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        <b>Welcome Back, Ankita (annika.voets@qiagen.com).</b>
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        <b>Welcome Back, Ankita (annika.voets@qiagen.com).</b> <br><span>Has your work information changed?</span>
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                <option value="48">Biotech</option>
                <option value="68">Building Construction</option>
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                    <option value="494">Cyber Security/Information Security</option>
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              <option value="D5000"> 5,000 - 9,999</option>
              <option value="D2500" selected=""> 2,500 - 4,999</option>
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              <option value="D500"> 500 - 999</option>
              <option value="D250"> 250 - 499</option>
              <option value="D100"> 100 - 249</option>
              <option value="D050"> 50 - 99</option>
              <option value="D025"> 25 - 49</option>
              <option value="D010"> 10 to 24</option>
              <option value="D005"> 5 to 9</option>
              <option value="D001"> 1 to 4</option>
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                <option value="6">Agriculture</option>
                <option value="239">Automotive</option>
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                <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="VA"> Virginia</option>
                <option value="WA"> Washington</option>
                <option value="WV"> West Virginia</option>
                <option value="WI"> Wisconsin</option>
                <option value="WY"> Wyoming</option>
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                <option value="PW"> Palau</option>
                <option value="PR"> Puerto Rico</option>
                <option value="OL"> U.S. Minor Outlying Islands</option>
                <option value="VI"> U.S. Virgin Islands</option>
                <option value="MP"> Northern Mariana Islands</option>
                <option value="AA"> Armed Forces Americas AA</option>
                <option value="AE"> Armed Forces Middle East, Europe, Canada AE</option>
                <option value="AP"> Armed Forces Pacific AP</option>
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              <optgroup label="Canada">
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                <option value="BC"> British Columbia</option>
                <option value="MB"> Manitoba</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>
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              <optgroup label="Mexico">
                <option value="Aguascalientes"> Aguascalientes</option>
                <option value="Baja California"> Baja California</option>
                <option value="Baja California Sur"> Baja California Sur</option>
                <option value="Campeche"> Campeche</option>
                <option value="Chiapas"> Chiapas</option>
                <option value="Chihuahua"> Chihuahua</option>
                <option value="Coahuila"> Coahuila</option>
                <option value="Colima"> Colima</option>
                <option value="Distrito Federal"> Distrito Federal</option>
                <option value="Durango"> Durango</option>
                <option value="Guanajuato"> Guanajuato</option>
                <option value="Guerrero"> Guerrero</option>
                <option value="Hidalgo"> Hidalgo</option>
                <option value="Jalisco"> Jalisco</option>
                <option value="Mexico State"> Mexico State</option>
                <option value="Michoacan"> Michoacan</option>
                <option value="Morelos"> Morelos</option>
                <option value="Nayarit"> Nayarit</option>
                <option value="Nuevo Leon"> Nuevo Leon</option>
                <option value="Oaxaca"> Oaxaca</option>
                <option value="Puebla"> Puebla</option>
                <option value="Queretaro"> Queretaro</option>
                <option value="Quintana Roo"> Quintana Roo</option>
                <option value="San Luis Potosi"> San Luis Potosi</option>
                <option value="Sinaloa"> Sinaloa</option>
                <option value="Sonora"> Sonora</option>
                <option value="Tabasco"> Tabasco</option>
                <option value="Tamaulipas"> Tamaulipas</option>
                <option value="Tlaxcala"> Tlaxcala</option>
                <option value="Veracruz"> Veracruz</option>
