reinvent.hp.com
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URL:
https://reinvent.hp.com/hpserviceprof?d_site=704062726&d_creative=12768&d_campaign=66cbd03d-47d9-ed11-a7c5-6045bd080301&...
Submission: On May 19 via api from US — Scanned from CA
Submission: On May 19 via api from US — Scanned from CA
Form analysis 1 forms found in the DOM
Name: FMVFUS-FY22-PS16772-19Services-ContactUs — POST https://reinvent.hp.com/e/f2
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<label class="elq-label">lastModifiedByExtIntegrateSystem </label>
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<div class="columns large-6 medium-6 small-12">
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<div class="row no-gutters">
<fieldset required="required">
<div class=" radio_holder col-3 col-md-6 col-lg-5">
<label class="radio" for="radio51"><span>PC Hardware Security & Services </span></label>
<input type="radio" id="radio51" name="checkboxes" value="PC Hardware Security" required="required" onclick="BMTIDps()">
<span class="errMessage" data-errmsg-required="This field is required" data-errmsg-invalid="This field is invalid">This field is required</span>
</div>
<div class=" radio_holder col-3 col-md-6 col-lg-5">
<label class="radio" for="radio52"><span>Print Hardware Security & Services</span> </label>
<input type="radio" id="radio52" name="checkboxes" value="Print hardware security & services" required="required" onclick="BMTIDprint()">
<span class="errMessage" data-errmsg-required="This field is required" data-errmsg-invalid="This field is invalid">This field is required</span>
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<div class="row">
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<label for="p_areaof"><span class="required"></span></label>
<select required="required" id="p_areaof" name="p_areaof" data-value="" data-target=".areaof" class="areaOfinterest-toggle" style="font-weight: bolder;font-size: 18px;text-align: center;height: auto;">
<option value="">Primary Area of interest:</option>
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<option value="Digital Services" data-show=".areaOfinterest2">Digital Services</option>
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<select class="elq-item-select" id="p_areaof_multiple" name="p_areaof_multiple" style="width:100%;" multiple="" data-value="">
<option style="font-weight: bold;color: #007DBA;font-size: 18px;" value="FIX">FIX: HP Care Packs, HP Active Care, HP Smart Support, HP Priority Services</option>
<option style="font-weight: bold;color: #007DBA;font-size: 18px;" value="PROTECT">PROTECT: HP Wolf Enterprise Security Services, HP Wolf Pro Security Services, HP Wolf Protect and Trace</option>
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<div class="columns large-12 medium-6">
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<label for="p_areaof_multiple"></label>
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<select class="elq-item-select" id="p_areaof_multiple" name="p_areaof_multiple" style="width:100%;" multiple="" data-value="">
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<div class="areaOfinterest2 hide" id="areaOfinterestSection">
<div class="row">
<div class="columns large-12 medium-6">
<div class="field-container">
<label for="p_areaof_multiple"></label>
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<select class="elq-item-select" id="p_areaof_multiple" name="p_areaof_multiple" style="width:100%;" multiple="" data-value="">
<option style="font-weight: bold;color: #007DBA;font-size: 18px;" value="Subscription Management">Subscription Management</option>
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</div>
</div>
</div>
</div>
<div class="row">
<div class="columns large-6 medium-6 small-12">
<div class="field-container">
<label for="First Name"><span class="required"></span></label>
<input placeholder="First Name*" class="name-field" required="required" id="firstName" name="firstName" type="text" value="Andrea" style="text-transform: capitalize;">
<span class="errMessage" data-errmsg-required="This field is required" data-errmsg-invalid="This field is invalid">This field is required</span>
</div>
</div>
<div class="columns large-6 medium-6 small-12">
<div class="field-container">
<label for="Last Name"><span class="required"></span></label>
<input placeholder="Last Name*" required="required" id="lastName" name="lastName" type="text" value="Lessinger" style="text-transform: capitalize;">
<span class="errMessage" data-errmsg-required="This field is required" data-errmsg-invalid="This field is invalid">This field is required</span>
</div>
</div>
</div>
<div class="row">
<div class="columns large-6 medium-6 small-12">
<div class="field-container">
<label for="Email"><span class="required"></span></label>
<input placeholder="Email Address*" required="required" id="emailAddress" name="emailAddress" type="email" value="andrea.lessinger@state.mn.us">
<span class="errMessage">Please use a valid business email address</span>
</div>
</div>
<div class="columns large-6 medium-6 small-12">
<div class="field-container">
<label for="Company"> <span class="required"></span></label>
<input placeholder="Company*" required="required" id="company" name="company" type="text" value="Minnesota Department of Human Services Careers">
<span class="errMessage" data-errmsg-required="This field is required" data-errmsg-invalid="This field is invalid">This field is required</span>
</div>
</div>
</div>
<div class="row">
<div class="columns large-6 medium-6 small-12">
<div class="field-container">
<label for="Phone"><span class="required"></span></label>
<input id="busPhone" name="busPhone" placeholder="Phone*" required="" pattern=".{10,}" title="Incomplete Phone Number" type="text" value="">
<span class="errMessage" data-errmsg-required="This field is required" data-errmsg-invalid="This field is invalid">This field is required</span>
</div>
</div>
<div class="columns large-6 medium-6 small-12">
<div class="field-container">
<label for="Job Title"><span class="required"></span></label>
<input placeholder="Job Title*" required="required" id="jobTitle1" name="jobTitle1" type="text" value="State Program Rep 1">
<span class="errMessage" data-errmsg-required="This field is required" data-errmsg-invalid="This field is invalid">This field is required</span>
</div>
</div>
</div>
<div class="row">
<div class="columns large-6 medium-6 small-12">
<div class="field-container">
<label for="Country"><span class="required"></span></label>
<select required="required" id="country" name="country" data-value="United States">
<option value="">-- Please Select --</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Åland Islands">Åland Islands</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="All Others">All Others</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="Ascension and Tristan da Cunha">Ascension and Tristan da Cunha</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">Bolivia</option>
<option value="Bonaire">Bonaire</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="British Virgin Islands">British Virgin Islands</option>
<option value="Brunei">Brunei</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 value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos Islands">Cocos Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Côte d'Ivoire">Côte 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="DR Congo">DR Congo</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="European Union">European Union</option>
<option value="Falkland Islands">Falkland Islands</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 SAR">Hong Kong SAR</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</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="Ivory Coast">Ivory Coast</option>
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<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 (rep.)">Korea (rep.)</option>
<option value="Kosovo">Kosovo</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Laos">Laos</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
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<option value="Northern Macedonia">Northern Macedonia</option>
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<option value="Malaysia">Malaysia</option>
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<option value="Mali">Mali</option>
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<option value="Marshall Islands">Marshall Islands</option>
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<option value="Moldova">Moldova</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="Netherlands Antilles">Netherlands Antilles</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>
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<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="North Korea">North Korea</option>
<option value="North Mariana Islands">North Mariana Islands</option>
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<option value="Palau">Palau</option>
<option value="Palestine">Palestine</option>
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<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="Réunion">Réunion</option>
<option value="Romania">Romania</option>
<option value="Russia">Russia</option>
<option value="Russian Federation">Russias Federation</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Barthelmy">Saint Barthelmy</option>
<option value="Saint Helena">Saint Helena</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Martin">Saint Martin</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 Eustatius and Saba">Sint Eustatius and Saba</option>
<option value="Sint Maarten">Sint Maarten</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 Korea">South Korea</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">Tanzania United Republic</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>
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<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>
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