m.info.wiley.com Open in urlscan Pro
3.212.218.136  Public Scan

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1 forms found in the DOM

POST

<form class="container-fluid row p-0" id="preferenceForm" method="post">
  <div class="form-group col-lg-6 mb-3">
    <label for="email" class="d-flex justify-content-between fw-6"> Email <span>Required</span>
    </label>
    <input type="email" class="form__input form-control rounded-0" id="email" name="email" required="">
  </div>
  <div class="form-group col-lg-6"></div>
  <div class="form-group col-lg-6 mb-3">
    <label for="cIName" class="d-flex justify-content-between fw-6"> Company / Institution Name </label>
    <input type="text" class="form__input form-control rounded-0" id="cIName" name="company">
  </div>
  <div class="form-group col-lg-6 mb-3">
    <label for="cIDomain" class="d-flex justify-content-between fw-6"> Company / Institution Domain
      <span><i class="fa fa-info-circle" aria-hidden="true" data-toggle="tooltip" data-original-title="This helps us identify your institution so we can send you the right information relating to access and content agreements."></i></span>
    </label>
    <div class="input-group form__input">
      <div class="input-group-prepend rounded-0">
        <span class="input-group-text rounded-0" id="basic-addon1">www.</span>
      </div>
      <input type="text" name="rootInstitutionalDomain" class="form-control rounded-0" id="cIDomain">
    </div>
  </div>
  <div class="form-group col-lg-6 mb-3">
    <label for="fName" class="d-flex justify-content-between fw-6"> First Name </label>
    <input type="text" name="firstName" class="form__input form-control rounded-0" id="fName">
  </div>
  <div class="form-group col-lg-6 mb-3">
    <label for="lName" class="d-flex justify-content-between fw-6"> Last Name </label>
    <input type="text" name="lastName" class="form__input form-control rounded-0" id="lName">
  </div>
  <div class="form-group col-lg-6 mb-3">
    <div class="form-group">
      <label for="location" class="fw-6">Country / Location</label>
      <div class="select__container form__input w-100">
        <select name="country" class="form-control rounded-0" id="location">
          <option value="">Please Select</option>
          <option value="AF">Afghanistan</option>
          <option value="AX">Aland 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">Antartica</option>
          <option value="AG">Antigua and Barbuda</option>
          <option value="AR">Argentina</option>
          <option value="AM">Armenia</option>
          <option value="AW">Aruba</option>
          <option value="AU">Australia</option>
          <option value="AT">Austria</option>
          <option value="AZ">Azerbaijan</option>
          <option value="BS">Bahamas</option>
          <option value="BH">Bahrain</option>
          <option value="BD">Bangladesh</option>
          <option value="BB">Barbados</option>
          <option value="BY">Belarus</option>
          <option value="BE">Belgium</option>
          <option value="BZ">Belize</option>
          <option value="BJ">Benin</option>
          <option value="BM">Bermuda</option>
          <option value="BT">Bhutan</option>
          <option value="GW">Bissau</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="VG">British Virgin Islands</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 Africa 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">Coco Islands</option>
          <option value="CO">Colombia</option>
          <option value="KM">Comoros</option>
          <option value="CK">Cook Islands</option>
          <option value="CR">Costa Rica</option>
          <option value="HR">Croatia</option>
          <option value="CU">Cuba</option>
          <option value="CY">Cyprus</option>
          <option value="CZ">Czech Republic</option>
          <option value="CD">Democratic Republic of Congo</option>
          <option value="DK">Denmark</option>
          <option value="DJ">Djibouti</option>
          <option value="DM">Dominica</option>
          <option value="DO">Dominican Republic</option>
          <option value="EC">Ecuador</option>
          <option value="EG">Egypt</option>
          <option value="SV">El Salvador</option>
          <option value="GQ">Equatorial Guinea</option>
          <option value="ER">Eritrea</option>
          <option value="EE">Estonia</option>
          <option value="ET">Ethiopia</option>
          <option value="FO">Faeroe Islands</option>
          <option value="FK">Falkland Islands</option>
          <option value="FJ">Fiji</option>
          <option value="FI">Finland</option>
          <option value="FR">France</option>
          <option value="GF">French Guiana</option>
          <option value="PF">French Polynesia</option>
          <option value="TF">French Southern Territories</option>
          <option value="GA">Gabon</option>