                <option value="Yucatan"> Yucatan</option>
                <option value="Zacatecas"> Zacatecas</option>
              </optgroup>
              <option value=""> Other</option>
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            <p>
              <label for="country">Company Country</label><br>
            </p>
            <select name="country" id="country">
              <option value=""> select your country</option>
              <option value="USA"> UNITED STATES</option>
              <option value="CANADA"> CANADA</option>
              <option value="INDIA"> INDIA</option>
              <option value="UNITED KINGDOM"> UNITED KINGDOM</option>
              <option value=""> ==</option>
              <option value="AFGHANISTAN"> AFGHANISTAN</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="AUSTRALIA"> AUSTRALIA</option>
              <option value="AUSTRIA"> AUSTRIA</option>
              <option value="AZERBAIJAN"> AZERBAIJAN</option>
              <option value="AZORES"> AZORES</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="BR VIRGIN ISLAND"> BR VIRGIN ISLAND</option>
              <option value="BRAZIL"> BRAZIL</option>
              <option value="BRITISH INDIAN OCEAN TERRITORY"> BRITISH INDIAN OCEAN TERRITORY</option>
              <option value="BRUNEI"> BRUNEI</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="CANADA"> CANADA</option>
              <option value="CANARY ISLANDS"> CANARY ISLANDS</option>
              <option value="CAPE VERDE"> CAPE VERDE</option>
              <option value="CAYMAN ISLANDS"> CAYMAN ISLANDS</option>
              <option value="CENTRAL AFRICAN REP"> CENTRAL AFRICAN REP</option>
              <option value="CHAD"> CHAD</option>
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              <option value="CONGO, THE DEMOCRATIC REPUBLIC OF THE"> CONGO, THE DEMOCRATIC REPUBLIC OF THE</option>
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              <option value="COTE D'IVOIRE"> COTE D'IVOIRE</option>
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              <option value="FAROE ISLANDS"> FAROE ISLANDS</option>
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              <option value="GEORGIA"> GEORGIA</option>
              <option value="GERMANY" selected=""> GERMANY</option>
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              <option value="GIBRALTAR"> GIBRALTAR</option>
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              <option value="GRENADA"> GRENADA</option>
              <option value="GUADELOUPE"> GUADELOUPE</option>
              <option value="GUAM"> GUAM</option>
              <option value="GUATEMALA"> GUATEMALA</option>
              <option value="GUERNSEY"> GUERNSEY</option>
              <option value="GUINEA BIASSAU"> GUINEA BIASSAU</option>
              <option value="GUINEA,REPUBLIC OF"> GUINEA,REPUBLIC OF</option>
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              <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>
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              <option value="JORDAN"> JORDAN</option>
              <option value="KAZAKHSTAN"> KAZAKHSTAN</option>
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              <option value="LESOTHO"> LESOTHO</option>
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              <option value="MOLDOVA"> MOLDOVA</option>
              <option value="MONACO"> MONACO</option>
              <option value="MONGOLIA"> MONGOLIA</option>
              <option value="MONTENEGRO"> MONTENEGRO</option>
              <option value="MONTSERRAT"> MONTSERRAT</option>
              <option value="MOROCCO"> MOROCCO</option>
              <option value="MOZAMBIQUE"> MOZAMBIQUE</option>
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              <option value="NAURU ISLANDS"> NAURU ISLANDS</option>
              <option value="NEPAL"> NEPAL</option>
              <option value="NETHERLANDS ANTILLES"> NETHERLANDS ANTILLES</option>
              <option value="NETHERLANDS"> NETHERLANDS</option>
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              <option value="NEW ZEALAND"> NEW ZEALAND</option>
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              <option value="NIGER"> NIGER</option>
              <option value="NIGERIA"> NIGERIA</option>
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              <option value="NORWAY"> NORWAY</option>
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              <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="POLAND"> POLAND</option>
