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Submitted URL: https://email.magazinesdirect.com/optiext/optiextension.dll?ID=TpoTiRZz10skHwnXZzH7P_w7nkBBigXmPd6n5padu2_jk7VDe4bLpdSRQv0Q89pSTj8...
Effective URL: https://futureplc.slgnt.eu/optiext/optiextension.dll?ID=he3haFXfKU%2BaAqVjqCRQf%2BBo7OrvGKeb3Bx47hGRdMn9jSMcJ3Oq9PsYHkatJ2r...
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Submission: On September 10 via api from BE — Scanned from DE
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<div class="pannel">
<h3 style="font-family:Verdana;font-size:20px;color:#000000;font-weight:normal;word-wrap:break-word;word-break:break-all">Your details</h3>
<h5>Receiving emails at simons_walter@telenet.be<span id="ext_close">Change</span></h5>
<div id="formdata">
<div class="input_100" style="padding-top:20px;"><label class="info" for="MAIL">Email Address:</label><input class="text" onblur="this.value=this.value.substr(0, 255)" onkeyup="if (this.length>255) this.value=this.value.substr(0, 255)"
id="MAIL" maxlength="255" name="MAIL" type="email" value="simons_walter@telenet.be" placeholder="">
<div class="error" id="MAIL_ERROR"> Please correct your email address </div>
</div>
<div class="clear"> </div>
<div class="input_50 paddingright"><label class="info" for="FORENAME">First Name:</label><input class="text" onblur="this.value=this.value.substr(0, 255)" onkeyup="if (this.length>255) this.value=this.value.substr(0, 255)" id="FORENAME"
name="FORENAME" type="text" value="WALTER" placeholder="">
<div class="error" id="FORENAME_ERROR"> Please fill in your first name </div>
</div>
<div class="input_50"><label class="info" for="NAME">Last Name:</label><input class="text" onblur="this.value=this.value.substr(0, 255)" onkeyup="if (this.length>255) this.value=this.value.substr(0, 255)" id="NAME" maxlength="50" name="NAME"
type="text" value="Walter Simons" placeholder="">
<div class="error" id="NAME_ERROR"> Please fill in your last name </div>
</div>
<div class="clear"> </div>
<div class="input_100"><select class="text" id="COUNTRY" name="Layout-1">
<option value="">Select your Country</option>
<option value="AF">Afghanistan</option>
<option value="AX"> Åland Islands</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, The</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</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</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="AN">Caribbean Netherlands</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, Democratic republic of</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="CI">Cote D'Ivoire (Ivory Coast)</option>
<option value="HR">Croatia (Hrvatska)</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="TL">East Timor</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 Islands</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, The</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 and McDonald Islands</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong S.A.R.</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</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="KR">Korea</option>
<option value="KP">Korea, North</option>
<option value="XK">Kosovo</option>
<option value="KW">Kuwait</option>
<option value="KG">Kyrgyzstan</option>
<option value="LA">Laos</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">Macau S.A.R.</option>
<option value="MK">Macedonia</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</option>
<option value="MD">Moldova</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, The</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">Reunion</option>
<option value="RO">Romania</option>
<option value="RU">Russia</option>
<option value="RW">Rwanda</option>
<option value="BL">Saint Barthélemy</option>
<option value="SH">Saint Helena</option>
<option value="KN">Saint Kitts And Nevis</option>
<option value="LC">Saint Lucia</option>
<option value="MF">Saint Martin</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</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 Islands</option>
<option value="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syria</option>
<option value="TW">Taiwan</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania</option>
<option value="TH">Thailand</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="VA">Vatican City State</option>
<option value="VE">Venezuela</option>
<option value="VN">Vietnam</option>
<option value="VG">Virgin Islands (British)</option>
<option value="VI">Virgin Islands (US)</option>
<option value="WF">Wallis And Futuna Islands</option>
<option value="EH">Western Sahara</option>
<option value="YE">Yemen</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option>