          <option value="GM">Gambia</option>
          <option value="GE">Georgia</option>
          <option value="DE">Germany</option>
          <option value="GH">Ghana</option>
          <option value="GI">Gibraltar</option>
          <option value="GR">Greece</option>
          <option value="GL">Greenland</option>
          <option value="GD">Grenada</option>
          <option value="GP">Guadeloupe</option>
          <option value="GU">Guam</option>
          <option value="GT">Guatemala</option>
          <option value="GN">Guinea</option>
          <option value="GY">Guyana</option>
          <option value="HT">Haiti</option>
          <option value="HM">Heard Island and McDonald Islands</option>
          <option value="HN">Honduras</option>
          <option value="HK">Hong Kong (SAR China)</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="IL">Israel</option>
          <option value="IT">Italy</option>
          <option value="CI">Ivory Coast</option>
          <option value="JM">Jamaica</option>
          <option value="JP">Japan</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="KW">Kuwait</option>
          <option value="KG">Kyrgyzstan</option>
          <option value="LA">Lao</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 (SAR China)</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</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="KP">Northern Korea</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 territories</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="CG">Republic of Congo</option>
          <option value="RE">Réunion</option>
          <option value="RO">Romania</option>
          <option value="RU">Russia</option>
          <option value="RW">Rwanda</option>
          <option value="SH">Saint elena</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="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="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">Syria</option>
          <option value="TW">Taiwan</option>
          <option value="TJ">Tajikistan</option>
          <option value="TZ">Tanzania</option>
          <option value="TH">Thailand</option>
          <option value="TL">Timor-Leste</option>
          <option value="TG">Togo</option>
          <option value="TK">Tokelau</option>
          <option value="TO">Tonga</option>
          <option value="TT">Trinidad and Tobago</option>
          <option value="TN">Tunisia</option>
          <option value="TR">Turkey</option>
          <option value="TM">Turkmenistan</option>
          <option value="TC">Turks and Caicos Islands</option>
          <option value="TV">Tuvalu</option>
          <option value="UG">Uganda</option>
          <option value="UA">Ukraine</option>
          <option value="AE">United Arab Emirates</option>
          <option value="GB">United Kingdom</option>
          <option value="US">United States</option>
          <option value="UM">United States Minor Outlying Islands</option>
          <option value="UY">Uruguay</option>
          <option value="VI">U.S. Virgin Islands</option>
          <option value="UZ">Uzbekistan</option>
          <option value="VU">Vanuatu</option>
          <option value="VA">Vatican</option>
          <option value="VE">Venezuela</option>
          <option value="VN">Vietnam</option>
          <option value="WF">Wallis and Futuna</option>
          <option value="EH">Western Sahara</option>
          <option value="YE">Yemen</option>
          <option value="ZM">Zambia</option>
          <option value="ZW">Zimbabwe</option>
        </select>
      </div>
    </div>
    <div class="form-group d-none" id="locationStateContainer">
      <label for="locationState" class="fw-6">State / Province</label>
      <div class="select__container form__input w-100">
        <select name="state" class="form-control rounded-0" id="locationState">
          <option value="">Please Select</option>
          <option class="d-none" data-country="CA" value="AB">Alberta</option>
          <option class="d-none" data-country="CA" value="ACT">Australian Capital Territory</option>
          <option class="d-none" data-country="CA" value="BC">British Columbia</option>
          <option class="d-none" data-country="CA" value="JBT">Jervis Bay Territory</option>
          <option class="d-none" data-country="CA" value="MB">Manitoba</option>
          <option class="d-none" data-country="CA" value="NB">New Brunswick</option>
          <option class="d-none" data-country="CA" value="NL">Newfoundland and Labrador</option>
          <option class="d-none" data-country="CA" value="NSW">New South Wales</option>
          <option class="d-none" data-country="CA" value="NT">Northern Territory</option>
          <option class="d-none" data-country="CA" value="NT">Northwest Territories</option>
          <option class="d-none" data-country="CA" value="NS">Nova Scotia</option>
