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2 forms found in the DOM

<form>
  <div class="fullForm">
    <input required="" type="text" name="name" placeholder="Full Name">
    <input required="" type="email" name="email" placeholder="E-Mail Address">
    <input required="" type="text" name="subject" autocomplete="off" placeholder="Subject">
    <input type="hidden" name="formId" value="1">
    <textarea required="" name="message" rows="6" placeholder="Your message here..."></textarea>
  </div>
  <div class="buttons">
    <button type="submit" class="popButton">Send Message</button>
  </div>
</form>

<form>
  <div class="fullForm">
    <input required="" type="text" name="name" autocomplete="off" placeholder="Full Name">
    <input required="" type="email" name="email" autocomplete="off" placeholder="E-Mail Address">
    <input required="" type="text" name="subject" autocomplete="off" placeholder="Subject">
    <textarea name="claimed" required="" rows="6" placeholder="Please enter the URL(s) of the materials claimed to be infringing or to be the subject of infringing activity"></textarea>
    <textarea name="description" required="" rows="6" placeholder="Provide a detailed description of the original work"></textarea>
    <input required="" type="text" name="company" autocomplete="off" placeholder="Company">
    <input required="" type="text" name="address" autocomplete="off" placeholder="Street Address">
    <input required="" type="text" name="state" autocomplete="off" placeholder="State">
    <input required="" type="text" name="postalCode" autocomplete="off" placeholder="Postal Code">
    <select required="" name="country">
      <option value="0">Select Country</option>
      <option value="AF">Afghanistan</option>
      <option value="AL">Albania</option>
      <option value="DZ">Algeria</option>
      <option value="AS">American Samoa</option>
      <option value="AD">Andorra</option>
      <option value="AO">Angola</option>
      <option value="AI">Anguilla</option>
      <option value="AQ">Antarctica</option>
      <option value="AG">Antigua and Barbuda</option>
      <option value="AR">Argentina</option>
      <option value="AM">Armenia</option>
      <option value="AW">Aruba</option>
      <option value="AU">Australia</option>
      <option value="AT">Austria</option>
      <option value="AZ">Azerbaijan</option>
      <option value="BS">Bahamas</option>
      <option value="BH">Bahrain</option>
      <option value="BD">Bangladesh</option>
      <option value="BB">Barbados</option>
      <option value="BY">Belarus</option>
      <option value="BE">Belgium</option>
      <option value="BZ">Belize</option>
      <option value="BJ">Benin</option>
      <option value="BM">Bermuda</option>
      <option value="BT">Bhutan</option>
      <option value="BO">Bolivia, Plurinational State of</option>
      <option value="BQ">Bonaire, Sint Eustatius and Saba</option>
      <option value="BA">Bosnia and Herzegovina</option>
      <option value="BW">Botswana</option>
      <option value="BV">Bouvet Island</option>
      <option value="BR">Brazil</option>
      <option value="IO">British Indian Ocean Territory</option>
      <option value="BN">Brunei Darussalam</option>
      <option value="BG">Bulgaria</option>
      <option value="BF">Burkina Faso</option>
      <option value="BI">Burundi</option>
      <option value="KH">Cambodia</option>
      <option value="CM">Cameroon</option>
      <option value="CA">Canada</option>
      <option value="CV">Cape Verde</option>
      <option value="KY">Cayman Islands</option>
      <option value="CF">Central African Republic</option>
      <option value="TD">Chad</option>
      <option value="CL">Chile</option>
      <option value="CN">China</option>
      <option value="CX">Christmas Island</option>
      <option value="CC">Cocos (Keeling) Islands</option>
      <option value="CO">Colombia</option>
      <option value="KM">Comoros</option>
      <option value="CG">Congo</option>
      <option value="CD">Congo, the Democratic Republic of the</option>
      <option value="CK">Cook Islands</option>
      <option value="CR">Costa Rica</option>
      <option value="CI">Côte d'Ivoire</option>
      <option value="HR">Croatia</option>
      <option value="CU">Cuba</option>
      <option value="CW">Curaçao</option>
      <option value="CY">Cyprus</option>
      <option value="CZ">Czech Republic</option>
      <option value="DK">Denmark</option>
      <option value="DJ">Djibouti</option>
      <option value="DM">Dominica</option>
      <option value="DO">Dominican Republic</option>
      <option value="EC">Ecuador</option>
      <option value="EG">Egypt</option>
      <option value="SV">El Salvador</option>
      <option value="GQ">Equatorial Guinea</option>
      <option value="ER">Eritrea</option>
      <option value="EE">Estonia</option>
      <option value="ET">Ethiopia</option>
      <option value="FK">Falkland Islands (Malvinas)</option>
      <option value="FO">Faroe Islands</option>
      <option value="FJ">Fiji</option>
      <option value="FI">Finland</option>
      <option value="FR">France</option>
      <option value="GF">French Guiana</option>
      <option value="PF">French Polynesia</option>
      <option value="TF">French Southern Territories</option>
      <option value="GA">Gabon</option>
      <option value="GM">Gambia</option>
      <option value="GE">Georgia</option>
      <option value="DE">Germany</option>
      <option value="GH">Ghana</option>
      <option value="GI">Gibraltar</option>
      <option value="GR">Greece</option>
      <option value="GL">Greenland</option>
      <option value="GD">Grenada</option>
      <option value="GP">Guadeloupe</option>
      <option value="GU">Guam</option>
      <option value="GT">Guatemala</option>
      <option value="GG">Guernsey</option>