              <option value="PORTUGAL"> PORTUGAL</option>
              <option value="QATAR"> QATAR</option>
              <option value="REPUBLIC OF KIRIBATI"> REPUBLIC OF KIRIBATI</option>
              <option value="REUNION"> REUNION</option>
              <option value="ROMANIA"> ROMANIA</option>
              <option value="RUSSIAN FED"> RUSSIAN FED</option>
              <option value="RWANDA"> RWANDA</option>
              <option value="SAINT PIERRE AND MIQUELON"> SAINT PIERRE AND MIQUELON</option>
              <option value="SAMOA"> SAMOA</option>
              <option value="SAN MARINO"> SAN MARINO</option>
              <option value="SAO TOME AND PRINCIPE"> SAO TOME AND PRINCIPE</option>
              <option value="SAUDI ARABIA"> SAUDI ARABIA</option>
              <option value="SENEGAL"> SENEGAL</option>
              <option value="SERBIA"> SERBIA</option>
              <option value="SEYCHELLES"> SEYCHELLES</option>
              <option value="SIERRA LEONE"> SIERRA LEONE</option>
              <option value="SINGAPORE"> SINGAPORE</option>
              <option value="SLOVAKIA"> SLOVAKIA</option>
              <option value="SLOVENIA"> SLOVENIA</option>
              <option value="SOCIETY ISLANDS"> SOCIETY ISLANDS</option>
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              <option value="SOMALIA,REPUBLIC"> SOMALIA,REPUBLIC</option>
              <option value="SOUTH AFRICA"> SOUTH AFRICA</option>
              <option value="SPAIN"> SPAIN</option>
              <option value="SRI LANKA"> SRI LANKA</option>
              <option value="ST KITTS"> ST KITTS</option>
              <option value="ST LUCIA"> ST LUCIA</option>
              <option value="ST VINCENT"> ST VINCENT</option>
              <option value="SUDAN"> SUDAN</option>
              <option value="SURINAM"> SURINAM</option>
              <option value="SWAZILAND"> SWAZILAND</option>
              <option value="SWEDEN"> SWEDEN</option>
              <option value="SWITZERLAND"> SWITZERLAND</option>
              <option value="SYRIA"> SYRIA</option>
              <option value="TAHITI"> TAHITI</option>
              <option value="TAIWAN"> TAIWAN, CHINA</option>
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              <option value="TONGA"> TONGA</option>
              <option value="TRINIDAD AND TOBAGO"> TRINIDAD AND TOBAGO</option>
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              <option value="TURKMENISTAN"> TURKMENISTAN</option>
              <option value="TURKS AND CAICOS ISLANDS"> TURKS AND CAICOS ISLANDS</option>
              <option value="TUVALU"> TUVALU</option>
              <option value="UGANDA"> UGANDA</option>
              <option value="UKRAINE"> UKRAINE</option>
              <option value="UNION OF MYANMAR"> UNION OF MYANMAR</option>
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              <option value="UNITED KINGDOM,NO.IRELAND"> UNITED KINGDOM,NO.IRELAND</option>
              <option value="UNITED KINGDOM,SCOTLAND"> UNITED KINGDOM,SCOTLAND</option>
              <option value="UNITED KINGDOM"> UNITED KINGDOM</option>
              <option value="UNITED KINGDOM,WALES"> UNITED KINGDOM,WALES</option>
              <option value="USA"> UNITED STATES</option>
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              <option value="UZBEKISTAN"> UZBEKISTAN</option>
              <option value="VANUATU"> VANUATU</option>
              <option value="VATICAN CITY"> VATICAN CITY</option>
              <option value="VENEZUELA"> VENEZUELA</option>
              <option value="VIETNAM, RPBLC OF"> VIETNAM, RPBLC OF</option>
              <option value="VIRGIN ISLANDS, U.S."> VIRGIN ISLANDS, U.S.</option>
              <option value="WALLIS AND FUTUNA"> WALLIS AND FUTUNA</option>
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              <option value="WESTERN SAMOA"> WESTERN SAMOA</option>
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              <option value="ZANZIBAR"> ZANZIBAR</option>
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          </div>
        </div>
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          <div id="summary_email">annika.voets@qiagen.com</div>
          <div id="summary_title">Application Specialist</div>
          <div id="summary_company">QIAGEN</div>
          <div>
            <div id="summary_city">Hilden</div>
            <div id="summary_state"></div>
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          <div id="summary_country">GERMANY</div>
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            </select>
