go.emersonautomation.com Open in urlscan Pro
192.29.69.83  Public Scan

URL: https://go.emersonautomation.com/subscribe?type=single
Submission: On February 09 via api from AE — Scanned from CA

Form analysis 1 forms found in the DOM

Name: SubscriptionFormShortPOST https://go.emersonautomation.com/e/f2

<form class="elq-form" name="SubscriptionFormShort" id="form4531" action="https://go.emersonautomation.com/e/f2" method="post" onsubmit="return handleFormSubmit(this)">
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      <div class="grecaptcha-logo"><iframe title="reCAPTCHA" width="256" height="60" role="presentation" name="a-2a8gfpm3hdf9" frameborder="0" scrolling="no"
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  </div><input value="SubscriptionFormShort" type="hidden" name="elqFormName">
  <input value="367589339" type="hidden" name="elqSiteId">
  <input name="elqCampaignId" type="hidden">
  <div class="row">
    <div class="elem">
      <div id="formElement0" class="elq-field-style form-element-layout">
        <label class="elq-label " for="fe111118"> Email Address <span class="elq-required">*</span>
        </label>
        <input type="text" class="elq-item-input" name="emailAddress" id="fe111118" value="">
      </div>
    </div><!--/elem-->
  </div><!--/row-->
  <div class="row">
    <div class="elem">
      <div id="formElement1" class="elq-field-style form-element-layout">
        <label class="elq-label " for="fe111119"> First Name <span class="elq-required">*</span>
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        <input type="text" class="elq-item-input" name="firstName" id="fe111119" value="">
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    </div><!--/elem-->
    <div class="elem">
      <div id="formElement2" class="elq-field-style form-element-layout">
        <label class="elq-label " for="fe111120"> Last Name <span class="elq-required">*</span>
        </label>
        <input type="text" class="elq-item-input" name="lastName" id="fe111120" value="">
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  <div class="row">
    <div class="elem">
      <div id="formElement4" class="elq-field-style form-element-layout">
        <label class="elq-label " for="fe111122"> Job Responsibility <span class="elq-required">*</span>
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        <select class="elq-item-select" id="fe114373" name="jobRole1" data-value="">
          <option selected="" value=""> Please Select </option>
          <option value="Contractor"> Contractor </option>
          <option value="Corporate"> Corporate </option>
          <option value="Engineering-Control Systems"> Engineering - Control Systems </option>
          <option value="Engineering-Instrumentation"> Engineering - Instrumentation </option>
          <option value="Engineering-Other"> Engineering - Other </option>
          <option value="Human Resources"> Human Resources </option>
          <option value="IT/MIS"> IT/MIS </option>
          <option value="Instrumentation/Controls"> Instrumentation/Controls </option>
          <option value="Leadership/Management"> Leadership/Management </option>
          <option value="Legal"> Legal </option>
          <option value="Maintenance/Service"> Maintenance/Service </option>
          <option value="Operations"> Operations </option>
          <option value="Other"> Other </option>
          <option value="Plant Management/Finance"> Plant Management / Finance </option>
          <option value="Production"> Production </option>
          <option value="Project Management"> Project Management </option>
          <option value="Purchasing"> Purchasing </option>
          <option value="Quality"> Quality </option>
          <option value="Reliability"> Reliability </option>
          <option value="Research &amp; Development"> Research &amp; Development </option>
          <option value="Safety/Compliance"> Safety / Compliance </option>
          <option value="Sales/Marketing"> Sales / Marketing </option>
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    </div><!--/elem-->
    <div class="elem">
      <div id="formElement5" class="elq-field-style form-element-layout">
        <label class="elq-label " for="fe111123"> Industry <span class="elq-required">*</span>
        </label>
        <!--custom dropdown-->
        <div class="form-group input-form customDropDown">
          <input type="text" name="industryMarketDisplay" id="industryMarket" class="form-control customInputDropDown custom-select" readonly="readonly" value="Please Select">
          <div id="industryDropDown" class="dropdownContent industryDropDown">
            <div class="added-industry detailsDropDown industryTitle 1-optGroup-title" data-id="Automotive" data-class="1-optGroup"><span class="fas fa-angle-down"></span>Automotive</div>
            <div class="optIndustry added-industry detailsDropDown 1-optGroup" data-id="Automotive">
              <div class="added-industry detailsDropDown optSubIndustry 1-optGroup-sub" data-value="Automotive | Fuel Dispensing" style="display: none;">Fuel Dispensing </div>
