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URL: https://secureforms.icis.com/preferencecentre?cmpid=EMP*7CICIS*7CCHSVM_January*202024*20US*20datasets&sfid=&utm_campa...
Submission: On January 26 via api from AE — Scanned from CA

Form analysis 1 forms found in the DOM

POST https://secureforms.icis.com/e/f2

<form action="https://secureforms.icis.com/e/f2" method="post" id="form61" class="">
  <input value="preferencecentre" name="elqFormName" type="hidden">
  <input value="1371" name="elqSiteId" type="hidden">
  <input name="elqCampaignId" type="hidden" value="4551">
  <input id="redirectUrl" name="redirectUrl" type="hidden" value="https://secureforms.icis.com/preferencecentre?submitted=1">
  <input id="marketprivacy" name="marketprivacy" value="OPTED OUT" type="hidden">
  <div class="sectiontitle">
    <h3>Your email preferences</h3>
  </div>
  <table class="elqform">
    <tbody>
      <tr>
        <td>
          <div class="ui-switcher" aria-checked="false"></div><input name="market" id="market" type="checkbox" value="OPTED OUT" style="display: none;">&nbsp;<div class="tooltip"><label>I want to receive emails from ICIS</label><span
              class="tooltiptext">Turn this off if you don't want to receive any emails from us</span></div>
        </td>
        <td>&nbsp;</td>
      </tr>
      <tr>
        <td colspan="2" class="">
          <p>Please choose the types of emails you would like to receive:</p>
        </td>
      </tr>
      <tr>
        <td class="label">
          <div class="tooltip"><label for="CH0F0">ICIS Newsletter</label><span class="tooltiptext">Industry news and insight delivered monthly</span></div>
        </td>
        <td>
          <div class="form-check form-check-inline">
            <div class="ui-switcher" aria-checked="false"></div><input name="CH0F0" value="on" data-subscription="false" type="checkbox" class="emailgroup" style="display: none;">
          </div>
        </td>
      </tr>
      <tr>
        <td class="label">
          <div class="tooltip"><label for="CHLEG">ICIS Free Updates</label><span class="tooltiptext">Free news, content and insights from ICIS</span></div>
        </td>
        <td>
          <div class="form-check form-check-inline">
            <div class="ui-switcher" aria-checked="false"></div><input name="CHLEG" value="on" data-subscription="false" type="checkbox" class="emailgroup" style="display: none;">
          </div>
        </td>
      </tr>
      <tr>
        <td class="label">
          <div class="tooltip"><label for="CHCON">ICIS Paid Events and Training</label><span class="tooltiptext">Stay informed about paid events, conferences and training courses run by ICIS</span></div>
        </td>
        <td>
          <div class="form-check form-check-inline">
            <div class="ui-switcher" aria-checked="false"></div><input name="CHCON" value="on" data-subscription="false" type="checkbox" class="emailgroup" style="display: none;">
          </div>
        </td>
      </tr>
      <tr>
        <td class="label">
          <div class="tooltip"><label for="CHCCH">ICIS Free Events and Training</label><span class="tooltiptext">News and information on free to attend events and training courses from ICIS</span></div>
        </td>
        <td>
          <div class="form-check form-check-inline">
            <div class="ui-switcher" aria-checked="false"></div><input name="CHCCH" value="on" data-subscription="false" type="checkbox" class="emailgroup" style="display: none;">
          </div>
        </td>
      </tr>
      <tr>
        <td class="label">
          <div class="tooltip"><label for="CH3PT">ICIS Partner Emails</label><span class="tooltiptext">Communications on behalf of our trusted third party partners</span></div>
        </td>
        <td>
          <div class="form-check form-check-inline">
            <div class="ui-switcher" aria-checked="false"></div><input name="CH3PT" value="on" data-subscription="false" type="checkbox" class="emailgroup" style="display: none;">
          </div>
        </td>
      </tr>
      <tr class="customer">
        <td class="label">
          <div class="tooltip"><label for="CHIPU">Your ICIS Subscription</label><span class="tooltiptext">From time to time, we may want to reach out to you with regards to your ICIS subscription usage, as well as other solutions and services we
              think you'll find relevant</span></div>
        </td>
        <td>
          <div class="form-check form-check-inline">
            <div class="ui-switcher" aria-checked="false"></div><input name="CHIPU" value="on" data-subscription="false" type="checkbox" class="emailgroup" style="display: none;">
