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https://tr.informabi.com/autotech-detroit-speaker-application?elqTrackId=023CB12B2CFBBF0D7775ACBF0460DC81&elq=33a30fd06e0...
Submission: On January 18 via api from US — Scanned from CA
Submission: On January 18 via api from US — Scanned from CA
Form analysis 1 forms found in the DOM
Name: WA_Promo_AutoTechDetroitSpeakerApplication_LG_JR — POST https://tr.informabi.com/e/f2?LP=2309
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<div class="col-sm-12 col-xs-12">
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<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
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<option value="Outside the US or Canada">Outside the US or Canada</option>
<option value="AK">Alaska</option>
<option value="AL">Alabama</option>
<option value="AR">Arkansas</option>
<option value="AS">American Samoa</option>
<option value="AZ">Arizona</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DC">D.C.</option>
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<option value="FM">Micronesia</option>
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<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="MA">Massachusetts</option>
<option value="MD">Maryland</option>
<option value="ME">Maine</option>
<option value="MH">Marshall Islands</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MO">Missouri</option>
<option value="MP">Marianas</option>
<option value="MS">Mississippi</option>
<option value="MT">Montana</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="NE">Nebraska</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NV">Nevada</option>
<option value="NY">New York</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="PW">Palau</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
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<option value="VA">Virginia</option>
<option value="VI">Virgin Islands</option>
<option value="VT">Vermont</option>
<option value="WA">Washington</option>
<option value="WI">Wisconsin</option>
<option value="WV">West Virginia</option>
<option value="WY">Wyoming</option>
<option value="AA">Military Americas</option>
<option value="AE">Military Europe/ME/Canada</option>
<option value="AP">Military Pacific</option>
<option value="AB">Alberta</option>
<option value="MB">Manitoba</option>
<option value="BC">British Columbia</option>
<option value="NB">New Brunswick</option>
<option value="NL">Newfoundland and Labrador</option>
<option value="NS">Nova Scotia</option>
<option value="NT">Northwest Territories</option>
<option value="NU">Nunavut</option>
<option value="ON">Ontario</option>
<option value="PE">Prince Edward Island</option>
<option value="QC">Quebec</option>
<option value="SK">Saskatchewan</option>
<option value="YT">Yukon Territory</option>
<option value="MQ">Midway Atoll</option>
<option value="WQ">Wake Island</option>
<option value="JQ">Johnston Atoll</option>
<option value="KQ">Kingman Reef</option>
<option value="LQ">Palmyra Atoll</option>
<option value="HQ">Howland Island</option>
<option value="FQ">Baker Island</option>
<option value="DQ">Jarvis Island</option>
<option value="BQ">Navassa Island</option>
<option value="BajoNuevoBank">Bajo Nuevo Bank</option>
<option value="SerranillaBank">Serranilla Bank</option>
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<div class="layout-col col-sm-12 col-xs-12">
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<div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe37825">Country<span class="elq-required">*</span></label></div>
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<option value="AE">United Arab Emirates</option>
<option value="AF">Afghanistan</option>
<option value="AG">Antigua and Barbuda</option>
<option value="AI">Anguilla</option>
<option value="AL">Albania</option>
<option value="AM">Armenia</option>
<option value="AN">Netherlands Antilles</option>
<option value="AO">Angola</option>
<option value="AQ">Antarctica</option>
<option value="AR">Argentina</option>
<option value="AS">American Samoa</option>
<option value="AT">Austria</option>
<option value="AU">Australia</option>
<option value="AW">Aruba</option>
<option value="AX">Aland Islands</option>
<option value="AZ">Azerbaijan</option>
<option value="BA">Bosnia and Herzegovina</option>
<option value="BB">Barbados</option>
