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Submission: On January 10 via manual from US — Scanned from DE
Submission: On January 10 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST https://www.tfaforms.com/api_v2/workflow/processor
<form method="post" action="https://www.tfaforms.com/api_v2/workflow/processor" class="hintsBelow labelsAbove" id="5035160" role="form">
<fieldset id="tfa_1" class="repeat section" data-repeatlimit="4" data-repeatlabel="Add up to four team members" wfr_handled="true">
<legend id="tfa_1-L"><b>Contact Information</b><br></legend>
<div id="tfa_113" class="section inline group">
<div class="oneField field-container-D " id="tfa_110-D">
<label id="tfa_110-L" class="label preField reqMark" for="tfa_110">First Name:</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_110" name="tfa_110" value="" title="First Name:" class="required"></div>
</div>
<div class="oneField field-container-D " id="tfa_112-D">
<label id="tfa_112-L" class="label preField reqMark" for="tfa_112">Last Name:</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_112" name="tfa_112" value="" title="Last Name:" class="required"></div>
</div>
</div>
<div id="tfa_30" class="section inline group">
<div class="oneField field-container-D " id="tfa_4-D">
<label id="tfa_4-L" class="label preField reqMark" for="tfa_4">Title:</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_4" name="tfa_4" value="" title="Title:" class="required"></div>
</div>
<div class="oneField field-container-D " id="tfa_7-D">
<label id="tfa_7-L" class="label preField reqMark" for="tfa_7">Email:</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_7" name="tfa_7" value="" title="Email:" class="validate-email required"></div>
</div>
</div>
<div id="tfa_146" class="section inline group">
<div class="oneField field-container-D " id="tfa_145-D">
<label id="tfa_145-L" class="label preField reqMark" for="tfa_145">Cell Phone:</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_145" name="tfa_145" value="" title="Cell Phone:" class="required"></div>
</div>
<div class="oneField field-container-D " id="tfa_115-D">
<label id="tfa_115-L" class="label preField " for="tfa_115">Business Phone</label><br>
<div class="inputWrapper"><input type="text" id="tfa_115" name="tfa_115" value="" title="Business Phone" class=""></div>
</div>
</div>
<div class="htmlSection" id="tfa_147">
<div class="htmlContent" id="tfa_147-HTML"><i style="color: rgb(34, 34, 34); font-family: Calibri, sans-serif; font-size: 14.6667px;">*This will not be shared with anyone and will be used for event communication purposes only.</i></div>
</div>
<div class="oneField field-container-D " id="tfa_148-D">
<label id="tfa_148-L" class="label preField reqMark" for="tfa_148">What is your preferred method of communication?</label><br>
<div class="inputWrapper"><select aria-required="true" id="tfa_148" name="tfa_148" title="What is your preferred method of communication?" class="required">
<option value="">Please select...</option>
<option value="tfa_149" id="tfa_149" class="">Office Phone Call</option>
<option value="tfa_150" id="tfa_150" class="">Cell Phone Call</option>
<option value="tfa_151" id="tfa_151" class="">Email</option>
<option value="tfa_152" id="tfa_152" class="">Text</option>
<option value="tfa_153" id="tfa_153" class="">LinkedIn Message</option>
</select></div>
</div>
</fieldset>
<div class="duplicateSpan"><a id="tfa_1-wfDL" href="#" class="duplicateLink" title="Will duplicate this question or section.">Add up to four team members</a></div>
<fieldset id="tfa_8" class="section">
<legend id="tfa_8-L"><b>Company Information</b><br></legend>
<div id="tfa_31" class="section inline group">
<div class="oneField field-container-D " id="tfa_9-D">
<label id="tfa_9-L" class="label preField reqMark" for="tfa_9">Company:</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_9" name="tfa_9" value="" title="Company:" class="required"></div>
</div>
<div class="oneField field-container-D " id="tfa_38-D">
<label id="tfa_38-L" class="label preField reqMark" for="tfa_38">Address 1:</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_38" name="tfa_38" value="" title="Address 1:" class="required"></div>
</div>
</div>
<div id="tfa_32" class="section inline group">
<div class="oneField field-container-D " id="tfa_11-D">
<label id="tfa_11-L" class="label preField " for="tfa_11">Address 2:<br></label><br>
<div class="inputWrapper"><input type="text" id="tfa_11" name="tfa_11" value="" title="Address 2:" class=""></div>
</div>
<div class="oneField field-container-D " id="tfa_12-D">
<label id="tfa_12-L" class="label preField reqMark" for="tfa_12">City:</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_12" name="tfa_12" value="" title="City:" class="required"></div>