          </div>
        </td>
      </tr>
      <tr>
        <td class="label">
          <div class="tooltip"><label for="CHRES">ICIS Feeback and Improvement</label><span class="tooltiptext">Help ICIS improve through your feedback</span></div>
        </td>
        <td>
          <div class="form-check form-check-inline">
            <div class="ui-switcher" aria-checked="false"></div><input name="CHRES" value="on" data-subscription="false" type="checkbox" class="emailgroup" style="display: none;">
          </div>
        </td>
      </tr>
      <tr>
        <td class="label">
          <div class="tooltip"><label for="CHWCT">ICIS Webinars</label><span class="tooltiptext">ICIS online Events, Training and Forums</span></div>
        </td>
        <td>
          <div class="form-check form-check-inline">
            <div class="ui-switcher" aria-checked="false"></div><input name="CHWCT" value="on" data-subscription="false" type="checkbox" class="emailgroup" style="display: none;">
          </div>
        </td>
      </tr>
      <tr>
        <td class="label">
          <div class="tooltip"><label for="CHGPC">Third Party Events</label><span class="tooltiptext">Receive updates on events ICIS are attending that we think will be of interest to you</span></div>
        </td>
        <td>
          <div class="form-check form-check-inline">
            <div class="ui-switcher" aria-checked="false"></div><input name="CHGPC" value="on" data-subscription="false" type="checkbox" class="emailgroup" style="display: none;">
          </div>
        </td>
      </tr>
      <tr class="customer">
        <td class="label">
          <div class="tooltip"><label for="CHTRA">ICIS Client Success</label><span class="tooltiptext">Support and solutions from ICIS Client Success surrounding your ICIS services</span></div>
        </td>
        <td>
          <div class="form-check form-check-inline">
            <div class="ui-switcher" aria-checked="false"></div><input name="CHTRA" value="on" data-subscription="false" type="checkbox" class="emailgroup" style="display: none;">
          </div>
        </td>
      </tr>
    </tbody>
  </table>
  <div id="contactdetails" class="" style="display: none;">
    <div class="sectiontitle">
      <h3 class="">Your contact details</h3>
    </div>
    <p><label for="FirstName">First name</label></p>
    <p><input type="text" name="FirstName" id="FirstName" value="" size="40" aria-required="true" aria-invalid="false" placeholder="Your first name"></p>
    <p><label for="LastName">Last name</label></p>
    <p><input type="text" name="LastName" id="LastName" value="" size="40" aria-required="true" aria-invalid="false" placeholder="Your last name"></p>
    <!-- hide email--><input type="hidden" name="EmailAddress" id="EmailAddress" value="" size="40" aria-required="true" aria-invalid="false" placeholder="Your email address">
    <p><label for="busPhone">Telephone</label></p>
    <p><input type="tel" name="busPhone" id="busPhone" value="" size="40" aria-required="true" aria-invalid="false" placeholder="Your phone number" class=""></p>
    <p><label for="Company">Company</label></p>
    <p class=""><input type="text" name="Company" id="Company" value="" size="40" aria-required="true" aria-invalid="false" placeholder="Your company name"></p>
    <p><label for="cHJobStatus1">Job level</label></p>
    <p>
      <select class="elq-item-select" id="cHJobStatus1" name="cHJobStatus1" data-value="">
        <option value=""> --Please select-- </option>
        <option value="Assistant/Entry Level">Assistant/Entry Level</option>
        <option value="CEO/C-Level Executive">CEO/C-Level Executive</option>
        <option value="Mid-Senior Level">Mid-Senior Level</option>
        <option value="Specialist/Associate">Specialist/Associate</option>
        <option value="Vice President/Director">Vice President/Director</option>
      </select>
    </p>
    <p>
      <label class="elq-label " for="jobRole1"> Job function </label>
    </p>
    <p>
      <select class="elq-item-select" id="jobRole1" name="jobRole1" data-value="">
        <option value=""> --Please select-- </option>
        <option value="Analyst"> Analyst </option>
        <option value="Compliance &amp; Risk Management"> Compliance &amp; Risk Management </option>
        <option value="Exploration &amp; Production"> Exploration &amp; Production </option>
        <option value="Finance/Investment"> Finance / Investment </option>
        <option value="Marketing"> Marketing </option>
        <option value="Purchasing / Procurement"> Purchasing / Procurement </option>
        <option value="Sales/Business Development"> Sales / Business Development </option>