<option value="XX">Unknown</option>
</select>
<div class="error" id="COUNTRY_ERROR"> Please select your country </div>
</div>
</div>
<div class="clear"> </div>
</div>
<div class="pannel">
<h3 style="font-family:Verdana;font-size:20px;color:#000000;font-weight:normal;word-wrap:break-word;word-break:break-all">Your Subscriptions</h3>
<h5>Please select the emails you would like to receive</h5> <div class="checkboxes"> <div>
<div class="clear brand"><input class="checkbox" id="NEWSLETTER" name="NEWSLETTER" type="checkbox" value="1"><label class="checkbox" for="NEWSLETTER"><span class="checkboxTitle">Magazines Direct Emails</span></label></div>
</div>
<div>
<div class="clear newslettercheckbox"><input class=" checkbox undefined" id="Magazines Direct Newsletter" name="Magazines Direct Newsletter" type="checkbox" value="1"><label class="checkbox" for="Magazines Direct Newsletter"><span
class="checkboxTitle">Magazines Direct Newsletter</span></label></div>
</div>
</div>
<div class="clear"> </div>
<div><input class="checkbox" id="MARKETING" name="MARKETING" type="checkbox" value="1"><label class="checkbox">Marketing Emails<br><span class="checkboxDesc">Receive news and offers from other great brands at Future</span></label></div>
<div class="clear"> </div>
<div><input class="checkbox" id="PARTNER" name="PARTNER" type="checkbox" value="1"><label class="checkbox">Partner Offers<br><span class="checkboxDesc">Receive news and offers from us on behalf of our trusted partners</span></label></div>
<div class="clear"> </div>
</div>
<div class="pannel hide takeabreak">
<h3 style="font-family:Verdana;font-size:20px;color:#000000;font-weight:normal;word-wrap:break-word;word-break:break-all">Take a break</h3>
<h5>Any emails deselected above, you will be unsubscribed for:</h5><br><label><input checked="checked" name="BREAK" type="radio" value="1">1 month</label><label><input name="BREAK" type="radio" value="2">2 months</label><label><input name="BREAK"
type="radio" value="3">3 months</label><label><input name="BREAK" type="radio" value="0">Indefinitely</label>
</div>
<div class="submit_btn"><input class="button" id="submit" name="submit" style="background-color:#ed1c24;cursor:pointer;" type="submit" value="Update Now"></div>
<div class="clear"> </div>
<div class="footer"> For information on how we use your data, see our
<a href="https://futureplc.slgnt.eu/optiext/optiextension.dll?ID=he3hludW30uBW0wpCNkUqbJeWt7sTGC_svLEo2boAXAJXRL_bwIMo7wXIOuiQXHK8H3xCv13M4soGHPsbLnv3E4pR6k4jQ">privacy policy</a></div><input id="BRAND" name="BRAND" type="hidden"
value="XMD"><input id="SUBSCRIPTIONS" name="SUBSCRIPTIONS" type="hidden"><input id="MARKETING_CONSENT" name="MARKETING_CONSENT" type="hidden" value="&gt;
&lt;input id="><input id="PARTNER_CONSENT" name="PARTNER_CONSENT" type="hidden">
</form>Text Content
EMAIL PREFERENCES YOUR DETAILS RECEIVING EMAILS AT SIMONS_WALTER@TELENET.BECHANGE Email Address: Please correct your email address First Name: Please fill in your first name Last Name: Please fill in your last name Select your CountryAfghanistan Åland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua And BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, Democratic republic ofCook IslandsCosta RicaCote D'Ivoire (Ivory Coast)Croatia (Hrvatska)CubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFiji IslandsFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambia, TheGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHondurasHong Kong S.A.R.HungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKoreaKorea, NorthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacau S.A.R.MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlands, TheNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian Territory, OccupiedPanamaPapua new GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts And NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent And The GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard And Jan Mayen IslandsSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad And TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican City StateVenezuelaVietnamVirgin Islands (British)Virgin Islands (US)Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweUnknown Please select your country YOUR SUBSCRIPTIONS PLEASE SELECT THE EMAILS YOU WOULD LIKE TO RECEIVE Magazines Direct Emails Magazines Direct Newsletter Marketing Emails Receive news and offers from other great brands at Future Partner Offers Receive news and offers from us on behalf of our trusted partners TAKE A BREAK ANY EMAILS DESELECTED ABOVE, YOU WILL BE UNSUBSCRIBED FOR: 1 month2 months3 monthsIndefinitely For information on how we use your data, see our privacy policy