              <div class="added-industry detailsDropDown optSubIndustry 1-optGroup-sub" data-value="Automotive | Components &amp; Vehicle Systems" style="display: none;">Components &amp; Vehicle Systems </div>
              <div class="added-industry detailsDropDown optSubIndustry 1-optGroup-sub" data-value="Automotive | Fabrication &amp; Assembly" style="display: none;">Fabrication &amp; Assembly </div>
              <div class="added-industry detailsDropDown optSubIndustry 1-optGroup-sub" data-value="Automotive | Tires" style="display: none;">Tires </div>
              <div class="added-industry detailsDropDown optSubIndustry 1-optGroup-sub" data-value="Automotive | Other" style="display: none;">Other </div>
            </div>
            <div class="added-industry detailsDropDown industryTitle 2-optGroup-title" data-id="Chemical" data-class="2-optGroup"><span class="fas fa-angle-down"></span>Chemical</div>
            <div class="optIndustry added-industry detailsDropDown 2-optGroup" data-id="Chemical">
              <div class="added-industry detailsDropDown optSubIndustry 2-optGroup-sub" data-value="Chemical | Agrichemicals" style="display: none;">Agrichemicals </div>
              <div class="added-industry detailsDropDown optSubIndustry 2-optGroup-sub" data-value="Chemical | Industrial Gas" style="display: none;">Industrial Gas </div>
              <div class="added-industry detailsDropDown optSubIndustry 2-optGroup-sub" data-value="Chemical | Inorganic Bulk" style="display: none;">Inorganic Bulk </div>
              <div class="added-industry detailsDropDown optSubIndustry 2-optGroup-sub" data-value="Chemical | Petrochemical" style="display: none;">Petrochemical </div>
              <div class="added-industry detailsDropDown optSubIndustry 2-optGroup-sub" data-value="Chemical | Polymers" style="display: none;">Polymers </div>
              <div class="added-industry detailsDropDown optSubIndustry 2-optGroup-sub" data-value="Chemical | Specialty Chemicals" style="display: none;">Specialty Chemicals </div>
              <div class="added-industry detailsDropDown optSubIndustry 2-optGroup-sub" data-value="Chemical | Other" style="display: none;">Other </div>
            </div>
            <div class="added-industry detailsDropDown industryTitle 3-optGroup-title" data-id="Downstream Hydrocarbons" data-class="3-optGroup"><span class="fas fa-angle-down"></span>Downstream Hydrocarbons</div>
            <div class="optIndustry added-industry detailsDropDown 3-optGroup" data-id="Downstream Hydrocarbons">
              <div class="added-industry detailsDropDown optSubIndustry 3-optGroup-sub" data-value="Downstream Hydrocarbons | Refining" style="display: none;">Refining </div>
              <div class="added-industry detailsDropDown optSubIndustry 3-optGroup-sub" data-value="Downstream Hydrocarbons | Terminals &amp; Logistics" style="display: none;">Terminals &amp; Logistics </div>
              <div class="added-industry detailsDropDown optSubIndustry 3-optGroup-sub" data-value="Downstream Hydrocarbons | Petrochemical" style="display: none;">Petrochemical </div>
              <div class="added-industry detailsDropDown optSubIndustry 3-optGroup-sub" data-value="Downstream Hydrocarbons | Other" style="display: none;">Other </div>
            </div>
            <div class="added-industry detailsDropDown industryTitle 4-optGroup-title" data-id="Food &amp; Beverage" data-class="4-optGroup"><span class="fas fa-angle-down"></span>Food &amp; Beverage</div>
            <div class="optIndustry added-industry detailsDropDown 4-optGroup" data-id="Food &amp; Beverage">
              <div class="added-industry detailsDropDown optSubIndustry 4-optGroup-sub" data-value="Food &amp; Beverage | Alcohol Beverage Processing" style="display: none;">Alcohol Beverage Processing </div>
              <div class="added-industry detailsDropDown optSubIndustry 4-optGroup-sub" data-value="Food &amp; Beverage | Brewing" style="display: none;">Brewing </div>
              <div class="added-industry detailsDropDown optSubIndustry 4-optGroup-sub" data-value="Food &amp; Beverage | Canned/Frozen" style="display: none;">Canned/Frozen </div>
              <div class="added-industry detailsDropDown optSubIndustry 4-optGroup-sub" data-value="Food &amp; Beverage | CBD/Cannabis" style="display: none;">CBD/Cannabis </div>
              <div class="added-industry detailsDropDown optSubIndustry 4-optGroup-sub" data-value="Food &amp; Beverage | Dairy" style="display: none;">Dairy </div>
              <div class="added-industry detailsDropDown optSubIndustry 4-optGroup-sub" data-value="Food &amp; Beverage | Flavors" style="display: none;">Flavors </div>
              <div class="added-industry detailsDropDown optSubIndustry 4-optGroup-sub" data-value="Food &amp; Beverage | Fresh Foods" style="display: none;">Fresh Foods </div>
              <div class="added-industry detailsDropDown optSubIndustry 4-optGroup-sub" data-value="Food &amp; Beverage | Grains" style="display: none;">Grains </div>