        <option value="Strategy/Strategic planning"> Strategy / Strategic planning </option>
        <option value="Student">Student</option>
        <option value="Supply Chain &amp; Operations"> Supply Chain &amp; Operations </option>
        <option value="Trading/Portfolio management"> Trading / Portfolio management </option>
      </select>
    </p>
    <p>
      <label class="elq-label " for="industry"> Industry </label>
    </p>
    <p>
      <select class="elq-item-select" id="Industry" name="sector" data-value="">
        <option value="" selected="selected"> --Please select-- </option>
        <option id="p1" value="Chemicals Producer">Chemicals Producer</option>
        <option id="p2" value="Consumer Durables">Consumer Durables</option>
        <option id="p3" value="Consumer Non-Durables">Consumer Non-Durables</option>
        <option id="p4" value="Energy Producer">Energy Producer</option>
        <option id="p5" value="Finance">Finance</option>
        <option id="p6" value="Health Technology">Health Technology</option>
        <option id="p7" value="Other Industries">Other Industries</option>
        <option id="p8" value="Plastic / Rubber Converter">Plastic / Rubber Converter</option>
        <option id="p9" value="Recycling">Recycling</option>
        <option id="p10" value="Retail Trade">Retail Trade</option>
        <option id="p11" value="Services">Services</option>
        <option id="p12" value="Trader / Distributor">Trader / Distributor</option>
        <option id="p13" value="Utility">Utility</option>
      </select>
    </p>
    <!--<div id="industryother">
                            <p>
                                <label class="elq-label " for="industry1">
                                    If other, please specify
                                </label>
                            </p><p><input type="text" class="elq-item-input" name="industry1" id="industry1" value="">
                        </div>-->
    <div id="industryproductlist" style="display: none;">
      <p>
        <label class="elq-label " for="industry"> Product area </label>
      </p>
      <!-- <input name="subsector" id="industryproduct" value="" type="hidden"> -->
      <select id="industryproduct" name="subsector" required="">
        <option selected="selected" value=""> --- Please select --- </option>
      </select>
    </div>
    <p><label for="Country">Country / region</label></p>
    <p>
      <select name="Country" id="Country" class="wpcf7-form-control wpcf7-select wpcf7-validates-as-required" aria-required="true" aria-invalid="false" placeholder="Your country / region" data-value="">
        <option value="" selected="selected">--Please select--</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="Australia">Australia</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, Plurinational State">Bolivia, Plurinational State</option>
        <option value="Bonaire, Sint Eustatius and Saba">Bonaire, Sint Eustatius and Saba</option>
        <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
        <option value="Botswana">Botswana</option>
        <option value="Bouvet Island">Bouvet Island</option>
        <option value="Brazil">Brazil</option>
        <option value="British Indian Ocean Territory">British Indian Ocean Territory</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="Canada">Canada</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 id="c3" 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 Democratic Republic of the">Congo, the Democratic Republic of the</option>
        <option value="Cook Islands">Cook Islands</option>
        <option value="Costa Rica">Costa Rica</option>
        <option value="Cote d'Ivoire">Cote d'Ivoire</option>
        <option value="Croatia">Croatia</option>
        <option value="Cuba">Cuba</option>
        <option value="Curaçao">Curaçao</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 (Malvinas)">Falkland Islands (Malvinas)</option>
        <option value="Faroe Islands">Faroe Islands</option>
        <option value="Fiji">Fiji</option>
        <option value="Finland">Finland</option>
        <option value="France">France</option>
        <option value="French Guiana">French Guiana</option>
        <option value="French Polynesia">French Polynesia</option>
        <option value="French Southern Territories">French Southern Territories</option>
        <option value="Gabon">Gabon</option>
        <option value="Gambia">Gambia</option>
        <option value="Georgia">Georgia</option>