</div>
<div class="oneField field-container-D " id="tfa_41-D">
<label id="tfa_41-L" class="label preField reqMark" for="tfa_41">State/Province:</label><br>
<div class="inputWrapper"><select aria-required="true" id="tfa_41" name="tfa_41" title="State/Province:" class="required">
<option value="">Please select...</option>
<option value="tfa_42" id="tfa_42" class="">Alabama</option>
<option value="tfa_43" id="tfa_43" class="">Alaska</option>
<option value="tfa_44" id="tfa_44" class="">Arizona</option>
<option value="tfa_45" id="tfa_45" class="">Arkansas</option>
<option value="tfa_46" id="tfa_46" class="">California</option>
<option value="tfa_47" id="tfa_47" class="">Colorado</option>
<option value="tfa_48" id="tfa_48" class="">Connecticut</option>
<option value="tfa_49" id="tfa_49" class="">Delaware</option>
<option value="tfa_50" id="tfa_50" class="">District Of Columbia</option>
<option value="tfa_51" id="tfa_51" class="">Florida</option>
<option value="tfa_52" id="tfa_52" class="">Georgia</option>
<option value="tfa_53" id="tfa_53" class="">Hawaii</option>
<option value="tfa_54" id="tfa_54" class="">Idaho</option>
<option value="tfa_55" id="tfa_55" class="">Illinois</option>
<option value="tfa_56" id="tfa_56" class="">Indiana</option>
<option value="tfa_57" id="tfa_57" class="">Iowa</option>
<option value="tfa_58" id="tfa_58" class="">Kansas</option>
<option value="tfa_59" id="tfa_59" class="">Kentucky</option>
<option value="tfa_60" id="tfa_60" class="">Louisiana</option>
<option value="tfa_61" id="tfa_61" class="">Maine</option>
<option value="tfa_62" id="tfa_62" class="">Maryland</option>
<option value="tfa_63" id="tfa_63" class="">Massachusetts</option>
<option value="tfa_64" id="tfa_64" class="">Michigan</option>
<option value="tfa_65" id="tfa_65" class="">Minnesota</option>
<option value="tfa_66" id="tfa_66" class="">Mississippi</option>
<option value="tfa_67" id="tfa_67" class="">Missouri</option>
<option value="tfa_68" id="tfa_68" class="">Montana</option>
<option value="tfa_69" id="tfa_69" class="">Nebraska</option>
<option value="tfa_70" id="tfa_70" class="">Nevada</option>
<option value="tfa_71" id="tfa_71" class="">New Hampshire</option>
<option value="tfa_72" id="tfa_72" class="">New Jersey</option>
<option value="tfa_73" id="tfa_73" class="">New Mexico</option>
<option value="tfa_74" id="tfa_74" class="">New York</option>
<option value="tfa_75" id="tfa_75" class="">North Carolina</option>
<option value="tfa_76" id="tfa_76" class="">North Dakota</option>
<option value="tfa_77" id="tfa_77" class="">Ohio</option>
<option value="tfa_78" id="tfa_78" class="">Oklahoma</option>
<option value="tfa_79" id="tfa_79" class="">Oregon</option>
<option value="tfa_80" id="tfa_80" class="">Pennsylvania</option>
<option value="tfa_81" id="tfa_81" class="">Rhode Island</option>
<option value="tfa_82" id="tfa_82" class="">South Carolina</option>
<option value="tfa_83" id="tfa_83" class="">South Dakota</option>
<option value="tfa_84" id="tfa_84" class="">Tennessee</option>
<option value="tfa_85" id="tfa_85" class="">Texas</option>
<option value="tfa_86" id="tfa_86" class="">Utah</option>
<option value="tfa_87" id="tfa_87" class="">Vermont</option>
<option value="tfa_88" id="tfa_88" class="">Virginia</option>
<option value="tfa_89" id="tfa_89" class="">Washington</option>
<option value="tfa_90" id="tfa_90" class="">West Virginia</option>
<option value="tfa_91" id="tfa_91" class="">Wisconsin</option>
<option value="tfa_92" id="tfa_92" class="">Wyoming</option>
<option value="tfa_93" id="tfa_93" class="">Puerto Rico</option>
<option value="tfa_94" id="tfa_94" class="">Virgin Island</option>
<option value="tfa_95" id="tfa_95" class="">Northern Mariana Islands</option>
<option value="tfa_96" id="tfa_96" class="">Guam</option>
<option value="tfa_97" id="tfa_97" class="">American Samoa</option>
<option value="tfa_98" id="tfa_98" class="">Palau</option>
<option value="tfa_99" id="tfa_99" class="">Alberta</option>
<option value="tfa_100" id="tfa_100" class="">British Columbia</option>
<option value="tfa_101" id="tfa_101" class="">Manitoba</option>
<option value="tfa_102" id="tfa_102" class="">Newfoundland and Labrador</option>
<option value="tfa_103" id="tfa_103" class="">New Brunswick</option>
<option value="tfa_104" id="tfa_104" class="">Nova Scotia</option>
<option value="tfa_105" id="tfa_105" class="">Ontario</option>
<option value="tfa_106" id="tfa_106" class="">Prince Edward Island</option>
<option value="tfa_107" id="tfa_107" class="">Quebec</option>
<option value="tfa_108" id="tfa_108" class="">Saskatchewan</option>
</select></div>
</div>
<div class="oneField field-container-D " id="tfa_40-D">