              <div class="added-industry detailsDropDown optSubIndustry 4-optGroup-sub" data-value="Food &amp; Beverage | Meats" style="display: none;">Meats </div>
              <div class="added-industry detailsDropDown optSubIndustry 4-optGroup-sub" data-value="Food &amp; Beverage | Oils" style="display: none;">Oils </div>
              <div class="added-industry detailsDropDown optSubIndustry 4-optGroup-sub" data-value="Food &amp; Beverage | Packaging" style="display: none;">Packaging </div>
              <div class="added-industry detailsDropDown optSubIndustry 4-optGroup-sub" data-value="Food &amp; Beverage | Pet Food" style="display: none;">Pet Food </div>
              <div class="added-industry detailsDropDown optSubIndustry 4-optGroup-sub" data-value="Food &amp; Beverage | Ready to Drink Beverages" style="display: none;">Ready to Drink Beverages </div>
              <div class="added-industry detailsDropDown optSubIndustry 4-optGroup-sub" data-value="Food &amp; Beverage | Snacks/Prepared Foods" style="display: none;">Snacks/Prepared Foods </div>
              <div class="added-industry detailsDropDown optSubIndustry 4-optGroup-sub" data-value="Food &amp; Beverage | Spirits" style="display: none;">Spirits </div>
              <div class="added-industry detailsDropDown optSubIndustry 4-optGroup-sub" data-value="Food &amp; Beverage | Sugar" style="display: none;">Sugar </div>
              <div class="added-industry detailsDropDown optSubIndustry 4-optGroup-sub" data-value="Food &amp; Beverage | Winemaking" style="display: none;">Winemaking </div>
              <div class="added-industry detailsDropDown optSubIndustry 4-optGroup-sub" data-value="Food &amp; Beverage | Other" style="display: none;">Other </div>
            </div>
            <div class="added-industry detailsDropDown industryTitle 5-optGroup-title" data-id="Industrial Energy &amp; Onsite Utilities" data-class="5-optGroup"><span class="fas fa-angle-down"></span>Industrial Energy &amp; Onsite Utilities</div>
            <div class="optIndustry added-industry detailsDropDown 5-optGroup" data-id="Industrial Energy &amp; Onsite Utilities">
              <div class="added-industry detailsDropDown optSubIndustry 5-optGroup-sub" data-value="Industrial Energy &amp; Onsite Utilities | Energy Management" style="display: none;">Energy Management </div>
              <div class="added-industry detailsDropDown optSubIndustry 5-optGroup-sub" data-value="Industrial Energy &amp; Onsite Utilities | Boilers &amp; Combustion Processes" style="display: none;">Boilers &amp; Combustion Processes </div>
              <div class="added-industry detailsDropDown optSubIndustry 5-optGroup-sub" data-value="Industrial Energy &amp; Onsite Utilities | Steam Header" style="display: none;">Steam Header </div>
              <div class="added-industry detailsDropDown optSubIndustry 5-optGroup-sub" data-value="Industrial Energy &amp; Onsite Utilities | Steam Traps" style="display: none;">Steam Traps </div>
              <div class="added-industry detailsDropDown optSubIndustry 5-optGroup-sub" data-value="Industrial Energy &amp; Onsite Utilities | Other" style="display: none;">Other </div>
            </div>
            <div class="added-industry detailsDropDown industryTitle 6-optGroup-title" data-id="Life Sciences" data-class="6-optGroup"><span class="fas fa-angle-down"></span>Life Sciences</div>
            <div class="optIndustry added-industry detailsDropDown 6-optGroup" data-id="Life Sciences">
              <div class="added-industry detailsDropDown optSubIndustry 6-optGroup-sub" data-value="Life Sciences | Biotechnology" style="display: none;">Biotechnology </div>
              <div class="added-industry detailsDropDown optSubIndustry 6-optGroup-sub" data-value="Life Sciences | Cell/Gene Therapy Manufacturing" style="display: none;">Cell/Gene Therapy Manufacturing </div>
              <div class="added-industry detailsDropDown optSubIndustry 6-optGroup-sub" data-value="Life Sciences | Fill/Finish" style="display: none;">Fill/Finish </div>
              <div class="added-industry detailsDropDown optSubIndustry 6-optGroup-sub" data-value="Life Sciences | Laboratories" style="display: none;">Laboratories </div>
              <div class="added-industry detailsDropDown optSubIndustry 6-optGroup-sub" data-value="Life Sciences | Large Molecule Upstream" style="display: none;">Large Molecule Upstream </div>
              <div class="added-industry detailsDropDown optSubIndustry 6-optGroup-sub" data-value="Life Sciences | Large Molecule Downstream" style="display: none;">Large Molecule Downstream </div>
              <div class="added-industry detailsDropDown optSubIndustry 6-optGroup-sub" data-value="Life Sciences | Packaging" style="display: none;">Packaging </div>
              <div class="added-industry detailsDropDown optSubIndustry 6-optGroup-sub" data-value="Life Sciences | Pharmaceutical" style="display: none;">Pharmaceutical </div>