        <option value="Germany">Germany</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="Guernsey">Guernsey</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 Island and McDonald Islands">Heard Island and McDonald Islands</option>
        <option value="Holy See (Vatican City State)">Holy See (Vatican City State)</option>
        <option value="Honduras">Honduras</option>
        <option value="Hong Kong">Hong Kong</option>
        <option value="Hungary">Hungary</option>
        <option value="Iceland">Iceland</option>
        <option id="c1" value="India">India</option>
        <option value="Indonesia">Indonesia</option>
        <option value="Iran, Islamic Republic of">Iran, Islamic Republic of</option>
        <option value="Iraq">Iraq</option>
        <option value="Ireland">Ireland</option>
        <option value="Isle of Man">Isle of Man</option>
        <option value="Israel">Israel</option>
        <option value="Italy">Italy</option>
        <option value="Jamaica">Jamaica</option>
        <option value="Japan">Japan</option>
        <option value="Jersey">Jersey</option>
        <option value="Jordan">Jordan</option>
        <option value="Kazakhstan">Kazakhstan</option>
        <option value="Kenya">Kenya</option>
        <option value="Kiribati">Kiribati</option>
        <option value="Korea, Democratic People's Republic of">Korea, Democratic People's Republic of</option>
        <option value="Korea, Republic of">Korea, Republic of</option>
        <option value="Kosovo">Kosovo</option>
        <option value="Kuwait">Kuwait</option>
        <option value="Kyrgyzstan">Kyrgyzstan</option>
        <option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
        <option value="Latvia">Latvia</option>
        <option value="Lebanon">Lebanon</option>
        <option value="Lesotho">Lesotho</option>
        <option value="Liberia">Liberia</option>
        <option value="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option>
        <option value="Liechtenstein">Liechtenstein</option>
        <option value="Lithuania">Lithuania</option>
        <option value="Luxembourg">Luxembourg</option>
        <option value="Macao">Macao</option>
        <option value="Macedonia, the former Yugoslav Republic of">Macedonia, the former Yugoslav Republic of</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, Republic of">Moldova, Republic of</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>
        <option value="Myanmar">Myanmar</option>
        <option value="Namibia">Namibia</option>
        <option value="Nauru">Nauru</option>
        <option value="Nepal">Nepal</option>
        <option value="Netherlands">Netherlands</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="Northern Mariana Islands">Northern Mariana Islands</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 Barthélemy">Saint Barthélemy</option>
        <option value="Saint Helena, Ascension and Tristan da Cunha">Saint Helena, Ascension and Tristan da Cunha</option>
        <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
        <option value="Saint Lucia">Saint Lucia</option>
        <option value="Saint Martin (French part)">Saint Martin (French part)</option>
        <option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
        <option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</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="Sint Maarten (Dutch part)">Sint Maarten (Dutch part)</option>
        <option value="Slovakia">Slovakia</option>
        <option value="Slovenia">Slovenia</option>
        <option value="Solomon Islands">Solomon Islands</option>
        <option value="Somalia">Somalia</option>
        <option value="South Africa">South Africa</option>
        <option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
        <option value="South Sudan">South Sudan</option>
        <option value="Spain">Spain</option>
        <option value="Sri Lanka">Sri Lanka</option>
        <option value="Sudan">Sudan</option>
        <option value="Suriname">Suriname</option>
        <option value="Svalbard and Jan Mayen">Svalbard and Jan Mayen</option>
        <option value="Swaziland">Swaziland</option>
        <option value="Sweden">Sweden</option>
        <option value="Switzerland">Switzerland</option>
        <option value="Syrian Arab Republic">Syrian Arab Republic</option>
        <option value="Taiwan">Taiwan</option>
        <option value="Tajikistan">Tajikistan</option>
        <option value="Tanzania, United Republic of">Tanzania, United Republic of</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 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="United Arab Emirates">United Arab Emirates</option>
        <option value="United Kingdom">United Kingdom</option>