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              <option value="IT/Data Management"> IT/Data Management</option>
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              <option value="Finance"> Finance</option>
              <option value="Other"> Other</option>
            </select>
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        <div id="c_iotm15_Q6-other" style="display: none;">
          <div class="demosques">
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            <div class="demosright"> Please specify for Other<input type="text" name="c_iotm15_Q6-other" size="25" value="" maxlength="25" class="clearinput" title="">
            </div>
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        </div>
        <div class="demosques">
          <div class="demosnum"> </div>
          <div class="demosboth"> What products/services do you buy, sell, specify, or recommend? (select all that apply) <table cellpadding="3" cellspacing="0" class="tableResp td_font">
              <tbody>
                <tr>
                  <td class="leftspace"> </td>
                  <td style="width:48%;"> <input name="c_iotm15_Q7" type="checkbox" value="Cellular_Connectivity_Services"> Cellular Connectivity Services</td>
                  <td style="width:48%;"> <input name="c_iotm15_Q7" type="checkbox" value="Satellite_Connectivity_Services"> Satellite Connectivity Services</td>
                </tr>
                <tr>
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                  <td style="width:48%;"> <input name="c_iotm15_Q7" type="checkbox" value="Modules/Connectivity_Hardware"> Modules/Connectivity Hardware</td>
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                <tr>
                  <td class="leftspace"> </td>
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                  <td style="width:48%;"> <input name="c_iotm15_Q7" type="checkbox" value="Systems_Integration_Services"> Systems Integration Services</td>
                </tr>
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                </tr>
                <tr>
                  <td class="leftspace"> </td>
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                  <td style="width:48%;"> <input name="c_iotm15_Q7" type="checkbox" value="Consulting_Services"> Consulting Services</td>
                </tr>
                <tr>
                  <td class="leftspace"> </td>
                  <td style="width:48%;"> <input name="c_iotm15_Q7" type="checkbox" value="Other"> Other</td>
                  <td style="width:48%;"> </td>
                </tr>
              </tbody>
            </table>
          </div>
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        <div id="c_iotm15_Q7-other" style="display: none;">
          <div class="demosques">
            <div class="demosnum"> </div>
            <div class="demosleft"> </div>
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            </div>
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        <div class="demosques">
          <div class="demosnum"> </div>
          <div class="demosboth"> In which end-use markets are you primarily active? (select all that apply) <table cellpadding="3" cellspacing="0" class="tableResp td_font">
              <tbody>
                <tr>
                  <td class="leftspace"> </td>
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                  <td style="width:48%;"> <input name="c_iotm15_Q5" type="checkbox" value="Automotive/Transportation:_Telematics/Infotainment_Hware/Svcs"> Automotive/Transportation: Telematics/Infotainment Hware/Svcs</td>
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                <tr>
                  <td class="leftspace"> </td>
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                  <td style="width:48%;"> <input name="c_iotm15_Q5" type="checkbox" value="Building/Construction:_Construction/Design"> Building/Construction: Construction/Design</td>
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                  <td class="leftspace"> </td>
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                  <td style="width:48%;"> <input name="c_iotm15_Q5" type="checkbox" value="Building/Construction:_Real_Estate"> Building/Construction: Real Estate</td>
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                <tr>
                  <td class="leftspace"> </td>
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                <tr>
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                  <td style="width:48%;"> <input name="c_iotm15_Q5" type="checkbox" value="Energy/Utilities:_Electricity_Water_Waste"> Energy/Utilities: Electricity Water Waste</td>
