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Submitted URL: http://emailmeform.com/builder/form/Va3nb99u9m628fsG30Erki
Effective URL: https://www.emailmeform.com/builder/form/Va3nb99u9m628fsG30Erki
Submission: On March 06 via manual from FR — Scanned from FR
Effective URL: https://www.emailmeform.com/builder/form/Va3nb99u9m628fsG30Erki
Submission: On March 06 via manual from FR — Scanned from FR
Form analysis 1 forms found in the DOM
POST https://www.emailmeform.com/builder/form/Va3nb99u9m628fsG30Erki
<form id="emf-form" target="_self" class="leftLabel" enctype="multipart/form-data" method="post" action="https://www.emailmeform.com/builder/form/Va3nb99u9m628fsG30Erki">
<div id="emf-form-instruction" class="emf-head-widget">
<div id="emf-form-title" class="emf-bold">Exporting and Customs</div>
<div id="emf-form-description">Online Course <br>
<br> Booking Form<br>
<br> To reserve your place, please complete the form below:
</div>
</div>
<ul>
<li id="emf-li-0" class="emf-li-field emf-field-new_checkbox data_container ">
<label class="emf-label-desc" for="element_0">Please reserve me a<br> place(s) on the following event: <span>*</span></label>
<div class="emf-div-field">
<div my_choice_order_type="">
<div class="one_column"><input id="element_0_0" name="element_0[]" value="9:30am to 12:30pm - 26 September 2024" class="validate[required]" type="checkbox"><label class="padleft-w5" for="element_0_0">9:30am to 12:30pm - 26 September
2024</label></div>
</div>
<div class="emf-div-instruction">This workshop is delivered online via Zoom. </div>
</div>
<div class="emf-clear"></div>
</li>
<li id="emf-li-1" class="emf-li-field emf-field-new_name data_container ">
<label class="emf-label-desc" for="element_1">Delegate 1 Name: <span>*</span></label>
<div class="emf-div-field"><span style="width:60px">
<input class="validate[required]" style="width:100%" value="" id="element_3" name="element_3" type="text">
<label for="element_3" class="emf-bottom-label emf-text-center">First</label>
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<input class="validate[required]" style="width:100%" value="" id="element_4" name="element_4" type="text">
<label for="element_4" class="emf-bottom-label emf-text-center">Last</label>
</span></div>
<div class="emf-clear"></div>
</li>
<li id="emf-li-8" class="emf-li-field emf-field-text data_container ">
<label class="emf-label-desc" for="element_8">Position in Company: <span>*</span></label>
<div class="emf-div-field"><input id="element_8" name="element_8" value="" size="30" type="text" class="validate[required]"></div>
<div class="emf-clear"></div>
</li>
<li id="emf-li-9" class="emf-li-field emf-field-email data_container ">
<label class="emf-label-desc" for="element_9">Delegate 1 Email address <span>*</span></label>
<div class="emf-div-field"><input id="element_9" name="element_9" class="validate[required,custom[email]]" value="" size="30" type="text"></div>
<div class="emf-clear"></div>
</li>
<li id="emf-li-10" class="emf-li-field emf-field-new_name data_container ">
<label class="emf-label-desc" for="element_10">Delegate 2 Name:</label>
<div class="emf-div-field"><span style="width:60px">
<input class="validate[optional]" style="width:100%" value="" id="element_12" name="element_12" type="text">
<label for="element_12" class="emf-bottom-label emf-text-center">First</label>
</span><span style="width:100px">
<input class="validate[optional]" style="width:100%" value="" id="element_13" name="element_13" type="text">
<label for="element_13" class="emf-bottom-label emf-text-center">Last</label>
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<div class="emf-clear"></div>
</li>
<li id="emf-li-17" class="emf-li-field emf-field-text data_container ">
<label class="emf-label-desc" for="element_17">Position in Company:</label>
<div class="emf-div-field"><input id="element_17" name="element_17" value="" size="30" type="text" class="validate[optional]"></div>
<div class="emf-clear"></div>
</li>
<li id="emf-li-18" class="emf-li-field emf-field-email data_container ">
<label class="emf-label-desc" for="element_18">Delegate 2 Email address</label>
<div class="emf-div-field"><input id="element_18" name="element_18" class="validate[optional,custom[email]]" value="" size="30" type="text"></div>
<div class="emf-clear"></div>
</li>
<li id="emf-li-19" class="emf-li-field emf-field-new_name data_container ">
<label class="emf-label-desc" for="element_19">Delegate 3 Name:</label>
<div class="emf-div-field"><span style="width:60px">
<input class="validate[optional]" style="width:100%" value="" id="element_21" name="element_21" type="text">
<label for="element_21" class="emf-bottom-label emf-text-center">First</label>
</span><span style="width:100px">
<input class="validate[optional]" style="width:100%" value="" id="element_22" name="element_22" type="text">
<label for="element_22" class="emf-bottom-label emf-text-center">Last</label>
</span></div>
<div class="emf-clear"></div>
</li>