        <option value="United States" id="c2">United States</option>
        <option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>
        <option value="Uruguay">Uruguay</option>
        <option value="Uzbekistan">Uzbekistan</option>
        <option value="Vanuatu">Vanuatu</option>
        <option value="Venezuela, Bolivarian Republic of">Venezuela, Bolivarian Republic of</option>
        <option value="Viet Nam">Viet Nam</option>
        <option value="Virgin Islands, British">Virgin Islands, British</option>
        <option value="Wallis and Futuna">Wallis and Futuna</option>
        <option value="Western Sahara">Western Sahara</option>
        <option value="Yemen">Yemen</option>
        <option value="Zambia">Zambia</option>
        <option value="Zimbabwe">Zimbabwe</option>
      </select>
    </p>
    <div id="statelist" style="display: none;">
      <p>
        <label class="elq-label " for="State"> State: </label>
      </p>
      <!-- <input name="State" id="State" value="" type="hidden"> -->
      <select id="State" name="State">
        <option selected="selected" value="">--- Please select ---</option>
      </select>
    </div>
    <!-- need to add state for india and us -->
  </div>
  <div style="visibility:hidden; display: none;">
    <select id="prodp1" name="prodp1">
      <option selected="selected" value="">--- Please select ---</option>
      <option value="Fertilizers">Fertilizers</option>
      <option value="Lubricants">Lubricants</option>
      <option value="Oleochemicals">Oleochemicals</option>
      <option value="Paints &amp; Coatings">Paints &amp; Coatings</option>
      <option value="Petrochemicals / Commodity Chemicals">Petrochemicals / Commodity Chemicals</option>
      <option value="Speciality / Fine Chemicals / Inorganic Chemicals">Speciality / Fine Chemicals / Inorganic Chemicals</option>
    </select>
    <select id="prodp2" name="prodp2">
      <option selected="selected" value="">--- Please select ---</option>
      <option value="Automotive &amp; Transportation">Automotive &amp; Transportation</option>
      <option value="Electrical / Electronics / Appliances / Computers">Electrical / Electronics / Appliances / Computers</option>
      <option value="Homebuilding">Homebuilding</option>
      <option value="Others (Furniture / Tools &amp; Hardware / Recreational Products etc)">Others (Furniture / Tools &amp; Hardware / Recreational Products etc)</option>
      <option value="Vehicle Parts &amp; Tyres">Vehicle Parts &amp; Tyres</option>
    </select>
    <select id="prodp3" name="prodp3">
      <option selected="selected" value="">--- Please select ---</option>
      <option value="Food &amp; Beverage">Food &amp; Beverage</option>
      <option value="Footwear &amp; Other Leather">Footwear &amp; Other Leather</option>
      <option value="Household &amp; Personal Care">Household &amp; Personal Care</option>
      <option value="Others (Tobacco / Sanitary Paper etc)">Others (Tobacco / Sanitary Paper etc)</option>
      <option value="Textiles">Textiles</option>
    </select>
    <select id="prodp4" name="prodp4">
      <option selected="selected" value="">--- Please select ---</option>
      <option value="Integrated Energy">Integrated Energy</option>
      <option value="Oil Refining &amp; Marketing / Petrochemicals">Oil Refining &amp; Marketing / Petrochemicals</option>
      <option value="Others (Biofuels / Renewables etc)">Others (Biofuels / Renewables etc)</option>
    </select>
    <select id="prodp5" name="prodp5">
      <option value="Commercial Banks">Commercial Banks</option>
      <option value="Investment Banks / Brokers">Investment Banks / Brokers</option>
      <option value="Investment Managers">Investment Managers</option>
    </select>
    <select id="prodp6" name="prodp6">
      <option selected="selected" value="">--- Please select ---</option>
      <option value="Others (Medical Devices / Equipment / Gloves etc)">Others (Medical Devices / Equipment / Gloves etc)</option>
      <option value="Pharmaceuticals">Pharmaceuticals</option>
    </select>
    <select id="prodp7" name="prodp7">
      <option selected="selected" value="">--- Please select ---</option>
      <option value="Metals &amp; Mining / Foundries / Hardware Manufacturing">Metals &amp; Mining / Foundries / Hardware Manufacturing</option>
      <option value="Others (Agriculture / Forestry / Fishing / Cement Mineral Products / Machinery)">Others (Agriculture / Forestry / Fishing / Cement Mineral Products / Machinery)</option>
      <option value="Pulp &amp; Paper">Pulp &amp; Paper</option>