<option value="BD">Bangladesh</option>
<option value="BE">Belgium</option>
<option value="BF">Burkina Faso</option>
<option value="BG">Bulgaria</option>
<option value="BH">Bahrain</option>
<option value="BI">Burundi</option>
<option value="BJ">Benin</option>
<option value="BL">Saint Barthelemy</option>
<option value="BM">Bermuda</option>
<option value="BN">Brunei Darussalam</option>
<option value="BO">Bolivia</option>
<option value="BQ">Bonaire</option>
<option value="BR">Brazil</option>
<option value="BS">Bahamas</option>
<option value="BT">Bhutan</option>
<option value="BV">Bouvet Island</option>
<option value="BW">Botswana</option>
<option value="BY">Belarus</option>
<option value="BZ">Belize</option>
<option value="CA">Canada</option>
<option value="CC">Cocos (Keeling) Islands</option>
<option value="CD">Congo, The Dem. Republic Of</option>
<option value="CF">Central African Republic</option>
<option value="CG">Congo</option>
<option value="CH">Switzerland</option>
<option value="CI">Cote d'Ivoire</option>
<option value="CK">Cook Islands</option>
<option value="CL">Chile</option>
<option value="CM">Cameroon</option>
<option value="CN">China</option>
<option value="CO">Colombia</option>
<option value="CR">Costa Rica</option>
<option value="CS">Serbia and Montenegro</option>
<option value="CU">Cuba</option>
<option value="CV">Cape Verde</option>
<option value="CW">Curacao</option>
<option value="CX">Christmas Island</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czech Republic</option>
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<option value="DJ">Djibouti</option>
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<option value="DO">Dominican Republic</option>
<option value="DZ">Algeria</option>
<option value="EC">Ecuador</option>
<option value="EE">Estonia</option>
<option value="EG">Egypt</option>
<option value="EH">Western Sahara</option>
<option value="ER">Eritrea</option>
<option value="ES">Spain</option>
<option value="ET">Ethiopia</option>
<option value="FI">Finland</option>
<option value="FJ">Fiji</option>
<option value="FK">Falkland Islands</option>
<option value="FM">Micronesia</option>
<option value="FO">Faroe Islands</option>
<option value="FR">France</option>
<option value="GA">Gabon</option>
<option value="GB">United Kingdom of Great Britain and Northern Ireland</option>
<option value="GD">Grenada</option>
<option value="GE">Georgia</option>
<option value="GF">French Guiana</option>
<option value="GG">Guernsey</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GL">Greenland</option>
<option value="GM">Gambia</option>
<option value="GN">Guinea</option>
<option value="GP">Guadeloupe</option>
<option value="GQ">Equatorial Guinea</option>
<option value="GR">Greece</option>
<option value="GS">South Georgia</option>
<option value="GT">Guatemala</option>
<option value="GU">Guam</option>
<option value="GW">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HK">Hong Kong, S.A.R., China</option>
<option value="HM">Heard/McDonald Isls.</option>
<option value="HN">Honduras</option>
<option value="HR">Croatia</option>
<option value="HT">Haiti</option>
<option value="HU">Hungary</option>
<option value="ID">Indonesia</option>
<option value="IE">Ireland</option>
<option value="IL">Israel</option>
<option value="IM">Isle of Man</option>
<option value="IN">India</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="IQ">Iraq</option>
<option value="IR">Iran</option>
<option value="IS">Iceland</option>
<option value="IT">Italy</option>
<option value="JE">Jersey</option>
<option value="JM">Jamaica</option>
<option value="JO">Jordan</option>
<option value="JP">Japan</option>
<option value="KE">Kenya</option>
<option value="KG">Kyrgyzstan</option>
<option value="KH">Cambodia</option>
<option value="KI">Kiribati</option>
<option value="KM">Comoros</option>
<option value="KN">Saint Kitts and Nevis</option>
<option value="KP">Korea (North)</option>
<option value="KR">Korea (South)</option>
<option value="KW">Kuwait</option>
<option value="KY">Cayman Islands</option>
<option value="KZ">Kazakhstan</option>
<option value="LA">Laos</option>
<option value="LB">Lebanon</option>
<option value="LC">Saint Lucia</option>
<option value="LI">Liechtenstein</option>
<option value="LK">Sri Lanka</option>
<option value="LR">Liberia</option>
<option value="LS">Lesotho</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="LV">Latvia</option>