<li id="emf-li-26" class="emf-li-field emf-field-text data_container ">
<label class="emf-label-desc" for="element_26">Position in Company:</label>
<div class="emf-div-field"><input id="element_26" name="element_26" value="" size="30" type="text" class="validate[optional]"></div>
<div class="emf-clear"></div>
</li>
<li id="emf-li-27" class="emf-li-field emf-field-email data_container ">
<label class="emf-label-desc" for="element_27">Delegate 3 Email address</label>
<div class="emf-div-field"><input id="element_27" name="element_27" class="validate[optional,custom[email]]" value="" size="30" type="text"></div>
<div class="emf-clear"></div>
</li>
<li id="emf-li-28" class="emf-li-field emf-field-text data_container ">
<label class="emf-label-desc" for="element_28">Company Name <span>*</span></label>
<div class="emf-div-field"><input id="element_28" name="element_28" value="" size="75" type="text" class="validate[required]"></div>
<div class="emf-clear"></div>
</li>
<li id="emf-li-29" class="emf-li-field emf-field-new_address data_container ">
<label class="emf-label-desc" for="element_29">Address <span>*</span></label>
<div class="emf-div-field">
<div style="width:99%;">
<span class="emf-full emf-field-new_address-addr1">
<input type="text" value="" id="element_30" name="element_30" class="emf-full validate[required]">
<label for="element_30" class="emf-bottom-label">Street Address</label>
</span>
<span class="emf-full emf-field-new_address-addr2">
<input type="text" value="" id="element_31" name="element_31" class="emf-full validate[optional]">
<label for="element_31" class="emf-bottom-label">Address Line 2</label>
</span>
<span class="emf-left emf-half emf-field-new_address-city">
<input type="text" value="" id="element_32" name="element_32" class="emf-full validate[required]">
<label for="element_32" class="emf-bottom-label">City</label>
</span>
<span class="emf-right emf-half emf-field-new_address-state">
<input type="text" value="" id="element_33" name="element_33" class="emf-full validate[required]">
<label for="element_33" class="emf-bottom-label">State / Province / Region</label>
</span>
<span class="emf-left emf-half emf-field-new_address-zipcode">
<input type="text" value="" id="element_34" name="element_34" class="emf-full validate[required]">
<label for="element_34" class="emf-bottom-label">Postal / Zip Code</label>
</span>
<div class="emf-clear"></div>
</div>
</div>
<div class="emf-clear"></div>
</li>
<li id="emf-li-36" class="emf-li-field emf-field-phone data_container ">
<label class="emf-label-desc" for="element_36">Telephone Number <span>*</span></label>
<div class="emf-div-field"><input id="element_36" name="element_36" class="validate[required,custom[telephone]]" value="" size="30" type="text"></div>
<div class="emf-clear"></div>
</li>
<li id="emf-li-37" class="emf-li-field emf-field-new_checkbox data_container ">
<label class="emf-label-desc" for="element_37">The cost of each course per delegate is:<br>
<br> £372 (excluding VAT) Regular Customers / Chamber Members <br>
<br> £392 (excluding VAT) Non-Regular Customers / Non-Chamber Members <span>*</span></label>
<div class="emf-div-field">
<div my_choice_order_type="">
<div class="one_column"><input id="element_37_0" name="element_37[]" value="Please invoice me at the address above" class="validate[required]" checked="checked" type="checkbox"><label class="padleft-w5" for="element_37_0">Please invoice me
at the address above</label></div>
<div class="one_column"><input id="element_37_1" name="element_37[]" value="Please contact me to pay by Credit/Debit card" class="validate[required]" type="checkbox"><label class="padleft-w5" for="element_37_1">Please contact me to pay by
Credit/Debit card</label></div>
<div class="one_column"><input id="element_37_2" name="element_37[]" value="Please invoice me at an alternative address (please supply)" class="validate[required]" type="checkbox"><label class="padleft-w5" for="element_37_2">Please invoice
me at an alternative address (please supply)</label></div>
</div>
</div>
<div class="emf-clear"></div>
</li>
<li id="emf-li-38" class="emf-li-field emf-field-text data_container ">
<label class="emf-label-desc" for="element_38">Any other comments:</label>
<div class="emf-div-field"><input id="element_38" name="element_38" value="" size="100" type="text" class="validate[optional]"></div>
<div class="emf-clear"></div>
</li>
<li id="emf-li-39" class="emf-li-field emf-field-new_checkbox data_container ">
<label class="emf-label-desc" for="element_39">Image consent</label>
<div class="emf-div-field">
<div my_choice_order_type="">
<div class="one_column"><input id="element_39_0" name="element_39[]"
value="We occasionally take photographs, print screens and record events. Kindly tick this box to give permission for your image to be used in future marketing materials on these occasions." class="validate[optional]"
