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1 forms found in the DOM

Name: leadForm — POST /info.go/leadpost/s=2/oid=1321/ldTag=email

<form name="leadForm" id="leadForm" action="/info.go/leadpost/s=2/oid=1321/ldTag=email" method="post" role="form" onsubmit="return _CF_checkleadForm(this)">
  <div class="form-group">
    <label for="fName">First Name:&nbsp;<font style="color:red">*</font></label>
    <input name="fName" type="text" maxlength="60" id="fName" class="form-control">
  </div>
  <div class="form-group">
    <label for="lName">Last Name:&nbsp;<font style="color:red">*</font></label>
    <input name="lName" type="text" maxlength="80" id="lName" class="form-control">
  </div>
  <div class="form-group ">
    <label for="email">Email:&nbsp;<font style="color:red">*</font></label>
    <input name="email" type="text" maxlength="80" id="email" class="form-control">
  </div>
  <div class="form-group ">
    <label for="company">Company:&nbsp;<font style="color:red">*</font></label>
    <input name="company" type="text" maxlength="60" id="company" class="form-control">
  </div>
  <div class="form-group ">
    <label for="phone">Phone:&nbsp;<font style="color:red">*</font></label>
    <input name="phone" type="text" maxlength="25" id="phone" class="form-control">
  </div>
  <div class="form-group ">
    <label for="city">City:&nbsp;<font style="color:red">*</font></label>
    <input name="city" type="text" maxlength="50" id="city" class="form-control">
  </div>
  <div class="form-group " id="divStateCode">
    <label for="stateCode">State:&nbsp;<font style="color:red">*</font></label>
    <select name="stateCode" id="stateCode" class="form-control">
      <option value="">-- Select a State --</option>
      <option value="xx">NON-US </option>
      <option value="AL">Alabama</option>
      <option value="AK">Alaska</option>
      <option value="AS">American Samoa</option>
      <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="GU">Guam</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="MP">Mariana Islands</option>
      <option value="MH">Marshall Islands</option>
      <option value="MD">Maryland</option>
      <option value="MA">Massachusetts</option>
      <option value="MI">Michigan</option>
      <option value="FM">Micronesia</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="XX">Non-USA</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="PW">Palau</option>
      <option value="PA">Pennsylvania</option>
      <option value="PR">Puerto Rico</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="VI">Virgin Islands</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>
    </select>
  </div>
  <div class="form-group ">
    <label for="country">Country:&nbsp;<font style="color:red">*</font></label>
    <select name="country" id="country" class="form-control" onchange="toggleStateProv(this.value);">
      <option value="">-- Select a Country --</option>
      <option value="US">United States</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="A1">Anonymous Proxy</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="AP">Asia/Pacific Region</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</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">Cote D'Ivoire</option>
      <option value="HR">Croatia</option>
      <option value="CU">Cuba</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="EU">Europe</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="FX">France, Metropolitan</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="UK">Great Britain</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">Libyan Arab Jamahiriya</option>
      <option value="LI">Liechtenstein</option>
      <option value="LT">Lithuania</option>
      <option value="LU">Luxembourg</option>
      <option value="MO">Macau</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, 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="AN">Netherlands Antilles</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</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">Russian Federation</option>
      <option value="RW">Rwanda</option>
      <option value="SH">Saint Helena</option>
      <option value="KN">Saint Kitts and Nevis</option>
      <option value="LC">Saint Lucia</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="A2">Satellite Provider</option>
      <option value="su">Saudi Arabia</option>
      <option value="SA">Saudi Arabia</option>
      <option value="SN">Senegal</option>
      <option value="rs">Serbia</option>
      <option value="CS">Serbia and Montenegro</option>
      <option value="SC">Seychelles</option>
      <option value="SL">Sierra Leone</option>
      <option value="SG">Singapore</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="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</option>
      <option value="TJ">Tajikistan</option>
      <option value="TZ">Tanzania, United Republic of</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="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</option>
      <option value="VN">Vietnam</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="ZR">Zaire</option>
      <option value="ZM">Zambia</option>
      <option value="ZW">Zimbabwe</option>
    </select>
  </div>
  <div class="form-group ">
    <label for="employees">Employees:&nbsp;<font style="color:red">*</font></label>
    <select id="employees" class="form-control" name="employees">
      <option value="">--- Please Select ---</option>
      <option value="1-99">1-99</option>
      <option value="100-999">100-999</option>
      <option value="1,000-1,999">1,000-1,999</option>
      <option value="2,000-4,999">2,000-4,999</option>
      <option value="5,000-9,999">5,000-9,999</option>
      <option value="10,000+">10,000+</option>
    </select>
  </div>
  <div class="form-group ">
    <label for="revenue">Revenue:&nbsp;<font style="color:red">*</font></label>
    <select id="revenue" class="form-control" name="revenue">
      <option value="">--- Please Select ---</option>
      <option value="< $1m">&lt; $1m</option>
      <option value="$1m - $10m">$1m - $10m</option>
      <option value="$10m - $100m">$10m - $100m</option>
      <option value="$100m - $500m">$100m - $500m</option>
      <option value="$500m - $1b">$500m - $1b</option>
      <option value="$1b +">$1b +</option>
    </select>
  </div>
  <div class="form-group ">
    <label for="industry">Industry:&nbsp;<font style="color:red">*</font></label>
    <input name="industry" type="text" id="industry" class="form-control">
  </div>
  <div class="form-group ">
    <label for="jobFunction">Job Function:<span style="font-weight:normal;font-size:90%"> (Accounting, Compliance, IT, Engineering, ...)</span>&nbsp;<font style="color:red">*</font></label>
    <input name="jobFunction" type="text" id="jobFunction" class="form-control">
  </div>
  <div class="form-group ">
    <label for="influencer">Role:&nbsp;<font style="color:red">*</font></label>
    <select id="influencer" class="form-control" name="influencer">
      <option value="">--- Please Select ---</option>
      <option value="Staff">Staff</option>
      <option value="Manager">Manager</option>
      <option value="Director">Director</option>
      <option value="Senior Mgt / VP">Senior Mgt / VP</option>
      <option value="C-Level">C-Level</option>
    </select>
  </div>
  <div class="form-group textArea">
    <label for="skills">List all products, skills and vendors that you have extensive experience with in your company such as Database, SAP, Backups, Dell, Cloud Storage, Telecom, Network, AWS, Azure, ...&nbsp;<font style="color:red">*</font></label>
    <textarea name="skills" id="skills" class="form-control"></textarea>
  </div>
  <div class="form-group  checkBox">
    <label for="consent" class="consent optlfStandard1321 redTheme">Consent:&nbsp;<font style="color:red">*</font></label>
    <div class="cbox"> I agree with the following 3 statements; <input name="consent" type="checkbox" value="1" id="consent_1321">
    </div>
  </div>
  <div class="disclaim2lfStandard1321 redTheme">
    <ol>
      <li>By submitting the information in this form I understand that I am joining TKLi's Market Research Panel and authorize TKL to use the information provided to contact me for all things relating to my participation in the panel.</li>
      <li>I understand that I can opt-out at any time using the opt-out link that is included in auto generated electronic communication, by emailing my request to
        <a href="mailto:privacy@tkli.com?subject=Opt Me Out of Research Panel">privacy@tkli.com</a> or by contacting TKL by phone or postal mail using the information provided in their
        <a href="http://tkli.com/PrivacyPolicy.cfm" target="_blank">privacy policy</a>.</li>
      <li>I have reviewed and accept TKLi's <a href="http://tkli.com/PrivacyPolicy.cfm" target="_blank">privacy policy</a>.</li>
    </ol>
  </div>
  <div class="submitlfStandard1321 redTheme"><button type="submit" class="btn btn-default btnlfStandard1321 redTheme">Join Now</button></div>
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</form>