      <option value="Semiconductors / Electronic Components / Instruments / Electronics Wholesale">Semiconductors / Electronic Components / Instruments / Electronics Wholesale</option>
      <option value="Textiles">Textiles</option>
      <option value="Wood / Plywood">Wood / Plywood</option>
    </select>
    <select id="prodp8" name="prodp8">
      <option selected="selected" value="">--- Please select ---</option>
      <option value="Building Products / Pipes">Building Products / Pipes</option>
      <option value="Others">Others</option>
      <option value="Packaging">Packaging</option>
      <option value="Vehicle Parts &amp; Tyres">Vehicle Parts &amp; Tyres</option>
    </select>
    <select id="prodp9" name="prodp9">
      <option selected="selected" value="">--- Please select ---</option>
      <option value="Plastic Recycling - Chemical">Plastic Recycling - Chemical</option>
      <option value="Plastic Recycling - Mechanical">Plastic Recycling - Mechanical</option>
      <option value="Sorting">Sorting</option>
      <option value="Waste Management">Waste Management</option>
    </select>
    <select id="prodp10" name="prodp10">
      <option selected="selected" value="">--- Please select ---</option>
      <option value="Retail Trade">Retail Trade</option>
    </select>
    <select id="prodp11" name="prodp11">
      <option selected="selected" value="">--- Please select ---</option>
      <option value="Associations">Associations</option>
      <option value="Engineering &amp; Construction">Engineering &amp; Construction</option>
      <option value="Government / Regulators">Government / Regulators</option>
      <option value="Logistics (Warehouse / Pipelines / Storage Tanks / Terminals etc)">Logistics (Warehouse / Pipelines / Storage Tanks / Terminals etc)</option>
      <option value="Others (Real Estate / Legal / Technical / Education etc)">Others (Real Estate / Legal / Technical / Education etc)</option>
      <option value="Research &amp; Consulting">Research &amp; Consulting</option>
      <option value="Transportation Services (Shipping / Aviation etc)">Transportation Services (Shipping / Aviation etc)</option>
    </select>
    <select id="prodp12" name="prodp12">
      <option selected="selected" value="">--- Please select ---</option>
      <option value="Trader - Energy (Oil / Gas / Power / Carbon / Refined)">Trader - Energy (Oil / Gas / Power / Carbon / Refined)</option>
    </select>
    <select id="prodp13" name="prodp13">
      <option selected="selected" value="">--- Please select ---</option>
      <option value="Utility">Utility</option>
    </select>
  </div>
  <div style="visibility:hidden">
    <select id="stac1" name="stac1">
      <option selected="selected" value="">--- Please Select ---</option>
      <option value="Andaman and Nicobar Islands">Andaman and Nicobar Islands</option>
      <option value="Andhra Pradesh">Andhra Pradesh</option>
      <option value="Arunachal Pradesh">Arunachal Pradesh</option>
      <option value="Assam">Assam</option>
      <option value="Bihar">Bihar</option>
      <option value="Chandigarh">Chandigarh</option>
      <option value="Chhattisgarh">Chhattisgarh</option>
      <option value="Dadra and Nagar Haveli">Dadra and Nagar Haveli</option>
      <option value="Daman and Diu">Daman and Diu</option>
      <option value="Goa">Goa</option>
      <option value="Gujarat">Gujarat</option>
      <option value="Haryana">Haryana</option>
      <option value="Himachal Pradesh">Himachal Pradesh</option>
      <option value="Jammu and Kashmir">Jammu and Kashmir</option>
      <option value="Jharkhand">Jharkhand</option>
      <option value="Karnataka">Karnataka</option>
      <option value="Kerala">Kerala</option>
      <option value="Lakshadweep">Lakshadweep</option>
      <option value="Madhya Pradesh">Madhya Pradesh</option>
      <option value="Maharashtra">Maharashtra</option>
      <option value="Manipur">Manipur</option>
      <option value="Meghalaya">Meghalaya</option>
      <option value="Mizoram">Mizoram</option>
      <option value="Nagaland">Nagaland</option>
      <option value="National Capital Territory">National Capital Territory</option>
      <option value="Odisha (formerly Orissa)">Odisha (formerly Orissa)</option>
      <option value="Pondicherry">Pondicherry</option>
      <option value="Punjab">Punjab</option>
      <option value="Rajasthan">Rajasthan</option>
      <option value="Sikkim">Sikkim</option>
      <option value="Tamil Nadu">Tamil Nadu</option>
      <option value="Tripura">Tripura</option>
      <option value="Uttar Pradesh">Uttar Pradesh</option>
      <option value="Uttarakhand">Uttarakhand</option>
      <option value="West Bengal">West Bengal</option>
    </select>
