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Name: wppb-loginform — POST https://www.futurewaterassociation.com/?v=79cba1185463

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POST /?v=79cba1185463

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              <option value="Taiwan">Taiwan</option>
              <option value="Tajikistan">Tajikistan</option>
              <option value="Tanzania, the United Republic of">Tanzania, the 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="Turkmenistan">Turkmenistan</option>
              <option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
              <option value="Tuvalu">Tuvalu</option>
              <option value="Türkiye">Türkiye</option>
              <option value="US Minor Outlying Islands">US Minor Outlying Islands</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">United States</option>
              <option value="Uruguay">Uruguay</option>
              <option value="Uzbekistan">Uzbekistan</option>
              <option value="Vanuatu">Vanuatu</option>
              <option value="Venezuela">Venezuela</option>
              <option value="Viet Nam">Viet Nam</option>
              <option value="Virgin Islands, British">Virgin Islands, British</option>
              <option value="Virgin Islands, U.S.">Virgin Islands, U.S.</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>
              <option value="Åland Islands">Åland Islands</option>
            </select>
            <label for="input_56_46_6" id="input_56_46_6_label" class="gform-field-label gform-field-label--type-sub ">Country</label>
          </span>
          <div class="gf_clear gf_clear_complex"></div>
        </div>
      </fieldset>
      <div id="field_56_47" class="gfield gfield--type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_56_47"><label
          class="gfield_label gform-field-label" for="input_56_47">Telephone number<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_phone"><input name="input_47" id="input_56_47" type="text" value="" class="large" aria-required="true" aria-invalid="false"></div>
      </div>
      <div id="field_56_49" class="gfield gfield--type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_56_49"><label
          class="gfield_label gform-field-label" for="input_56_49">Organisation water related turnover<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_number"><input name="input_49" id="input_56_49" type="text" value="" class="large" aria-required="true" aria-invalid="false"></div>
      </div>
      <div id="field_56_1" class="gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible" data-js-reload="field_56_1">
        <h3 class="gsection_title">2. Membership contact</h3>
        <div class="gsection_description" id="gfield_description_56_1">The person in your organisation who should be receive information about Future Water activities, events &amp; initiatives. </div>
      </div>
      <fieldset id="field_56_3" class="gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_56_3">
        <legend class="gfield_label gform-field-label gfield_label_before_complex">Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
        <div class="ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row" id="input_56_3">
          <span id="input_56_3_3_container" class="name_first gform-grid-col gform-grid-col--size-auto">
            <input type="text" name="input_3.3" id="input_56_3_3" value="" aria-required="true">
            <label for="input_56_3_3" class="gform-field-label gform-field-label--type-sub ">First</label>
          </span>
          <span id="input_56_3_6_container" class="name_last gform-grid-col gform-grid-col--size-auto">
            <input type="text" name="input_3.6" id="input_56_3_6" value="" aria-required="true">
            <label for="input_56_3_6" class="gform-field-label gform-field-label--type-sub ">Last</label>
          </span>
        </div>
      </fieldset>
      <div id="field_56_7" class="gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_56_7"><label
          class="gfield_label gform-field-label" for="input_56_7">Job Title<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_7" id="input_56_7" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
      </div>
      <div id="field_56_4" class="gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_56_4"><label
          class="gfield_label gform-field-label" for="input_56_4">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_email">
          <input name="input_4" id="input_56_4" type="text" value="" class="large" aria-required="true" aria-invalid="false">
        </div>
      </div>
      <div id="field_56_55" class="gfield gfield--type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_56_55"><label
          class="gfield_label gform-field-label" for="input_56_55">Telephone number<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_phone"><input name="input_55" id="input_56_55" type="text" value="" class="large" aria-required="true" aria-invalid="false"></div>
      </div>
      <div id="field_56_51" class="gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible" data-js-reload="field_56_51">
        <h3 class="gsection_title">3. Finance contact</h3>
        <div class="gsection_description" id="gfield_description_56_51">The person in your organisation who should be contacted with regard to financial matters, including annual subscription invoices</div>
      </div>
      <fieldset id="field_56_52" class="gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_56_52">
        <legend class="gfield_label gform-field-label gfield_label_before_complex">Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
        <div class="ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row" id="input_56_52">
          <span id="input_56_52_3_container" class="name_first gform-grid-col gform-grid-col--size-auto">