<option value="LY">Libya</option>
<option value="MA">Morocco</option>
<option value="MC">Monaco</option>
<option value="MD">Moldova</option>
<option value="ME">Montenegro</option>
<option value="MF">Saint Martin</option>
<option value="MG">Madagascar</option>
<option value="MH">Marshall Islands</option>
<option value="MK">Macedonia</option>
<option value="ML">Mali</option>
<option value="MM">Myanmar</option>
<option value="MN">Mongolia</option>
<option value="MO">Macau, S.A.R., China</option>
<option value="MP">Northern Mariana Islands</option>
<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MS">Montserrat</option>
<option value="MT">Malta</option>
<option value="MU">Mauritius</option>
<option value="MV">Maldives</option>
<option value="MW">Malawi</option>
<option value="MX">Mexico</option>
<option value="MY">Malaysia</option>
<option value="MZ">Mozambique</option>
<option value="NA">Namibia</option>
<option value="NC">New Caledonia</option>
<option value="NE">Niger</option>
<option value="NF">Norfolk Island</option>
<option value="NG">Nigeria</option>
<option value="NI">Nicaragua</option>
<option value="NL">Netherlands</option>
<option value="NO">Norway</option>
<option value="NP">Nepal</option>
<option value="NR">Nauru</option>
<option value="NU">Niue</option>
<option value="NZ">New Zealand</option>
<option value="OM">Oman</option>
<option value="PA">Panama</option>
<option value="PE">Peru</option>
<option value="PF">French Polynesia</option>
<option value="PG">Papua New Guinea</option>
<option value="PH">Philippines</option>
<option value="PK">Pakistan</option>
<option value="PL">Poland</option>
<option value="PM">St. Pierre and Miquelon</option>
<option value="PN">Pitcairn</option>
<option value="PR">Puerto Rico</option>
<option value="PS">Palestinian Territories</option>
<option value="PT">Portugal</option>
<option value="PW">Palau</option>
<option value="PY">Paraguay</option>
<option value="QA">Qatar</option>
<option value="RE">Reunion</option>
<option value="RO">Romania</option>
<option value="RS">Serbia</option>
<option value="RU">Russian Federation</option>
<option value="RW">Rwanda</option>
<option value="SA">Saudi Arabia</option>
<option value="SB">Solomon Islands</option>
<option value="SC">Seychelles</option>
<option value="SD">Sudan</option>
<option value="SE">Sweden</option>
<option value="SG">Singapore</option>
<option value="SH">St. Helena</option>
<option value="SI">Slovenia</option>
<option value="SJ">Svalbard/Jan Mayen Isls.</option>
<option value="SK">Slovak Republic</option>
<option value="SL">Sierra Leone</option>
<option value="SM">San Marino</option>
<option value="SN">Senegal</option>
<option value="SO">Somalia</option>
<option value="SR">Suriname</option>
<option value="SS">South Sudan</option>
<option value="ST">Sao Tome/Principe</option>
<option value="SV">El Salvador</option>
<option value="SX">Sint Maarten</option>
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<option value="TD">Chad</option>
<option value="TF">French Southern Terr.</option>
<option value="TG">Togo</option>
<option value="TH">Thailand</option>
<option value="TJ">Tajikistan</option>
<option value="TK">Tokelau</option>
<option value="TL">Timor-Leste</option>
<option value="TM">Turkmenistan</option>
<option value="TN">Tunisia</option>
<option value="TO">Tonga</option>
<option value="TR">Turkey</option>
<option value="TT">Trinidad and Tobago</option>
<option value="TV">Tuvalu</option>
<option value="TW">Taiwan, China</option>
<option value="TZ">Tanzania</option>
<option value="UA">Ukraine</option>
<option value="UG">Uganda</option>
<option value="UK">United Kingdom</option>
<option value="UM">US Minor Outlying Is.</option>
<option value="US">United States</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VA">Vatican City</option>
<option value="VC">St. Vincent and Grenadines</option>
<option value="VE">Venezuela</option>
<option value="VG">BRITISH VIRGIN IS</option>
<option value="VI">Virgin Islands (U.S.)</option>
<option value="VN">Viet Nam</option>
<option value="VU">Vanuatu</option>
<option value="WF">Wallis/Futuna Isls.</option>
<option value="WS">Samoa</option>
<option value="YE">Yemen</option>
<option value="YT">Mayotte</option>
<option value="ZA">South Africa</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option>