    <select id="stac2" name="stac2">
      <option selected="selected" value="">--- Please Select ---</option>
      <option value="Alabama">Alabama</option>
      <option value="Alaska">Alaska</option>
      <option value="Arizona">Arizona</option>
      <option value="Arkansas">Arkansas</option>
      <option value="California">California</option>
      <option value="Colorado">Colorado</option>
      <option value="Connecticut">Connecticut</option>
      <option value="Delaware">Delaware</option>
      <option value="District of Columbia">District of Columbia</option>
      <option value="Florida">Florida</option>
      <option value="Georgia">Georgia</option>
      <option value="Hawaii">Hawaii</option>
      <option value="Idaho">Idaho</option>
      <option value="Illinois">Illinois</option>
      <option value="Indiana">Indiana</option>
      <option value="Iowa">Iowa</option>
      <option value="Kansas">Kansas</option>
      <option value="Kentucky">Kentucky</option>
      <option value="Louisiana">Louisiana</option>
      <option value="Maine">Maine</option>
      <option value="Maryland">Maryland</option>
      <option value="Massachusetts">Massachusetts</option>
      <option value="Michigan">Michigan</option>
      <option value="Minnesota">Minnesota</option>
      <option value="Mississippi">Mississippi</option>
      <option value="Missouri">Missouri</option>
      <option value="Montana">Montana</option>
      <option value="Nebraska">Nebraska</option>
      <option value="Nevada">Nevada</option>
      <option value="New Hampshire">New Hampshire</option>
      <option value="New Jersey">New Jersey</option>
      <option value="New Mexico">New Mexico</option>
      <option value="New York">New York</option>
      <option value="North Carolina">North Carolina</option>
      <option value="North Dakota">North Dakota</option>
      <option value="Ohio">Ohio</option>
      <option value="Oklahoma">Oklahoma</option>
      <option value="Oregon">Oregon</option>
      <option value="Pennsylvania">Pennsylvania</option>
      <option value="Rhode Island">Rhode Island</option>
      <option value="South Carolina">South Carolina</option>
      <option value="South Dakota">South Dakota</option>
      <option value="Tennessee">Tennessee</option>
      <option value="Texas">Texas</option>
      <option value="Utah">Utah</option>
      <option value="Vermont">Vermont</option>
      <option value="Virginia">Virginia</option>
      <option value="Washington">Washington</option>
      <option value="West Virginia">West Virginia</option>
      <option value="Wisconsin">Wisconsin</option>
      <option value="Wyoming">Wyoming</option>
    </select>
    <select id="stac3" name="stac3">
      <option selected="selected" value="">--- Please Select ---</option>
      <option value="Anhui">Anhui</option>
      <option value="Beijing">Beijing</option>
      <option value="Chongqing">Chongqing</option>
      <option value="Fujian">Fujian</option>
      <option value="Gansu">Gansu</option>
      <option value="Guangdong">Guangdong</option>
      <option value="Guangxi">Guangxi</option>
      <option value="Guizhou">Guizhou</option>
      <option value="Hainan">Hainan</option>
      <option value="Heibei">Heibei</option>
      <option value="Helongjiang">Helongjiang</option>
      <option value="Henan">Henan</option>
      <option value="HONG KONG">Hong Kong Special Administrative Region</option>
      <option value="Hubei">Hubei</option>
      <option value="Hunan">Hunan</option>
      <option value="Inner Mongolia">Inner Mongolia</option>
      <option value="Jiangsu">Jiangsu</option>
      <option value="Jiangxi">Jiangxi</option>
      <option value="Jilin">Jilin</option>
      <option value="Liaoning">Liaoning</option>
      <option value="MACAU">Macau Special Administrative Region</option>
      <option value="Ningxia">Ningxia</option>
      <option value="Qinghai">Qinghai</option>
      <option value="Shaanxi">Shaanxi</option>
      <option value="Shandong">Shandong</option>
      <option value="Shanghai">Shanghai</option>
      <option value="Shanxi">Shanxi</option>
      <option value="Sinkiang">Sinkiang</option>
      <option value="Szechwan">Szechwan</option>
      <option value="TAIWAN">Taiwan, Province of China</option>
      <option value="Tianjing">Tianjing</option>
      <option value="Tibet">Tibet</option>
      <option value="Yunnan">Yunnan</option>
      <option value="Zhejiang">Zhejiang</option>
    </select>
  </div>
  <input type="submit" value="Submit" class="submit" id="submit_button">
  <p>&nbsp;</p>
</form>

Text Content

 


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