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Submitted URL: https://www.remediant.com/e3t/Btc/5D+113/cQzcJ04/VWL2Bh3cfZLmW23P4Lh3lk72bW7xsyK94zpX9HN3X6VHt3q3nJV1-WJV7CgLZnW4WkHL77PHd...
Effective URL: https://share.hsforms.com/1bXejNL9LQ8GUNFlhZK6fmw430hj?utm_campaign=Partner%20-%20LoughTec&utm_medium=email&_hsmi=17809415...
Submission: On November 03 via manual from US — Scanned from DE
Effective URL: https://share.hsforms.com/1bXejNL9LQ8GUNFlhZK6fmw430hj?utm_campaign=Partner%20-%20LoughTec&utm_medium=email&_hsmi=17809415...
Submission: On November 03 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form id="hs-form-6d77a334-bf4b-43c1-9434-596164ae9f9b-8b59e5b8-29d6-41f4-8d7a-8b29a1c953c1" class="hs-form-6d77a334-bf4b-43c1-9434-596164ae9f9b hs-form hs-form_theme-canvas" data-instance-id="8b59e5b8-29d6-41f4-8d7a-8b29a1c953c1"
data-form-id="6d77a334-bf4b-43c1-9434-596164ae9f9b" data-portal-id="6859063" lang="en">
<div class="hs-form__pagination-content-container">
<div class="hs-form__row">
<div class="hs-form__group">
<div class="hs-form__field-row">
<div class="hs-form__field-row__column">
<div class="hs-form__field hs-firstname"><label id="firstname-label" for="firstname-input" class="hs-form__field__label hs-form__field__label_required" data-required="true"><span>First name</span></label><input id="firstname-input"
aria-labelledby=" firstname-label" class="hs-form__field__input " type="string" name="firstname" autocomplete="given-name" required="" placeholder="" inputmode="text" aria-invalid="false" aria-required="true"
data-field-type="firstname" value=""></div>
</div>
<div class="hs-form__field-row__column">
<div class="hs-form__field hs-lastname"><label id="lastname-label" for="lastname-input" class="hs-form__field__label hs-form__field__label_required" data-required="true"><span>Last name</span></label><input id="lastname-input"
aria-labelledby=" lastname-label" class="hs-form__field__input " type="string" name="lastname" autocomplete="family-name" required="" placeholder="" inputmode="text" aria-invalid="false" aria-required="true" data-field-type="lastname"
value=""></div>
</div>
</div>
</div>
</div>
<div class="hs-form__row">
<div class="hs-form__group">
<div class="hs-form__field-row">
<div class="hs-form__field-row__column">
<div class="hs-form__field hs-company"><label id="company-label" for="company-input" class="hs-form__field__label " data-required="false"><span>Company name</span></label><input id="company-input" aria-labelledby=" company-label"
class="hs-form__field__input " type="string" name="company" placeholder="" inputmode="text" aria-invalid="false" aria-required="false" data-field-type="company" value=""></div>
</div>
</div>
</div>
</div>
<div class="hs-form__row">
<div class="hs-form__group">
<div class="hs-form__field-row">
<div class="hs-form__field-row__column">
<div class="hs-form__field hs-jobtitle"><label id="jobtitle-label" for="jobtitle-input" class="hs-form__field__label " data-required="false"><span>Job Title</span></label><input id="jobtitle-input" aria-labelledby=" jobtitle-label"
class="hs-form__field__input " type="string" name="jobtitle" placeholder="" inputmode="text" aria-invalid="false" aria-required="false" data-field-type="jobtitle" value=""></div>
</div>
</div>
</div>
</div>
<div class="hs-form__row">
<div class="hs-form__group">
<div class="hs-form__field-row">
<div class="hs-form__field-row__column">
<div class="hs-form__field hs-email"><label id="email-label" for="email-input" class="hs-form__field__label hs-form__field__label_required" data-required="true"><span>Business Email</span></label><input id="email-input"
aria-labelledby=" email-label" class="hs-form__field__input " type="string" name="email" autocomplete="email" required="" placeholder="" inputmode="email" aria-invalid="false" aria-required="true" data-field-type="email" value="">
</div>
</div>
</div>
</div>
</div>
<div class="hs-form__row hs-form__row_hidden">
<div class="hs-form__group"></div>
</div>
<div class="hs-form__row">
<div class="hs-form__legal-consent">
<div class="hs-form__legal-consent__row">
<div data-test-id="communication-consent-text" class="hs-form__richtext"></div>
</div>
<div class="hs-form__legal-consent__row">
<div class="hs-form__field hs-LEGAL_CONSENT.subscription_type_7921436"><label id="LEGAL_CONSENT.subscription_type_7921436-label" class="hs-form__field__label hs-form__field__label_required hs-form__field__checkbox-label"><input
id="LEGAL_CONSENT.subscription_type_7921436-input" aria-labelledby=" LEGAL_CONSENT.subscription_type_7921436-label" class="hs-form__field__input " type="checkbox" name="LEGAL_CONSENT.subscription_type_7921436" required=""
aria-invalid="false" aria-required="true" aria-checked="false" value="false"><span class="hs-form__field__checkbox__label-span">I agree to receive other communications from Remediant.</span></label></div>
</div>
<div class="hs-form__legal-consent__row">
<div data-test-id="privacy-policy-text" class="hs-form__richtext"></div>
</div>
<div class="hs-form__legal-consent__row">
<div data-test-id="processing-consent-text" class="hs-form__richtext">
<p>By clicking submit below, you consent to allow Remediant to store and process the personal information submitted above to provide you the content requested.</p>
</div>
</div>
</div>
</div>
</div>
<div class="hs-form__row hs-form__actions"><button type="submit" class="hs-form__actions__submit" name="Submit"><span>Submit</span></button></div>
</form>Text Content
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