          <option class="d-none" data-country="CA" value="NU">Nunavut</option>
          <option class="d-none" data-country="CA" value="ON">Ontario</option>
          <option class="d-none" data-country="CA" value="PE">Prince Edward Island</option>
          <option class="d-none" data-country="CA" value="QC">Quebec</option>
          <option class="d-none" data-country="CA" value="QLD">Queensland</option>
          <option class="d-none" data-country="CA" value="SK">Saskatchewan</option>
          <option class="d-none" data-country="CA" value="SA">South Australia</option>
          <option class="d-none" data-country="CA" value="TAS">Tasmania</option>
          <option class="d-none" data-country="CA" value="VIC">Victoria</option>
          <option class="d-none" data-country="CA" value="WA">Western Australia</option>
          <option class="d-none" data-country="CA" value="YT">Yukon</option>
          <option class="d-none" data-country="US" value="AL">Alabama</option>
          <option class="d-none" data-country="US" value="AK">Alaska</option>
          <option class="d-none" data-country="US" value="AZ">Arizona</option>
          <option class="d-none" data-country="US" value="AR">Arkansas</option>
          <option class="d-none" data-country="US" value="CA">California</option>
          <option class="d-none" data-country="US" value="CO">Colorado</option>
          <option class="d-none" data-country="US" value="CT">Connecticut</option>
          <option class="d-none" data-country="US" value="DE">Delaware</option>
          <option class="d-none" data-country="US" value="DC">District of Columbia</option>
          <option class="d-none" data-country="US" value="FL">Florida</option>
          <option class="d-none" data-country="US" value="GA">Georgia</option>
          <option class="d-none" data-country="US" value="HI">Hawaii</option>
          <option class="d-none" data-country="US" value="ID">Idaho</option>
          <option class="d-none" data-country="US" value="IL">Illinois</option>
          <option class="d-none" data-country="US" value="IN">Indiana</option>
          <option class="d-none" data-country="US" value="IA">Iowa</option>
          <option class="d-none" data-country="US" value="KS">Kansas</option>
          <option class="d-none" data-country="US" value="KY">Kentucky</option>
          <option class="d-none" data-country="US" value="LA">Louisiana</option>
          <option class="d-none" data-country="US" value="ME">Maine</option>
          <option class="d-none" data-country="US" value="MD">Maryland</option>
          <option class="d-none" data-country="US" value="MA">Massachusetts</option>
          <option class="d-none" data-country="US" value="MI">Michigan</option>
          <option class="d-none" data-country="US" value="MN">Minnesota</option>
          <option class="d-none" data-country="US" value="MS">Mississippi</option>
          <option class="d-none" data-country="US" value="MO">Missouri</option>
          <option class="d-none" data-country="US" value="MT">Montana</option>
          <option class="d-none" data-country="US" value="NE">Nebraska</option>
          <option class="d-none" data-country="US" value="NV">Nevada</option>
          <option class="d-none" data-country="US" value="NH">New Hampshire</option>
          <option class="d-none" data-country="US" value="NJ">New Jersey</option>
          <option class="d-none" data-country="US" value="NM">New Mexico</option>
          <option class="d-none" data-country="US" value="NY">New York</option>
          <option class="d-none" data-country="US" value="NC">North Carolina</option>
          <option class="d-none" data-country="US" value="ND">North Dakota</option>
          <option class="d-none" data-country="US" value="OH">Ohio</option>
          <option class="d-none" data-country="US" value="OK">Oklahoma</option>
          <option class="d-none" data-country="US" value="OR">Oregon</option>
          <option class="d-none" data-country="US" value="PA">Pennsylvania</option>
          <option class="d-none" data-country="US" value="RI">Rhode Island</option>
          <option class="d-none" data-country="US" value="SC">South Carolina</option>
          <option class="d-none" data-country="US" value="SD">South Dakota</option>
          <option class="d-none" data-country="US" value="TN">Tennessee</option>
          <option class="d-none" data-country="US" value="TX">Texas</option>
          <option class="d-none" data-country="US" value="AA">US Armed Forces Americas</option>
          <option class="d-none" data-country="US" value="AE">US Armed Forces Europe / Canada / Middle East / Africa</option>
          <option class="d-none" data-country="US" value="AP">US Armed Forces Pacific</option>
          <option class="d-none" data-country="US" value="UT">Utah</option>