Text Content

JOIN TKLI'S MARKET RESEARCH PANEL


Sign up now to become a valued member of our research panel. On average our
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First Name: *
Last Name: *
Email: *
Company: *
Phone: *
City: *
State: * -- Select a State --NON-US Alabama Alaska American Samoa Arizona
Arkansas California Colorado Connecticut Delaware District of Columbia Florida
Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine
Mariana Islands Marshall Islands Maryland Massachusetts Michigan Micronesia
Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey
New Mexico New York Non-USA North Carolina North Dakota Ohio Oklahoma Oregon
Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota
Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia
Wisconsin Wyoming
Country: * -- Select a Country -- United States Afghanistan Albania Algeria
American Samoa Andorra Angola Anguilla Anonymous Proxy Antarctica Antigua and
Barbuda Argentina Armenia Aruba Asia/Pacific Region Australia Austria Azerbaijan
Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan
Bolivia 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 Cote D'Ivoire Croatia Cuba
Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor
Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Europe
Falkland Islands (Malvinas) Faroe Islands Fiji Finland France France,
Metropolitan French Guiana French Polynesia French Southern Territories Gabon
Gambia Georgia Germany Ghana Gibraltar Great Britain 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 Libyan Arab
Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia 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 Netherlands Antilles New Caledonia New Zealand Nicaragua Niger
Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau
Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn
Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda
Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint
Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Satellite
Provider Saudi Arabia Saudi Arabia Senegal Serbia Serbia and Montenegro
Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia
South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka Sudan
Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab
Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Togo Tokelau
Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands
Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Minor
Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands,
British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zaire Zambia
Zimbabwe
Employees: * --- Please Select --- 1-99 100-999 1,000-1,999 2,000-4,999
5,000-9,999 10,000+
Revenue: * --- Please Select --- < $1m $1m - $10m $10m - $100m $100m - $500m
$500m - $1b $1b +
Industry: *
Job Function: (Accounting, Compliance, IT, Engineering, ...) *
Role: * --- Please Select --- Staff Manager Director Senior Mgt / VP C-Level
List all products, skills and vendors that you have extensive experience with in
your company such as Database, SAP, Backups, Dell, Cloud Storage, Telecom,
Network, AWS, Azure, ... *
Consent: *
I agree with the following 3 statements;
 1. By submitting the information in this form I understand that I am joining
    TKLi's Market Research Panel and authorize TKL to use the information
    provided to contact me for all things relating to my participation in the
    panel.
 2. I understand that I can opt-out at any time using the opt-out link that is
    included in auto generated electronic communication, by emailing my request
    to privacy@tkli.com or by contacting TKL by phone or postal mail using the
    information provided in their privacy policy.
 3. I have reviewed and accept TKLi's privacy policy.

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