              <div class="added-industry detailsDropDown optSubIndustry 6-optGroup-sub" data-value="Life Sciences | Small Molecule Upstream" style="display: none;">Small Molecule Upstream </div>
              <div class="added-industry detailsDropDown optSubIndustry 6-optGroup-sub" data-value="Life Sciences | Small Molecule Downstream" style="display: none;">Small Molecule Downstream </div>
              <div class="added-industry detailsDropDown optSubIndustry 6-optGroup-sub" data-value="Life Sciences | Utilities" style="display: none;">Utilities </div>
              <div class="added-industry detailsDropDown optSubIndustry 6-optGroup-sub" data-value="Life Sciences | Other" style="display: none;">Other </div>
            </div>
            <div class="added-industry detailsDropDown industryTitle 7-optGroup-title" data-id="Manufacturing" data-class="7-optGroup"><span class="fas fa-angle-down"></span>Manufacturing</div>
            <div class="optIndustry added-industry detailsDropDown 7-optGroup" data-id="Manufacturing">
              <div class="added-industry detailsDropDown optSubIndustry 7-optGroup-sub" data-value="Manufacturing" style="display: none;">Manufacturing </div>
            </div>
            <div class="added-industry detailsDropDown industryTitle 8-optGroup-title" data-id="Marine" data-class="8-optGroup"><span class="fas fa-angle-down"></span>Marine</div>
            <div class="optIndustry added-industry detailsDropDown 8-optGroup" data-id="Marine">
              <div class="added-industry detailsDropDown optSubIndustry 8-optGroup-sub" data-value="Marine | Chartering" style="display: none;">Chartering </div>
              <div class="added-industry detailsDropDown optSubIndustry 8-optGroup-sub" data-value="Marine | Classification Societies" style="display: none;">Classification Societies </div>
              <div class="added-industry detailsDropDown optSubIndustry 8-optGroup-sub" data-value="Marine | Equipment Manufacturer" style="display: none;">Equipment Manufacturer </div>
              <div class="added-industry detailsDropDown optSubIndustry 8-optGroup-sub" data-value="Marine | Reselling / Distributing" style="display: none;">Reselling / Distributing </div>
              <div class="added-industry detailsDropDown optSubIndustry 8-optGroup-sub" data-value="Marine | Ship Building" style="display: none;">Ship Building </div>
              <div class="added-industry detailsDropDown optSubIndustry 8-optGroup-sub" data-value="Marine | Ship Management / Ship Operation" style="display: none;">Ship Management / Ship Operation </div>
              <div class="added-industry detailsDropDown optSubIndustry 8-optGroup-sub" data-value="Marine | Service and Maintenance" style="display: none;">Service and Maintenance </div>
              <div class="added-industry detailsDropDown optSubIndustry 8-optGroup-sub" data-value="Marine | Other" style="display: none;">Other </div>
            </div>
            <div class="added-industry detailsDropDown industryTitle 9-optGroup-title" data-id="Medical" data-class="9-optGroup"><span class="fas fa-angle-down"></span>Medical</div>
            <div class="optIndustry added-industry detailsDropDown 9-optGroup" data-id="Medical">
              <div class="added-industry detailsDropDown optSubIndustry 9-optGroup-sub" data-value="Medical | Medical Diagnostics" style="display: none;">Medical Diagnostics </div>
              <div class="added-industry detailsDropDown optSubIndustry 9-optGroup-sub" data-value="Medical | Medical Devices" style="display: none;">Medical Devices </div>
              <div class="added-industry detailsDropDown optSubIndustry 9-optGroup-sub" data-value="Medical | Other" style="display: none;">Other </div>
            </div>
            <div class="added-industry detailsDropDown industryTitle 10-optGroup-title" data-id="Mining, Minerals &amp; Metals" data-class="10-optGroup"><span class="fas fa-angle-down"></span>Mining, Minerals &amp; Metals</div>
            <div class="optIndustry added-industry detailsDropDown 10-optGroup" data-id="Mining, Minerals &amp; Metals">
              <div class="added-industry detailsDropDown optSubIndustry 10-optGroup-sub" data-value="Mining, Minerals &amp; Metals | Crushing" style="display: none;">Crushing </div>
              <div class="added-industry detailsDropDown optSubIndustry 10-optGroup-sub" data-value="Mining, Minerals &amp; Metals | Conveying" style="display: none;">Conveying </div>
              <div class="added-industry detailsDropDown optSubIndustry 10-optGroup-sub" data-value="Mining, Minerals &amp; Metals | Grinding" style="display: none;">Grinding </div>
              <div class="added-industry detailsDropDown optSubIndustry 10-optGroup-sub" data-value="Mining, Minerals &amp; Metals | Classification" style="display: none;">Classification </div>
              <div class="added-industry detailsDropDown optSubIndustry 10-optGroup-sub" data-value="Mining, Minerals &amp; Metals | Other" style="display: none;">Other </div>
            </div>
