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Submitted URL: https://app.go.informamail07.com/e/er?s=1885539667&lid=161366&elqTrackId=02F049610C153649A484C1CABCF4D1D1&elq=24fd155c19b04a3e9e0...
Effective URL: https://technology.informaengage.com/get-notified-cfls-2023?code=email-cplv23-12202022
Submission Tags: falconsandbox
Submission: On December 19 via api from US — Scanned from DE
Effective URL: https://technology.informaengage.com/get-notified-cfls-2023?code=email-cplv23-12202022
Submission Tags: falconsandbox
Submission: On December 19 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
Name: CP_Promo_MSPSCPLS2023GetNotified_TS_JoR_08220222 — POST https://s1885539667.t.eloqua.com/e/f2?LP=4431
<form method="post" name="CP_Promo_MSPSCPLS2023GetNotified_TS_JoR_08220222" action="https://s1885539667.t.eloqua.com/e/f2?LP=4431" onsubmit="return handleFormSubmit(this)" id="form4295" class="elq-form"><button type="button" class="reset-form"
style="padding-left: 25px; background: none; border: none; margin-bottom: 10px;"><span class="not-you-text">Not You?</span> <span class="reset-form-text" style="text-decoration: underline; cursor: pointer;">Reset Form</span></button><input
value="CP_Promo_MSPSCPLS2023GetNotified_TS_JoR_08220222" type="hidden" name="elqFormName"><input value="1885539667" type="hidden" name="elqSiteId"><input name="elqCampaignId" type="hidden">
<div class="layout container-fluid">
<div class="row">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement0" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe149637">Business Email Address<span class="elq-required">*</span></label></div>
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div class="field-control-wrapper"><input type="text" class="elq-item-input" name="C_EmailAddress" id="fe149637" value="" style="width:100%;"></div>
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<div class="row">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement1" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe149638">First Name<span class="elq-required">*</span></label></div>
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div class="field-control-wrapper"><input type="text" class="elq-item-input" name="C_FirstName" id="fe149638" value="" style="width:100%;"></div>
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<div class="row">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement2" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe149639">Last Name<span class="elq-required">*</span></label></div>
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div class="field-control-wrapper"><input type="text" class="elq-item-input" name="C_LastName" id="fe149639" value="" style="width:100%;"></div>
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<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement3" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe149640">Company<span class="elq-required">*</span></label></div>
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div class="field-control-wrapper"><input type="text" class="elq-item-input" name="C_Company" id="fe149640" value="" style="width:100%;"></div>
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<div class="row">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement4" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe149641">Address 1<span class="elq-required">*</span></label></div>
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div class="field-control-wrapper"><input type="text" class="elq-item-input" name="C_Address1" id="fe149641" value="" style="width:100%;"></div>
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<div id="formElement5" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe149642">Address 2</label></div>
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div class="field-control-wrapper"><input type="text" class="elq-item-input" name="C_Address2" id="fe149642" value="" style="width:100%;"></div>
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<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement6" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe149643">City<span class="elq-required">*</span></label></div>
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div class="field-control-wrapper"><input type="text" class="elq-item-input" name="C_City" id="fe149643" value="" style="width:100%;"></div>
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<div class="row">
<div class="grid-layout-col" style="display: none;">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement7" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe149644">State or Province<span class="elq-required">*</span></label></div>
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div class="field-control-wrapper"><select class="elq-item-select" id="fe149644" name="C_State_Prov" style="width:100%;" data-value="">
<option value="">Please Select...</option>
<option value="Outside the US or Canada">Outside the US or Canada</option>
<option value="AK">Alaska</option>
<option value="AL">Alabama</option>
<option value="AR">Arkansas</option>
<option value="AS">American Samoa</option>
<option value="AZ">Arizona</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DC">D.C.</option>
<option value="DE">Delaware</option>
<option value="FL">Florida</option>
<option value="FM">Micronesia</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="IA">Iowa</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="MA">Massachusetts</option>
<option value="MD">Maryland</option>
<option value="ME">Maine</option>
<option value="MH">Marshall Islands</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MO">Missouri</option>
<option value="MP">Marianas</option>
<option value="MS">Mississippi</option>
<option value="MT">Montana</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="NE">Nebraska</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NV">Nevada</option>