      <option value="GN">Guinea</option>
      <option value="GW">Guinea-Bissau</option>
      <option value="GY">Guyana</option>
      <option value="HT">Haiti</option>
      <option value="HM">Heard Island and McDonald Islands</option>
      <option value="VA">Holy See (Vatican City State)</option>
      <option value="HN">Honduras</option>
      <option value="HK">Hong Kong</option>
      <option value="HU">Hungary</option>
      <option value="IS">Iceland</option>
      <option value="IN">India</option>
      <option value="ID">Indonesia</option>
      <option value="IR">Iran, Islamic Republic of</option>
      <option value="IQ">Iraq</option>
      <option value="IE">Ireland</option>
      <option value="IM">Isle of Man</option>
      <option value="IL">Israel</option>
      <option value="IT">Italy</option>
      <option value="JM">Jamaica</option>
      <option value="JP">Japan</option>
      <option value="JE">Jersey</option>
      <option value="JO">Jordan</option>
      <option value="KZ">Kazakhstan</option>
      <option value="KE">Kenya</option>
      <option value="KI">Kiribati</option>
      <option value="KP">Korea, Democratic People's Republic of</option>
      <option value="KR">Korea, Republic of</option>
      <option value="KW">Kuwait</option>
      <option value="KG">Kyrgyzstan</option>
      <option value="LA">Lao People's Democratic Republic</option>
      <option value="LV">Latvia</option>
      <option value="LB">Lebanon</option>
      <option value="LS">Lesotho</option>
      <option value="LR">Liberia</option>
      <option value="LY">Libya</option>
      <option value="LI">Liechtenstein</option>
      <option value="LT">Lithuania</option>
      <option value="LU">Luxembourg</option>
      <option value="MO">Macao</option>
      <option value="MK">Macedonia, the former Yugoslav Republic of</option>
      <option value="MG">Madagascar</option>
      <option value="MW">Malawi</option>
      <option value="MY">Malaysia</option>
      <option value="MV">Maldives</option>
      <option value="ML">Mali</option>
      <option value="MT">Malta</option>
      <option value="MH">Marshall Islands</option>
      <option value="MQ">Martinique</option>
      <option value="MR">Mauritania</option>
      <option value="MU">Mauritius</option>
      <option value="YT">Mayotte</option>
      <option value="MX">Mexico</option>
      <option value="FM">Micronesia, Federated States of</option>
      <option value="MD">Moldova, Republic of</option>
      <option value="MC">Monaco</option>
      <option value="MN">Mongolia</option>
      <option value="ME">Montenegro</option>
      <option value="MS">Montserrat</option>
      <option value="MA">Morocco</option>
      <option value="MZ">Mozambique</option>
      <option value="MM">Myanmar</option>
      <option value="NA">Namibia</option>
      <option value="NR">Nauru</option>
      <option value="NP">Nepal</option>
      <option value="NL">Netherlands</option>
      <option value="NC">New Caledonia</option>
      <option value="NZ">New Zealand</option>
      <option value="NI">Nicaragua</option>
      <option value="NE">Niger</option>
      <option value="NG">Nigeria</option>
      <option value="NU">Niue</option>
      <option value="NF">Norfolk Island</option>
      <option value="MP">Northern Mariana Islands</option>
      <option value="NO">Norway</option>
      <option value="OM">Oman</option>
      <option value="PK">Pakistan</option>
      <option value="PW">Palau</option>
      <option value="PS">Palestinian Territory, Occupied</option>
      <option value="PA">Panama</option>
      <option value="PG">Papua New Guinea</option>
      <option value="PY">Paraguay</option>
      <option value="PE">Peru</option>
      <option value="PH">Philippines</option>
      <option value="PN">Pitcairn</option>
      <option value="PL">Poland</option>
      <option value="PT">Portugal</option>
      <option value="PR">Puerto Rico</option>
      <option value="QA">Qatar</option>
      <option value="RE">Réunion</option>
      <option value="RO">Romania</option>
      <option value="RU">Russian Federation</option>
      <option value="RW">Rwanda</option>
      <option value="BL">Saint Barthélemy</option>
      <option value="SH">Saint Helena, Ascension and Tristan da Cunha</option>
      <option value="KN">Saint Kitts and Nevis</option>
      <option value="LC">Saint Lucia</option>
      <option value="MF">Saint Martin (French part)</option>
      <option value="PM">Saint Pierre and Miquelon</option>
      <option value="VC">Saint Vincent and the Grenadines</option>
      <option value="WS">Samoa</option>
      <option value="SM">San Marino</option>
      <option value="ST">Sao Tome and Principe</option>
      <option value="SA">Saudi Arabia</option>
      <option value="SN">Senegal</option>
      <option value="RS">Serbia</option>
      <option value="SC">Seychelles</option>
      <option value="SL">Sierra Leone</option>
      <option value="SG">Singapore</option>
      <option value="SX">Sint Maarten (Dutch part)</option>
      <option value="SK">Slovakia</option>
      <option value="SI">Slovenia</option>
      <option value="SB">Solomon Islands</option>
      <option value="SO">Somalia</option>
      <option value="ZA">South Africa</option>
      <option value="GS">South Georgia and the South Sandwich Islands</option>
      <option value="SS">South Sudan</option>
      <option value="ES">Spain</option>
      <option value="LK">Sri Lanka</option>
      <option value="SD">Sudan</option>
      <option value="SR">Suriname</option>
      <option value="SJ">Svalbard and Jan Mayen</option>
      <option value="SZ">Swaziland</option>
      <option value="SE">Sweden</option>
      <option value="CH">Switzerland</option>
      <option value="SY">Syrian Arab Republic</option>