            <div class="added-industry detailsDropDown industryTitle 11-optGroup-title" data-id="Oil &amp; Gas" data-class="11-optGroup"><span class="fas fa-angle-down"></span>Oil &amp; Gas</div>
            <div class="optIndustry added-industry detailsDropDown 11-optGroup" data-id="Oil &amp; Gas">
              <div class="added-industry detailsDropDown optSubIndustry 11-optGroup-sub" data-value="Oil &amp; Gas | Conventional" style="display: none;">Conventional </div>
              <div class="added-industry detailsDropDown optSubIndustry 11-optGroup-sub" data-value="Oil &amp; Gas | Unconventional" style="display: none;">Unconventional </div>
              <div class="added-industry detailsDropDown optSubIndustry 11-optGroup-sub" data-value="Oil &amp; Gas | Exploration &amp; Production" style="display: none;">Exploration &amp; Production </div>
              <div class="added-industry detailsDropDown optSubIndustry 11-optGroup-sub" data-value="Oil &amp; Gas | Transportation &amp; Storage" style="display: none;">Transportation &amp; Storage </div>
              <div class="added-industry detailsDropDown optSubIndustry 11-optGroup-sub" data-value="Oil &amp; Gas | Gas Processing &amp; LNG" style="display: none;">Gas Processing &amp; LNG </div>
              <div class="added-industry detailsDropDown optSubIndustry 11-optGroup-sub" data-value="Oil &amp; Gas | Oilfield Services" style="display: none;">Oilfield Services </div>
              <div class="added-industry detailsDropDown optSubIndustry 11-optGroup-sub" data-value="Oil &amp; Gas | Other" style="display: none;">Other </div>
            </div>
            <div class="added-industry detailsDropDown industryTitle 12-optGroup-title" data-id="Packaging" data-class="12-optGroup"><span class="fas fa-angle-down"></span>Packaging</div>
            <div class="optIndustry added-industry detailsDropDown 12-optGroup" data-id="Packaging">
              <div class="added-industry detailsDropDown optSubIndustry 12-optGroup-sub" data-value="Packaging | Primary Packaging" style="display: none;">Primary Packaging </div>
              <div class="added-industry detailsDropDown optSubIndustry 12-optGroup-sub" data-value="Packaging | Secondary Packaging &amp; Palletizing" style="display: none;">Secondary Packaging &amp; Palletizing </div>
              <div class="added-industry detailsDropDown optSubIndustry 12-optGroup-sub" data-value="Packaging | Other" style="display: none;">Other </div>
            </div>
            <div class="added-industry detailsDropDown industryTitle 13-optGroup-title" data-id="Power Generation" data-class="13-optGroup"><span class="fas fa-angle-down"></span>Power Generation</div>
            <div class="optIndustry added-industry detailsDropDown 13-optGroup" data-id="Power Generation">
              <div class="added-industry detailsDropDown optSubIndustry 13-optGroup-sub" data-value="Power Generation | Coal Power" style="display: none;">Coal Power </div>
              <div class="added-industry detailsDropDown optSubIndustry 13-optGroup-sub" data-value="Power Generation | Nuclear Power" style="display: none;">Nuclear Power </div>
              <div class="added-industry detailsDropDown optSubIndustry 13-optGroup-sub" data-value="Power Generation | Hydropower" style="display: none;">Hydropower </div>
              <div class="added-industry detailsDropDown optSubIndustry 13-optGroup-sub" data-value="Power Generation | Gas Power" style="display: none;">Gas Power </div>
              <div class="added-industry detailsDropDown optSubIndustry 13-optGroup-sub" data-value="Power Generation | Renewable Power Generation" style="display: none;">Renewable Power Generation </div>
              <div class="added-industry detailsDropDown optSubIndustry 13-optGroup-sub" data-value="Power Generation | Other" style="display: none;">Other </div>
            </div>
            <div class="added-industry detailsDropDown industryTitle 14-optGroup-title" data-id="Pulp &amp; Paper" data-class="14-optGroup"><span class="fas fa-angle-down"></span>Pulp &amp; Paper</div>
            <div class="optIndustry added-industry detailsDropDown 14-optGroup" data-id="Pulp &amp; Paper">
              <div class="added-industry detailsDropDown optSubIndustry 14-optGroup-sub" data-value="Pulp &amp; Paper" style="display: none;">Pulp &amp; Paper </div>
            </div>
            <div class="added-industry detailsDropDown industryTitle 15-optGroup-title" data-id="Textiles" data-class="15-optGroup"><span class="fas fa-angle-down"></span>Textiles</div>
            <div class="optIndustry added-industry detailsDropDown 15-optGroup" data-id="Textiles">
              <div class="added-industry detailsDropDown optSubIndustry 15-optGroup-sub" data-value="Textiles" style="display: none;">Textiles </div>
            </div>
            <div class="added-industry detailsDropDown industryTitle 16-optGroup-title" data-id="Water &amp; Wastewater" data-class="16-optGroup"><span class="fas fa-angle-down"></span>Water &amp; Wastewater</div>
            <div class="optIndustry added-industry detailsDropDown 16-optGroup" data-id="Water &amp; Wastewater">