<option value="NY">New York</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="PW">Palau</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="VA">Virginia</option>
<option value="VI">Virgin Islands</option>
<option value="VT">Vermont</option>
<option value="WA">Washington</option>
<option value="WI">Wisconsin</option>
<option value="WV">West Virginia</option>
<option value="WY">Wyoming</option>
<option value="AA">Military Americas</option>
<option value="AE">Military Europe/ME/Canada</option>
<option value="AP">Military Pacific</option>
<option value="AB">Alberta</option>
<option value="MB">Manitoba</option>
<option value="BC">British Columbia</option>
<option value="NB">New Brunswick</option>
<option value="NL">Newfoundland and Labrador</option>
<option value="NS">Nova Scotia</option>
<option value="NT">Northwest Territories</option>
<option value="NU">Nunavut</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>
<option value="MQ">Midway Atoll</option>
<option value="WQ">Wake Island</option>
<option value="JQ">Johnston Atoll</option>
<option value="KQ">Kingman Reef</option>
<option value="LQ">Palmyra Atoll</option>
<option value="HQ">Howland Island</option>
<option value="FQ">Baker Island</option>
<option value="DQ">Jarvis Island</option>
<option value="BQ">Navassa Island</option>
<option value="BajoNuevoBank">Bajo Nuevo Bank</option>
<option value="SerranillaBank">Serranilla Bank</option>
</select></div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement8" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe149645">Zip or Postal Code<span class="elq-required">*</span></label></div>
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div class="field-control-wrapper"><input type="text" class="elq-item-input" name="C_Zip_Postal" id="fe149645" value="" style="width:100%;"></div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement9" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe149646">Country<span class="elq-required">*</span></label></div>
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div class="field-control-wrapper"><select class="elq-item-select" id="fe149646" name="C_Country" style="width:100%;" data-value="">
<option value="">Please select</option>
<option value="United States">United States</option>
<option value="United Kingdom">United Kingdom</option>
<option value="Canada">Canada</option>
<option value="India">India</option>
<option value="Netherlands">Netherlands</option>
<option value="Australia">Australia</option>
<option value="South Africa">South Africa</option>
<option value="France">France</option>
<option value="Germany">Germany</option>
<option value="Singapore">Singapore</option>
<option value="Sweden">Sweden</option>
<option value="Brazil">Brazil</option>
<option value="">--------------</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Aland Islands">Aland Islands</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brit/Indian Ocean Terr.">Brit/Indian Ocean Terr.</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo, The Dem. Republic Of">Congo, The Dem. Republic Of</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Côte d'Ivoire">Côte d'Ivoire</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands">Falkland Islands</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Terr.">French Southern Terr.</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard/McDonald Isls.">Heard/McDonald Isls.</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong, S.A.R., China">Hong Kong, S.A.R., China</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea (North)">Korea (North)</option>
<option value="Korea (South)">Korea (South)</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Laos">Laos</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macau, S.A.R., China">Macau, S.A.R., China</option>
<option value="Macedonia">Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia">Micronesia</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="N. Mariana Isls.">N. Mariana Isls.</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands Antilles">Netherlands Antilles</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestinian Territory, Occupied">Palestinian Territory, Occupied</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Reunion">Reunion</option>
<option value="Romania">Romania</option>
<option value="Russian Federation">Russian Federation</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome/Principe">Sao Tome/Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia and Montenegro">Serbia and Montenegro</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Slovak Republic">Slovak Republic</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="St. Helena">St. Helena</option>
<option value="St. Pierre and Miquelon">St. Pierre and Miquelon</option>
<option value="St. Vincent and Grenadines">St. Vincent and Grenadines</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard/Jan Mayen Isls.">Svalbard/Jan Mayen Isls.</option>
<option value="Swaziland">Swaziland</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syria</option>
<option value="Taiwan, China">Taiwan, China</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Timor-Leste">Timor-Leste</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks/Caicos Isls.">Turks/Caicos Isls.</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="US Minor Outlying Is.">US Minor Outlying Is.</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Vatican City">Vatican City</option>
<option value="Venezuela">Venezuela</option>
<option value="Viet Nam">Viet Nam</option>
<option value="Virgin Islands (British)">Virgin Islands (British)</option>
<option value="Virgin Islands (U.S.)">Virgin Islands (U.S.)</option>
<option value="Wallis/Futuna Isls.">Wallis/Futuna Isls.</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
</select></div>
</div>
</div>
</div>
</div>
</div>
</div>
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<div class="row">
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