          <option class="d-none" data-country="US" value="VT">Vermont</option>
          <option class="d-none" data-country="US" value="VA">Virginia</option>
          <option class="d-none" data-country="US" value="WA">Washington</option>
          <option class="d-none" data-country="US" value="WV">West Virginia</option>
          <option class="d-none" data-country="US" value="WI">Wisconsin</option>
          <option class="d-none" data-country="US" value="WY">Wyoming</option>
        </select>
      </div>
    </div>
  </div>
  <div class="form-group col-lg-6 mb-3 d-none">
    <label for="language" class="fw-6">Primary Role</label>
    <div class="select__container form__input w-100">
      <select name="primaryRole" class="form-control rounded-0" id="role">
        <option value="">Please Select</option>
        <option value="Researcher">Researcher</option>
        <option value="Instructor">Instructor</option>
        <option value="Student">Student</option>
        <option value="Librarian">Librarian</option>
        <option value="Professional">Professional</option>
        <option value="Physician">Physician</option>
        <option value="Teacher">Teacher</option>
        <option value="Faculty">Faculty</option>
      </select>
    </div>
  </div>
  <div class="form-group spacer-16">
    <div class="form-check d-flex g-12">
      <div>
        <input type="radio" name="blackListEmail" value="0" checked="" id="receiveAgree">
      </div>
      <label for="receiveAgree"><b>Yes</b>, I'd like to receive marketing emails from Wiley and have read Wiley's <a href="https://www.wiley.com/privacy">Privacy
                    Policy</a>. </label>
    </div>
    <div class="form-check d-flex g-12">
      <div>
        <input type="radio" name="blackListEmail" value="1" id="receiveDisagree">
      </div>
      <label for="receiveDisagree"><b>No, Thank you. </b>I don't want to receive marketing emails from Wiley. </label>
    </div>
    <p class="subtext pl-3"> Note: If you unsubscribe from marketing emails you will still get important messages like invoices, service outages, and other communications related to your contract. </p>
  </div>
  <input name="ctx" type="hidden"><input name="userAction" type="hidden"><input name="transition" type="hidden">
</form>

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Company / Institution Name
Company / Institution Domain
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Country / Location
Please Select AfghanistanAland IslandsAlbaniaAlgeriaAmerican
SamoaAndorraAngolaAnguillaAntarticaAntigua and
BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBissauBoliviaBosnia
and HerzegovinaBotswanaBouvet islandBrazilBritish Indian Ocean TerritoryBritish
Virgin IslandsBrunei DarussalamBulgariaBurkina
FasoBurundiCambodiaCameroonCanadaCape VerdeCayman islandsCentral Africa
RepublicChadChileChinaChristmas IslandCoco IslandsColombiaComorosCook
IslandsCosta RicaCroatiaCubaCyprusCzech RepublicDemocratic Republic of
CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial
GuineaEritreaEstoniaEthiopiaFaeroe IslandsFalkland
IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern
TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuyanaHaitiHeard
Island and McDonald IslandsHondurasHong Kong (SAR
China)HungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyIvory
CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKoreaKuwaitKyrgyzstanLaoLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacau
(SAR China)MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands
AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern
KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian
territoriesPanamaPapua New
GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of
CongoRéunionRomaniaRussiaRwandaSaint elenaSaint Kitts and NevisSaint LuciaSaint
Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and
PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra
LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia
and the South Sandwich IslandsSpainSri LankaSudanSurinameSvalbard and Jan
MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad
and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos
IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited
States Minor Outlying IslandsUruguayU.S. Virgin
IslandsUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern
SaharaYemenZambiaZimbabwe
State / Province
Please Select AlbertaAustralian Capital TerritoryBritish ColumbiaJervis Bay
TerritoryManitobaNew BrunswickNewfoundland and LabradorNew South WalesNorthern
TerritoryNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward
IslandQuebecQueenslandSaskatchewanSouth AustraliaTasmaniaVictoriaWestern
AustraliaYukonAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict
of
ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
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