                  <td style="width:48%;"> <input name="c_iotm15_Q5" type="checkbox" value="Energy/Utilities:_Meter_Manufacturer"> Energy/Utilities: Meter Manufacturer</td>
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                <tr>
                  <td class="leftspace"> </td>
                  <td style="width:48%;"> <input name="c_iotm15_Q5" type="checkbox" value="Energy/Utilities:_Pipeline/Refinery_Management"> Energy/Utilities: Pipeline/Refinery Management</td>
                  <td style="width:48%;"> <input name="c_iotm15_Q5" type="checkbox" value="Healthcare:_Care_Provider"> Healthcare: Care Provider</td>
                </tr>
                <tr>
                  <td class="leftspace"> </td>
                  <td style="width:48%;"> <input name="c_iotm15_Q5" type="checkbox" value="Healthcare:_Health_Insurance"> Healthcare: Health Insurance</td>
                  <td style="width:48%;"> <input name="c_iotm15_Q5" type="checkbox" value="Healthcare:_Medical_Device_Manufacturer"> Healthcare: Medical Device Manufacturer</td>
                </tr>
                <tr>
                  <td class="leftspace"> </td>
                  <td style="width:48%;"> <input name="c_iotm15_Q5" type="checkbox" value="Industrial:_Agribusiness/Farming"> Industrial: Agribusiness/Farming</td>
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                <tr>
                  <td class="leftspace"> </td>
                  <td style="width:48%;"> <input name="c_iotm15_Q5" type="checkbox" value="Industrial:_Manufacturing/Fabrication"> Industrial: Manufacturing/Fabrication</td>
                  <td style="width:48%;"> <input name="c_iotm15_Q5" type="checkbox" value="Industrial:_Mining/Excavation"> Industrial: Mining/Excavation</td>
                </tr>
                <tr>
                  <td class="leftspace"> </td>
                  <td style="width:48%;"> <input name="c_iotm15_Q5" type="checkbox" value="Logistics:_Asset_Tracking_Services"> Logistics: Asset Tracking Services</td>
                  <td style="width:48%;"> <input name="c_iotm15_Q5" type="checkbox" value="Logistics:_Shipping"> Logistics: Shipping</td>
                </tr>
                <tr>
                  <td class="leftspace"> </td>
                  <td style="width:48%;"> <input name="c_iotm15_Q5" type="checkbox" value="Public_Infrastructure:_Emergency_Services"> Public Infrastructure: Emergency Services</td>
                  <td style="width:48%;"> <input name="c_iotm15_Q5" type="checkbox" value="Public_Infrastructure:_Facilities_Management"> Public Infrastructure: Facilities Management</td>
                </tr>
                <tr>
                  <td class="leftspace"> </td>
                  <td style="width:48%;"> <input name="c_iotm15_Q5" type="checkbox" value="Public_Infrastructure:_Public_Transport_Management"> Public Infrastructure: Public Transport Management</td>
                  <td style="width:48%;"> <input name="c_iotm15_Q5" type="checkbox" value="Public_Infrastructure:_Security/Defense"> Public Infrastructure: Security/Defense</td>
                </tr>
                <tr>
                  <td class="leftspace"> </td>
                  <td style="width:48%;"> <input name="c_iotm15_Q5" type="checkbox" value="Public_Infrastructure:_Traffic_Control/Roads"> Public Infrastructure: Traffic Control/Roads</td>
                  <td style="width:48%;"> <input name="c_iotm15_Q5" type="checkbox" value="Retail/Consumer:_Appliances/Housewares"> Retail/Consumer: Appliances/Housewares</td>
                </tr>
                <tr>
                  <td class="leftspace"> </td>
                  <td style="width:48%;"> <input name="c_iotm15_Q5" type="checkbox" value="Retail/Consumer:_Hospitality/Entertainment"> Retail/Consumer: Hospitality/Entertainment</td>
                  <td style="width:48%;"> <input name="c_iotm15_Q5" type="checkbox" value="Retail/Consumer:_Personal_Device_Manufacturer"> Retail/Consumer: Personal Device Manufacturer</td>
                </tr>
                <tr>
                  <td class="leftspace"> </td>
                  <td style="width:48%;"> <input name="c_iotm15_Q5" type="checkbox" value="Retail/Consumer:_PoS/Vending"> Retail/Consumer: PoS/Vending</td>
                  <td style="width:48%;"> <input name="c_iotm15_Q5" type="checkbox" value="Retail/Consumer:_Signage"> Retail/Consumer: Signage</td>
                </tr>
              </tbody>
            </table>
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annika.voets@qiagen.com
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