>
<option code="EH" value="Western Sahara">Western Sahara</option>
<option code="YE" value="Yemen">Yemen</option>
<option code="ZM" value="Zambia">Zambia</option>
<option code="ZW" value="Zimbabwe">Zimbabwe</option>
</select>
</label>
</div>
<div class="col-lg-6">
<label> *Zip/Postal Code<br>
<input name="postal-code" type="text" placeholder="" autocomplete="postal-code">
</label>
</div>
<div class="col-lg-6">
<label> *Company/Facility name<br>
<input name="company" type="text" placeholder="" autocomplete="organization">
</label>
</div>
<div class="col-lg-6">
<label> *Job Title<br>
<input name="job" type="text" placeholder="" autocomplete="organization-title">
</label>
</div>
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LIVE BROADCAST UNDERWAY JOIN All Events Innovation Theater Welcome ! ⨉ Log in for limited-access content and to securely engage with our team. It's as simple as an email address. We won't sell your data and you control how we use it. Join us now! Login ⨉ Welcome ! RSNA 2023 Resources News and Announcements Contact us Log Out New products & solutions Innovation Theater Welcome ! ⨉ Log in for limited-access content and to securely engage with our team. It's as simple as an email address. We won't sell your data and you control how we use it. Join us now! Login MAGNETIC RESONANCE IMAGING Our SIGNA™ MRI family of scanners, MR applications, AIR™ and beyond redefine MR. <Back to Event Request more info Learn more NEW PRODUCTS AND SOLUTIONS Our latest evolutions streamline workflows; advance precision diagnostics and therapeutics; improve patient access, capacity, and outcomes; and increase sustainability. Sonic DL™ Shift the paradigm of acceleration in MR imaging with Sonic DL™. 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