              <div class="added-industry detailsDropDown optSubIndustry 16-optGroup-sub" data-value="Water &amp; Wastewater" style="display: none;">Water &amp; Wastewater </div>
            </div>
            <div class="added-industry detailsDropDown industryTitle 17-optGroup-title" data-id="Other" data-class="17-optGroup"><span class="fas fa-angle-down"></span>Other</div>
            <div class="optIndustry added-industry detailsDropDown 17-optGroup" data-id="Other">
              <div class="added-industry detailsDropDown optSubIndustry 17-optGroup-sub" data-value="Other" style="display: none;">Other </div>
            </div>
          </div>
          <input type="hidden" name="ePMIndustryMarket1" id="industryMarketHidden" data-value="">
        </div>
        <!--/custom dropdown-->
      </div>
    </div><!--/elem-->
  </div><!--/row-->
  <div class="row">
    <div class="elem">
      <div id="formElement3" class="elq-field-style form-element-layout">
        <label class="elq-label " for="fe111121"> Company <span class="elq-required">*</span>
        </label>
        <input type="text" class="elq-item-input" name="company" id="fe111121" value="">
      </div>
    </div><!--/elem-->
    <div class="elem">
      <div id="formElement6" class="elq-field-style form-element-layout">
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          <option value="GB"> United Kingdom </option>
          <option value="IN"> India </option>
          <option value="FR"> France </option>
          <option value="CA"> Canada </option>
          <option value="AU"> Australia </option>
          <option value="NL"> Netherlands </option>
          <option value="ZA"> South Africa </option>
          <option value="SG"> Singapore </option>
          <option value="SE"> Sweden </option>
          <option value="BR"> Brazil </option>
          <option selected="" value=""> -------------- </option>
          <option value="AF"> Afghanistan </option>
          <option value="AX"> Åland Islands </option>
          <option value="AL"> Albania </option>
          <option value="DZ"> Algeria </option>
          <option value="AS"> American Samoa </option>
          <option value="AD"> Andorra </option>
          <option value="AO"> Angola </option>
          <option value="AI"> Anguilla </option>
          <option value="AQ"> Antarctica </option>
          <option value="AG"> Antigua and Barbuda </option>
          <option value="AR"> Argentina </option>
          <option value="AM"> Armenia </option>
          <option value="AW"> Aruba </option>
          <option value="SH-AC"> Ascension Island </option>
          <option value="AU"> Australia </option>
          <option value="AT"> Austria </option>
          <option value="AZ"> Azerbaijan </option>
          <option value="BS"> Bahamas </option>
          <option value="BH"> Bahrain </option>
          <option value="BD"> Bangladesh </option>
          <option value="BB"> Barbados </option>
          <option value="BY"> Belarus </option>
          <option value="BE"> Belgium </option>
          <option value="BZ"> Belize </option>
          <option value="BJ"> Benin </option>
          <option value="BM"> Bermuda </option>
          <option value="BT"> Bhutan </option>
          <option value="BO"> Bolivia </option>
          <option value="BQ"> Bonaire, Sint Eustatius and Saba </option>
          <option value="BA"> Bosnia and Herzegovina </option>
          <option value="BW"> Botswana </option>
          <option value="BV"> Bouvet Island </option>
          <option value="BR"> Brazil </option>
          <option value="IO"> Brit/Indian Ocean Terr. </option>
          <option value="BN"> Brunei Darussalam </option>
          <option value="BG"> Bulgaria </option>
          <option value="BF"> Burkina Faso </option>
          <option value="BI"> Burundi </option>
          <option value="CV"> Cabo Verde </option>
          <option value="KH"> Cambodia </option>
          <option value="CM"> Cameroon </option>
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          <option value="KY"> Cayman Islands </option>
          <option value="CF"> Central African Republic </option>
          <option value="TD"> Chad </option>
          <option value="CL"> Chile </option>
          <option value="CN"> China </option>
          <option value="CX"> Christmas Island </option>
          <option value="CC"> Cocos (Keeling) Islands </option>
          <option value="CO"> Colombia </option>
          <option value="KM"> Comoros </option>
          <option value="CG"> Congo </option>
          <option value="CD"> Congo, The Dem. Republic Of </option>
          <option value="CK"> Cook Islands </option>
          <option value="CR"> Costa Rica </option>
          <option value="CI"> Côte D'Ivore </option>
          <option value="HR"> Croatia </option>
          <option value="CU"> Cuba </option>
          <option value="CW"> Curaçao </option>
          <option value="CY"> Cyprus </option>
          <option value="CZ"> Czech Republic </option>