            <input type="text" name="input_52.3" id="input_56_52_3" value="" aria-required="true">
            <label for="input_56_52_3" class="gform-field-label gform-field-label--type-sub ">First</label>
          </span>
          <span id="input_56_52_6_container" class="name_last gform-grid-col gform-grid-col--size-auto">
            <input type="text" name="input_52.6" id="input_56_52_6" value="" aria-required="true">
            <label for="input_56_52_6" class="gform-field-label gform-field-label--type-sub ">Last</label>
          </span>
        </div>
      </fieldset>
      <div id="field_56_59" class="gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_56_59"><label
          class="gfield_label gform-field-label" for="input_56_59">Job Title<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_59" id="input_56_59" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
      </div>
      <div id="field_56_54" class="gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_56_54"><label
          class="gfield_label gform-field-label" for="input_56_54">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_email">
          <input name="input_54" id="input_56_54" type="text" value="" class="large" aria-required="true" aria-invalid="false">
        </div>
      </div>
      <div id="field_56_82" class="gfield gfield--type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_56_82"><label
          class="gfield_label gform-field-label" for="input_56_82">Telephone number<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_phone"><input name="input_82" id="input_56_82" type="text" value="" class="large" aria-required="true" aria-invalid="false"></div>
      </div>
      <div id="field_56_56" class="gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible" data-js-reload="field_56_56">
        <h3 class="gsection_title">4. Additional organisation contacts</h3>
        <div class="gsection_description" id="gfield_description_56_56">People in your organisation who would like to receive information about Future Water activities, events &amp; initiatives via email. (Please ensure to include the correct email
          addresses and job titles).</div>
      </div>
      <fieldset id="field_56_64" class="gfield gfield--type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_56_64">
        <legend class="gfield_label gform-field-label gfield_label_before_complex">Organisation Contacts</legend>
        <div class="ginput_container ginput_container_list ginput_list ginput_container_list--columns">
          <div class="gfield_list gfield_list_container">
            <div class="gfield_list_header gform-grid-row">
              <div class="gform-field-label gfield_header_item gform-grid-col">First Name</div>
              <div class="gform-field-label gfield_header_item gform-grid-col">Last Name</div>
              <div class="gform-field-label gfield_header_item gform-grid-col">Job Title</div>
              <div class="gform-field-label gfield_header_item gform-grid-col">Email</div>
              <div class="gfield_header_item gfield_header_item--icons gform-grid-col">&nbsp;</div>
            </div>
            <div class="gfield_list_groups">
              <div class="gfield_list_row_odd gfield_list_group gform-grid-row">
                <div class="gfield_list_group_item gfield_list_cell gfield_list_64_cell1 gform-grid-col" data-label="First Name"><input aria-invalid="false" aria-label="First Name, Row 1" data-aria-label-template="First Name, Row {0}" type="text"
                    name="input_64[]" value=""></div>
                <div class="gfield_list_group_item gfield_list_cell gfield_list_64_cell2 gform-grid-col" data-label="Last Name"><input aria-invalid="false" aria-label="Last Name, Row 1" data-aria-label-template="Last Name, Row {0}" type="text"
                    name="input_64[]" value=""></div>
                <div class="gfield_list_group_item gfield_list_cell gfield_list_64_cell3 gform-grid-col" data-label="Job Title"><input aria-invalid="false" aria-label="Job Title, Row 1" data-aria-label-template="Job Title, Row {0}" type="text"
                    name="input_64[]" value=""></div>
                <div class="gfield_list_group_item gfield_list_cell gfield_list_64_cell4 gform-grid-col" data-label="Email"><input aria-invalid="false" aria-label="Email, Row 1" data-aria-label-template="Email, Row {0}" type="text" name="input_64[]"
                    value=""></div>
                <div class="gfield_list_icons gform-grid-col"> <button type="button" class="add_list_item " aria-label="Add another row" onclick="gformAddListItem(this, 20)">Add</button> <button type="button" class="delete_list_item"
                    aria-label="Remove row 1" data-aria-label-template="Remove row {0}" onclick="gformDeleteListItem(this, 20)" style="visibility:hidden;">Remove</button></div>
              </div>
            </div>
          </div>
        </div>
      </fieldset>
      <div id="field_56_65" class="gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_56_65">
        <h3 class="gsection_title">5. Your organisation information for the online Future Water members directory.</h3>
      </div>
      <div id="field_56_9" class="gfield gfield--type-website gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_56_9"><label class="gfield_label gform-field-label"
          for="input_56_9">Organisation website</label>
        <div class="ginput_container ginput_container_website">
          <input name="input_9" id="input_56_9" type="text" value="https://" class="large" placeholder="https://" aria-invalid="false">
        </div>
      </div>
      <div id="field_56_25" class="gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible" data-js-reload="field_56_25"><label
          class="gfield_label gform-field-label" for="input_56_25">Organisation summary</label>