type="checkbox"><label class="padleft-w5" for="element_39_0">We occasionally take photographs, print screens and record events. Kindly tick this box to give permission for your image to be used in future marketing materials on these
occasions.</label></div>
</div>
</div>
<div class="emf-clear"></div>
</li>
<li id="emf-li-40" class="emf-li-field emf-field-new_checkbox data_container ">
<label class="emf-label-desc" for="element_40">How did you hear about the event? <span>*</span></label>
<div class="emf-div-field">
<div my_choice_order_type="">
<div class="one_column"><input id="element_40_0" name="element_40[]" value="Chamber International website" class="validate[required]" type="checkbox"><label class="padleft-w5" for="element_40_0">Chamber International website</label></div>
<div class="one_column"><input id="element_40_1" name="element_40[]" value="Twitter" class="validate[required]" type="checkbox"><label class="padleft-w5" for="element_40_1">Twitter</label></div>
<div class="one_column"><input id="element_40_2" name="element_40[]" value="LinkedIn" class="validate[required]" type="checkbox"><label class="padleft-w5" for="element_40_2">LinkedIn</label></div>
<div class="one_column"><input id="element_40_3" name="element_40[]" value="Facebook" class="validate[required]" type="checkbox"><label class="padleft-w5" for="element_40_3">Facebook</label></div>
<div class="one_column"><input id="element_40_4" name="element_40[]" value="Search engine (e.g. Google)" class="validate[required]" type="checkbox"><label class="padleft-w5" for="element_40_4">Search engine (e.g. Google)</label></div>
<div class="one_column"><input id="element_40_5" name="element_40[]" value="Eflash / newsletter" class="validate[required]" type="checkbox"><label class="padleft-w5" for="element_40_5">Eflash / newsletter</label></div>
<div class="one_column" my_order_property="last"><input id="element_40_6" name="element_40[]" value="" class="validate[required]" type="checkbox"
onchange="toggle_emf_element(EMF_jQuery(this).parents('.emf-li-field').find('.emf-allow-other input'), this.checked)"><label class="padleft-w5" for="element_40_6">Other</label>
<div class="emf-allow-other"><input type="text" class="" onclick="document.getElementById('element_40_6').checked = 'checked';" onchange="document.getElementById('element_40_6').value = this.value;" id="element_40_other"
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</div>
</div>
</div>
<div class="emf-clear"></div>
</li>
<li id="emf-li-41" class="emf-li-field emf-field-Image ">
<label class="emf-label-desc" for="element_41"></label>
<div class="emf-div-field">
<a href="http://www.chamber-international.com/" target="_new"><img id="element_41" name="element_41" src="https://files.emailmeform.com/1373395/phIaY15H/Chamber%20International%20-%20Colour%20JPEG%20164x60.jpg" style="width:164px;height:60px;border:0;" title="" alt="" class="validate[optional]"></a>
</div>
<div class="emf-clear"></div>
</li>
<li id="emf-li-42" class="emf-li-field emf-field-section_break ">
<div class="emf-div-field-section">
<div class="emf-section-separator"></div>
<h3 id="element_42" name="element_42"><a href="https://www.chamber-international.com/terms/" target="_blank">Click here to see our booking terms and conditions</a><a></a></h3>
</div><a>
<div class="emf-clear"></div>
</a>
</li><a>
<li id="emf-li-post-button" class="left">
<input src="//assets.emailmeform.com//builder/images/submit-orange.png" type="image" alt="Submit" onmouseover="return true;">
</li>
</a>
</ul><a>
<input name="element_counts" value="43" type="hidden">
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</a><input type="hidden" name="http_referer" value="">
</form>Text Content
EmailMeForm Exporting and Customs Online Course Booking Form To reserve your place, please complete the form below: * Please reserve me a place(s) on the following event: * 9:30am to 12:30pm - 26 September 2024 This workshop is delivered online via Zoom. * Delegate 1 Name: * First Last * Position in Company: * * Delegate 1 Email address * * Delegate 2 Name: First Last * Position in Company: * Delegate 2 Email address * Delegate 3 Name: First Last * Position in Company: * Delegate 3 Email address * Company Name * * Address * Street Address Address Line 2 City State / Province / Region Postal / Zip Code * Telephone Number * * The cost of each course per delegate is: £372 (excluding VAT) Regular Customers / Chamber Members £392 (excluding VAT) Non-Regular Customers / Non-Chamber Members * Please invoice me at the address above Please contact me to pay by Credit/Debit card Please invoice me at an alternative address (please supply) * Any other comments: * Image consent We occasionally take photographs, print screens and record events. Kindly tick this box to give permission for your image to be used in future marketing materials on these occasions. * How did you hear about the event? * Chamber International website Twitter LinkedIn Facebook Search engine (e.g. Google) Eflash / newsletter Other * * CLICK HERE TO SEE OUR BOOKING TERMS AND CONDITIONS