          <option value="DK"> Denmark </option>
          <option value="DJ"> Djibouti </option>
          <option value="DM"> Dominica </option>
          <option value="DO"> Dominican Republic </option>
          <option value="TL"> East Timor </option>
          <option value="EC"> Ecuador </option>
          <option value="EG"> Egypt </option>
          <option value="SV"> El Salvador </option>
          <option value="GQ"> Equatorial Guinea </option>
          <option value="ER"> Eritrea </option>
          <option value="EE"> Estonia </option>
          <option value="ET"> Ethiopia </option>
          <option value="FK"> Falkland Islands </option>
          <option value="FO"> Faroe Islands </option>
          <option value="FJ"> Fiji </option>
          <option value="FI"> Finland </option>
          <option value="FR"> France </option>
          <option value="FX"> France, Metropolitan </option>
          <option value="GF"> French Guiana </option>
          <option value="PF"> French Polynesia </option>
          <option value="TF"> French Southern Terr. </option>
          <option value="GA"> Gabon </option>
          <option value="GM"> Gambia </option>
          <option value="GE"> Georgia </option>
          <option value="DE"> Germany </option>
          <option value="GH"> Ghana </option>
          <option value="GI"> Gibraltar </option>
          <option value="GR"> Greece </option>
          <option value="GL"> Greenland </option>
          <option value="GD"> Grenada </option>
          <option value="GP"> Guadeloupe </option>
          <option value="GU"> Guam </option>
          <option value="GT"> Guatemala </option>
          <option value="GG"> Guernsey (Channel Island) </option>
          <option value="GN"> Guinea </option>
          <option value="GW"> Guinea-Bissau </option>
          <option value="GY"> Guyana </option>
          <option value="HT"> Haiti </option>
          <option value="HM"> Heard/McDonald Isls. </option>
          <option value="VA"> Holy See </option>
          <option value="HN"> Honduras </option>
          <option value="HK"> Hong Kong SAR </option>
          <option value="HU"> Hungary </option>
          <option value="IS"> Iceland </option>
          <option value="IN"> India </option>
          <option value="ID"> Indonesia </option>
          <option value="IR"> Iran, Islamic Republic of </option>
          <option value="IQ"> Iraq </option>
          <option value="IE"> Ireland </option>
          <option value="IM"> Isle of Man </option>
          <option value="IL"> Israel </option>
          <option value="IT"> Italy </option>
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          <option value="JP"> Japan </option>
          <option value="JE"> Jersey </option>
          <option value="JO"> Jordan </option>
          <option value="KZ"> Kazakhstan </option>
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          <option value="KI"> Kiribati </option>
          <option value="KP"> Korea, Democratic People's Republic of </option>
          <option value="KR"> Korea, Republic </option>
          <option value="XK"> Kosovo </option>
          <option value="KW"> Kuwait </option>
          <option value="KG"> Kyrgyzstan </option>
          <option value="LA"> Laos </option>
          <option value="LV"> Latvia </option>
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          <option value="LS"> Lesotho </option>
          <option value="LR"> Liberia </option>
          <option value="LY"> Libya </option>
          <option value="LI"> Liechtenstein </option>
          <option value="LT"> Lithuania </option>
          <option value="LU"> Luxembourg </option>
          <option value="MO"> Macau SAR </option>
          <option value="MK"> Macedonia </option>
          <option value="MG"> Madagascar </option>
          <option value="MW"> Malawi </option>
          <option value="MY"> Malaysia </option>
          <option value="MV"> Maldives </option>
          <option value="ML"> Mali </option>
          <option value="MT"> Malta </option>
          <option value="MH"> Marshall Islands </option>
          <option value="MQ"> Martinique </option>
          <option value="MR"> Mauritania </option>
          <option value="MU"> Mauritius </option>
          <option value="YT"> Mayotte </option>
          <option value="MX"> Mexico </option>
          <option value="FM"> Micronesia </option>
          <option value="MD"> Moldova </option>
          <option value="MC"> Monaco </option>
          <option value="MN"> Mongolia </option>
          <option value="ME"> Montenegro </option>
          <option value="MS"> Montserrat </option>
          <option value="MA"> Morocco </option>
          <option value="MZ"> Mozambique </option>
          <option value="MM"> Myanmar </option>
          <option value="NA"> Namibia </option>
          <option value="NR"> Nauru </option>
          <option value="NP"> Nepal </option>
          <option value="NL"> Netherlands </option>
          <option value="AN"> Netherlands Antilles </option>