        <div class="gfield_description" id="gfield_description_56_25">Please provide a brief organisation profile - approximately 200 words. </div>
        <div class="ginput_container ginput_container_textarea"><textarea name="input_25" id="input_56_25" class="textarea large" aria-describedby="gfield_description_56_25" aria-invalid="false" rows="10" cols="50"></textarea></div>
      </div>
      <div id="field_56_8" class="gfield gfield--type-fileupload gfield--width-full field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible" data-js-reload="field_56_8"><label
          class="gfield_label gform-field-label" for="input_56_8">Organisation logo</label>
        <div class="gfield_description" id="gfield_description_56_8">Please upload a high-res company logo for use on the Networks November webpages, social media and promotional material. Minimum dimensions: 600px X 600px Accepted file types: jpg,
          png, jpeg Name file: NN21 [organisation name]</div>
        <div class="ginput_container ginput_container_fileupload"><input type="hidden" name="MAX_FILE_SIZE" value="33554432"><input name="input_8" id="input_56_8" type="file" class="large"
            aria-describedby="gfield_upload_rules_56_8 gfield_description_56_8" onchange="javascript:gformValidateFileSize( this, 33554432 );"><span class="gfield_description gform_fileupload_rules" id="gfield_upload_rules_56_8">Max. file size: 32
            MB.</span>
          <div class="gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty" id="live_validation_message_56_8"></div>
        </div>
      </div>
      <div id="field_56_79" class="gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible" data-js-reload="field_56_79">
        <h3 class="gsection_title">Products &amp; Services</h3>
        <div class="gsection_description" id="gfield_description_56_79">In addition to your organisation description, your member directory entry will also contain details of the services and products you offer. These can be added when you are given
          your website login details.</div>
      </div>
      <div id="field_56_13" class="gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible" data-js-reload="field_56_13">
        <h3 class="gsection_title">Organisation social media</h3>
        <div class="gsection_description" id="gfield_description_56_13">Please share details of your organisation's social media accounts so that Future Water can follow them.</div>
      </div>
      <div id="field_56_70" class="gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_56_70"><label class="gfield_label gform-field-label"
          for="input_56_70">Twitter</label>
        <div class="ginput_container ginput_container_text"><input name="input_70" id="input_56_70" type="text" value="" class="large" aria-invalid="false"> </div>
      </div>
      <div id="field_56_11" class="gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_56_11"><label class="gfield_label gform-field-label"
          for="input_56_11">LinkedIn</label>
        <div class="ginput_container ginput_container_text"><input name="input_11" id="input_56_11" type="text" value="" class="large" aria-invalid="false"> </div>
      </div>
      <div id="field_56_10" class="gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_56_10"><label class="gfield_label gform-field-label"
          for="input_56_10">Facebook</label>
        <div class="ginput_container ginput_container_text"><input name="input_10" id="input_56_10" type="text" value="" class="large" aria-invalid="false"> </div>
      </div>
      <div id="field_56_69" class="gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_56_69"><label class="gfield_label gform-field-label"
          for="input_56_69">YouTube</label>
        <div class="ginput_container ginput_container_text"><input name="input_69" id="input_56_69" type="text" value="" class="large" aria-invalid="false"> </div>
      </div>
      <div id="field_56_27" class="gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_56_27">
        <h3 class="gsection_title">6. Data Protection</h3>
      </div>
      <fieldset id="field_56_73"
        class="gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible"
        data-js-reload="field_56_73">
        <legend class="gfield_label gform-field-label gfield_label_before_complex">Consent<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
        <div class="gfield_description gfield_consent_description" id="gfield_consent_description_56_73">Future Water will store the information you provide on our secure systems. We will use this information to communicate with you about your
          membership and to make you aware of the membership benefits which are available to you as well as issues which are relevant to the activities of your organisation. Any personal data you provide will be processed by the Future Water in
          accordance with the General Data Protection Regulations 2018. Future Water will never pass on or sell your details to any third parties.</div>
        <div class="ginput_container ginput_container_consent"><input name="input_73.1" id="input_56_73_1" type="checkbox" value="1" aria-describedby="gfield_consent_description_56_73" aria-required="true" aria-invalid="false"> <label
            class="gform-field-label gform-field-label--type-inline gfield_consent_label" for="input_56_73_1">Please tick to give consent on behalf of your organisation for all personnel to receive information pertaining to their roles and activities
            as representatives of your organisation to ensure maximum benefit from your membership.</label><input type="hidden" name="input_73.2"
            value="Please tick to give consent on behalf of your organisation for all personnel to receive information pertaining to their roles and activities as representatives of your organisation to ensure maximum benefit from your membership."