      <option value="TW">Taiwan, Province of China</option>
      <option value="TJ">Tajikistan</option>
      <option value="TZ">Tanzania, United Republic of</option>
      <option value="TH">Thailand</option>
      <option value="TL">Timor-Leste</option>
      <option value="TG">Togo</option>
      <option value="TK">Tokelau</option>
      <option value="TO">Tonga</option>
      <option value="TT">Trinidad and Tobago</option>
      <option value="TN">Tunisia</option>
      <option value="TR">Turkey</option>
      <option value="TM">Turkmenistan</option>
      <option value="TC">Turks and Caicos Islands</option>
      <option value="TV">Tuvalu</option>
      <option value="UG">Uganda</option>
      <option value="UA">Ukraine</option>
      <option value="AE">United Arab Emirates</option>
      <option value="GB">United Kingdom</option>
      <option value="US">United States</option>
      <option value="UM">United States Minor Outlying Islands</option>
      <option value="UY">Uruguay</option>
      <option value="UZ">Uzbekistan</option>
      <option value="VU">Vanuatu</option>
      <option value="VE">Venezuela, Bolivarian Republic of</option>
      <option value="VN">Viet Nam</option>
      <option value="VG">Virgin Islands, British</option>
      <option value="VI">Virgin Islands, U.S.</option>
      <option value="WF">Wallis and Futuna</option>
      <option value="EH">Western Sahara</option>
      <option value="YE">Yemen</option>
      <option value="ZM">Zambia</option>
      <option value="ZW">Zimbabwe</option>
    </select>
    <label>I state, under penalty of perjury, that the above information is accurate and that I am the copyright owner or am authorized to act on the copyright owner's behalf.</label>
    <select>
      <option value="">No</option>
      <option required="" value="1">Yes</option>
    </select>
    <label>I have a good faith belief that the disputed use of the copyrighted material is not authorized by the copyright owner, its agent, or the law (e.g., as a fair use).</label>
    <select>
      <option value="">No</option>
      <option required="" value="1">Yes</option>
    </select>
    <label>By typing your full name below, you are providing us with your digital signature, which is as legally binding as your physical signature. Please note that your signature must exactly match the first and last names entered at the top of
      this form.</label>
    <input required="" type="text" name="signName" autocomplete="off" placeholder="Full Name">
    <input type="hidden" name="formId" value="2">
  </div>
  <div class="buttons">
    <button type="submit" class="popButton">Submit Report</button>
  </div>
</form>

Text Content

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Select Country Afghanistan Albania Algeria American Samoa Andorra Angola
Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia
Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize
Benin Bermuda Bhutan Bolivia, Plurinational State of Bonaire, Sint Eustatius and
Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean
Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon
Canada Cape Verde Cayman Islands Central African Republic Chad Chile China
Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the
Democratic Republic of the Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba
Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic
Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland
Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French
Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana
Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea
Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican
City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic
Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan
Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic
of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho
Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia, the former
Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall
Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated
States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco
Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand
Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman
Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay
Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania
Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan
da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint
Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome
and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint
Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa
South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan
Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab
Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of
Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey
Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates
United Kingdom United States United States Minor Outlying Islands Uruguay
Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam Virgin Islands,
British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia
Zimbabwe I state, under penalty of perjury, that the above information is
accurate and that I am the copyright owner or am authorized to act on the
copyright owner's behalf. No Yes I have a good faith belief that the disputed
use of the copyrighted material is not authorized by the copyright owner, its
agent, or the law (e.g., as a fair use). No Yes By typing your full name below,
you are providing us with your digital signature, which is as legally binding as
your physical signature. Please note that your signature must exactly match the
first and last names entered at the top of this form.
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