          <option value="NC"> New Caledonia </option>
          <option value="NZ"> New Zealand </option>
          <option value="NI"> Nicaragua </option>
          <option value="NE"> Niger </option>
          <option value="NG"> Nigeria </option>
          <option value="NU"> Niue </option>
          <option value="NF"> Norfolk Island </option>
          <option value="MP"> Northern Mariana Islands </option>
          <option value="NO"> Norway </option>
          <option value="OM"> Oman </option>
          <option value="PK"> Pakistan </option>
          <option value="PW"> Palau </option>
          <option value="PS"> Palestinian Territory, Occupied </option>
          <option value="PA"> Panama </option>
          <option value="PG"> Papua New Guinea </option>
          <option value="PY"> Paraguay </option>
          <option value="PE"> Peru </option>
          <option value="PH"> Philippines </option>
          <option value="PN"> Pitcairn </option>
          <option value="PL"> Poland </option>
          <option value="PT"> Portugal </option>
          <option value="PR"> Puerto Rico </option>
          <option value="QA"> Qatar </option>
          <option value="RE"> Réunion </option>
          <option value="RO"> Romania </option>
          <option value="RU"> Russian Federation </option>
          <option value="RW"> Rwanda </option>
          <option value="BL"> Saint Barthélemy </option>
          <option value="SH"> Saint Helena, Ascension and Tristan da Cunha </option>
          <option value="KN"> Saint Kitts and Nevis </option>
          <option value="LC"> Saint Lucia </option>
          <option value="MF"> Saint Martin (French part) </option>
          <option value="PM"> Saint Pierre and Miquelon </option>
          <option value="VC"> Saint Vincent and the Grenadines </option>
          <option value="WS"> Samoa </option>
          <option value="SM"> San Marino </option>
          <option value="ST"> Sao Tome and Principe </option>
          <option value="SA"> Saudi Arabia </option>
          <option value="SN"> Senegal </option>
          <option value="RS"> Serbia </option>
          <option value="CS"> Serbia and Montenegro </option>
          <option value="SC"> Seychelles </option>
          <option value="SL"> Sierra Leone </option>
          <option value="SG"> Singapore </option>
          <option value="SX"> Sint Maarten (Dutch part) </option>
          <option value="SK"> Slovakia </option>
          <option value="SI"> Slovenia </option>
          <option value="SB"> Solomon Islands </option>
          <option value="SO"> Somalia </option>
          <option value="ZA"> South Africa </option>
          <option value="GS"> South Georgia and the South Sandwich Islands </option>
          <option value="SS"> South Sudan </option>
          <option value="ES"> Spain </option>
          <option value="LK"> Sri Lanka </option>
          <option value="BL"> St. Barts </option>
          <option value="SD"> Sudan </option>
          <option value="SR"> Suriname </option>
          <option value="SJ"> Svalbard and Jan Mayen </option>
          <option value="SZ"> Swaziland </option>
          <option value="SE"> Sweden </option>
          <option value="CH"> Switzerland </option>
          <option value="SY"> Syrian Arab Republic </option>
          <option value="TW"> Taiwan </option>
          <option value="TJ"> Tajikistan </option>
          <option value="TZ"> Tanzania </option>
          <option value="TH"> Thailand </option>
          <option value="TL"> Timor-Leste </option>
          <option value="TG"> Togo </option>
          <option value="TK"> Tokelau </option>
          <option value="TO"> Tonga </option>
          <option value="TT"> Trinidad and Tobago </option>
          <option value="TN"> Tunisia </option>
          <option value="TR"> Turkey </option>
          <option value="TM"> Turkmenistan </option>
          <option value="TC"> Turks and Caicos Islands </option>
          <option value="TV"> Tuvalu </option>
          <option value="UG"> Uganda </option>
          <option value="UA"> Ukraine </option>
          <option value="AE"> United Arab Emirates </option>
          <option value="GB"> United Kingdom </option>
          <option value="UM"> United States Minor Outlying Islands </option>
          <option value="US"> United States of America </option>
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          <option value="VU"> Vanuatu </option>
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          <option value="WF"> Wallis and Futuna </option>
          <option value="EH"> Western Sahara </option>
          <option value="YE"> Yemen </option>
          <option value="ZM"> Zambia </option>
          <option value="ZW"> Zimbabwe </option>
          <option value="EU"> European Union </option>
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          <strong>Yes</strong>, I'd like to receive marketing communications on products, training and events. </label>
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