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<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement7" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe37826">Business Phone<span class="elq-required">*</span></label></div>
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<div class="row">
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<div class="row">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement8" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe37827">Company Type<span class="elq-required">*</span></label></div>
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<div class="row">
<div class="col-xs-12">
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<option value="">Please Select</option>
<option value="Analyst/Consultant">Analyst/Consultant</option>
<option value="Association">Association</option>
<option value="Automaker">Automaker</option>
<option value="Banking/Finance/FinTech">Banking/Finance/FinTech</option>
<option value="Battery Supplier">Battery Supplier</option>
<option value="Cloud Provider">Cloud Provider</option>
<option value="Commercial Fleet Management">Commercial Fleet Management</option>
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ABOUT US SOLUTIONS EVENTS CONTACT US -------------------------------------------------------------------------------- June 5-6, 2024 Suburban Collection Showplace, Novi, MI HOME AGENDA SPEAKERS SPONSORS REGISTRATION AUTOMAKER REGISTRATION -------------------------------------------------------------------------------- INTERESTED IN SPEAKING AT AUTOTECH: DETROIT? Not You? Reset Form Email Address* First Name* Last Name* Title* Company* State or Province* Please Select…Outside the US or CanadaAlaskaAlabamaArkansasAmerican SamoaArizonaCaliforniaColoradoConnecticutD.C.DelawareFloridaMicronesiaGeorgiaGuamHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMarshall IslandsMichiganMinnesotaMissouriMarianasMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaPuerto RicoPalauRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVirgin IslandsVermontWashingtonWisconsinWest VirginiaWyomingMilitary AmericasMilitary Europe/ME/CanadaMilitary PacificAlbertaManitobaBritish ColumbiaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon TerritoryMidway AtollWake IslandJohnston AtollKingman ReefPalmyra AtollHowland IslandBaker IslandJarvis IslandNavassa IslandBajo Nuevo BankSerranilla Bank Country* Please Select...AndorraUnited Arab EmiratesAfghanistanAntigua and BarbudaAnguillaAlbaniaArmeniaNetherlands AntillesAngolaAntarcticaArgentinaAmerican SamoaAustriaAustraliaArubaAland IslandsAzerbaijanBosnia and HerzegovinaBarbadosBangladeshBelgiumBurkina FasoBulgariaBahrainBurundiBeninSaint BarthelemyBermudaBrunei DarussalamBoliviaBonaireBrazilBahamasBhutanBouvet IslandBotswanaBelarusBelizeCanadaCocos (Keeling) IslandsCongo, The Dem. 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Asset Type Please Select…ArticleAwardsData ServicesDigital EditioneBookEducationEvent BrochureInfographicIn-Person EventMedia Kit/Sales ToolsNewsletterPodcastPrint MagazineSave the DateSurvey/ResearchVideoVirtual EventWebinarWebsite RegistrationWhite PaperOther Lead Generation Canada Anti-Spam Opt-In Brand Description Please Select…Fleet SeekTU-AutomotiveWards Auto Hide Known Fields address1 By clicking above, I acknowledge and agree to Informa’s Terms of Service and to Informa’s use of my contact information to communicate with me about offerings by Informa, its brands, affiliates and/or third-party partners, consistent with Informa’s Privacy Policy. In addition, I understand that my personal information will be shared with any sponsor(s) of the resource, so they can contact me directly about their products or services. Please refer to the privacy policies of such sponsor(s) for more details on how your information will be used by them. The sponsor may contact me directly about industry news, products, services and events that may be of interest to me subject to their privacy policy. Wards Auto would like to use your contact details to send you information and offers about our products, services, events, conferences, subscriptions and publications that may be of interest to you, as well as on behalf of our carefully selected partners. You may opt out of receiving these messages at any time by clicking unsubscribe. You can find more information in our Privacy Policy.