            class="gform_hidden"><input type="hidden" name="input_73.3" value="2" class="gform_hidden"></div>
      </fieldset>
      <fieldset id="field_56_81" class="gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_56_81">
        <legend class="gfield_label gform-field-label gfield_label_before_complex">Declaration<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
        <div class="ginput_container ginput_container_checkbox">
          <div class="gfield_checkbox" id="input_56_81">
            <div class="gchoice gchoice_56_81_1">
              <input class="gfield-choice-input" name="input_81.1" type="checkbox" value="We wish to apply for membership of the Future Water" id="choice_56_81_1">
              <label for="choice_56_81_1" id="label_56_81_1" class="gform-field-label gform-field-label--type-inline">We wish to apply for membership of the Future Water</label>
            </div>
            <div class="gchoice gchoice_56_81_2">
              <input class="gfield-choice-input" name="input_81.2" type="checkbox"
                value="We have read and agree to the Terms &amp; Conditions of membership. We confirm that the information given here is true and accurate and we understand that the submission of misleading information may lead to the refusal of the application or subsequent cancellation of membership."
                id="choice_56_81_2">
              <label for="choice_56_81_2" id="label_56_81_2" class="gform-field-label gform-field-label--type-inline">We have read and agree to the Terms &amp; Conditions of membership. We confirm that the information given here is true and accurate
                and we understand that the submission of misleading information may lead to the refusal of the application or subsequent cancellation of membership.</label>
            </div>
            <div class="gchoice gchoice_56_81_3">
              <input class="gfield-choice-input" name="input_81.3" type="checkbox" value="Please tick the box to confirm that all the information given above is correct." id="choice_56_81_3">
              <label for="choice_56_81_3" id="label_56_81_3" class="gform-field-label gform-field-label--type-inline">Please tick the box to confirm that all the information given above is correct.</label>
            </div><button type="button" id="button_81_select_all" class="gfield_choice_all_toggle gform-theme-button--size-sm" onclick="gformToggleCheckboxes( this )" data-checked="0" data-label-select="Select All"
              data-label-deselect="Deselect All">Select All</button>
          </div>
        </div>
      </fieldset>
      <div id="field_56_30" class="gfield gfield--type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_56_30"><label
          class="gfield_label gform-field-label" for="input_56_30">CAPTCHA</label>
        <div id="input_56_30" class="ginput_container ginput_recaptcha gform-initialized" data-sitekey="6LcN_nIUAAAAAJowssDX0QHn5ya-Fsc13rb8fBUS" data-theme="light" data-tabindex="0" data-badge="">
          <div style="width: 304px; height: 78px;">
            <div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-y6cx4dd7n8lr" frameborder="0" scrolling="no"
                sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
                src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6LcN_nIUAAAAAJowssDX0QHn5ya-Fsc13rb8fBUS&amp;co=aHR0cHM6Ly93d3cuZnV0dXJld2F0ZXJhc3NvY2lhdGlvbi5jb206NDQz&amp;hl=en&amp;v=-QbJqHfGOUB8nuVRLvzFLVed&amp;theme=light&amp;size=normal&amp;cb=4u4qf0vdtrtv"></iframe>
            </div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
              style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
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 * 17 October 2023
   AUMA Actuator Upgrade After 40 Years of Continuous Service for Anglian Water
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