<label id="tfa_40-L" class="label preField reqMark" for="tfa_40">Postal Code:</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_40" name="tfa_40" value="" title="Postal Code:" class="validate-alphanum required"></div>
</div>
</div>
<div class="oneField field-container-D " id="tfa_167-D">
<label id="tfa_167-L" class="label preField reqMark" for="tfa_167">Do you plan on attending in-person or virtually?</label><br>
<div class="inputWrapper"><select aria-required="true" id="tfa_167" name="tfa_167" title="Do you plan on attending in-person or virtually?" class="required">
<option value="">Please select...</option>
<option value="tfa_168" id="tfa_168" class="">In-Person</option>
<option value="tfa_169" id="tfa_169" class="">Virtually</option>
</select></div>
</div>
<div id="tfa_33" class="section inline group">
<div class="oneField field-container-D " id="tfa_130-D">
<label id="tfa_130-L" class="label preField reqMark" for="tfa_130">Annual Revenue:</label><br>
<div class="inputWrapper"><select aria-required="true" id="tfa_130" name="tfa_130" title="Annual Revenue:" class="required">
<option value="">Please select...</option>
<option value="tfa_133" id="tfa_133" class="">$100M-$500M</option>
<option value="tfa_134" id="tfa_134" class="">$500M-$1B</option>
<option value="tfa_135" id="tfa_135" class="">$1B+</option>
<option value="tfa_176" id="tfa_176" class="">Private</option>
</select></div>
</div>
<div class="oneField field-container-D " id="tfa_189-D">
<label id="tfa_189-L" class="label preField reqMark" for="tfa_189">Number of Company Employees:</label><br>
<div class="inputWrapper"><select aria-required="true" id="tfa_189" name="tfa_189" title="Number of Company Employees:" class="required">
<option value="">Please select...</option>
<option value="tfa_190" id="tfa_190" class="">250-499</option>
<option value="tfa_191" id="tfa_191" class="">500-999</option>
<option value="tfa_192" id="tfa_192" class="">1,000-4,999</option>
<option value="tfa_193" id="tfa_193" class="">5,000-9,999</option>
<option value="tfa_194" id="tfa_194" class="">10,000+</option>
</select></div>
</div>
</div>
<div class="oneField field-container-D " id="tfa_24-D">
<label id="tfa_24-L" class="label preField " for="tfa_24">What are your 2-3 biggest challenges right now?</label><br>
<div class="inputWrapper"><textarea id="tfa_24" name="tfa_24" title="What are your 2-3 biggest challenges right now?" class=""></textarea></div>
</div>
<div class="oneField field-container-D " id="tfa_158-D" role="group" aria-labelledby="tfa_158-L" data-tfa-labelledby="-L tfa_158-L" aria-required="true">
<label id="tfa_158-L" class="label preField reqMark" aria-label="Are you interested in earning CPE Credits? required">Are you interested in earning CPE Credits?</label><br>
<div class="inputWrapper"><span id="tfa_158" class="choices vertical required" aria-required="true"><span class="oneChoice"><input type="checkbox" value="tfa_159" class="" id="tfa_159" name="tfa_159" data-conditionals="#tfa_196"
aria-labelledby="tfa_159-L" data-tfa-labelledby="tfa_158-L tfa_159-L"><label class="label postField" id="tfa_159-L" for="tfa_159"><span class="input-checkbox-faux"></span>Yes</label></span><span class="oneChoice"><input type="checkbox"
value="tfa_160" class="" id="tfa_160" name="tfa_160" aria-labelledby="tfa_160-L" data-tfa-labelledby="tfa_158-L tfa_160-L"><label class="label postField" id="tfa_160-L" for="tfa_160"><span
class="input-checkbox-faux"></span>No</label></span></span></div>
</div>
<div class="oneField field-container-D offstate" id="tfa_196-D">
<label id="tfa_196-L" class="label preField " for="tfa_196">We are associated with (ISC)². If you are also associated, please enter your membership number below. You will be automatically entered on a list of CPE Credits to file.</label><br>
<div class="inputWrapper"><textarea id="tfa_196" name="tfa_196" data-condition="`#tfa_159`"
title="We are associated with (ISC)². If you are also associated, please enter your membership number below. You will be automatically entered on a list of CPE Credits to file." class="" disabled=""></textarea></div>
</div>
</fieldset>
<fieldset id="tfa_26" class="section">
<legend id="tfa_26-L"><b>Terms & Conditions</b></legend>
<div class="oneField field-container-D " id="tfa_34-D" role="group" aria-labelledby="tfa_34-L" data-tfa-labelledby="-L tfa_34-L" aria-required="true">
<label id="tfa_34-L" class="label preField reqMark" aria-label="I have read and agree with the terms and conditions. required">I have read and agree with the
<a href="https://bit.ly/330HsEg" target="_blank">terms and conditions</a><a target="_blank" href="https://bit.ly/330HsEg"></a><a href="https://bit.ly/330HsEg" target="_blank"></a><a href="https://bit.ly/330HsEg"></a><a href="https://bit.ly/330HsEg"></a><a href="https://bit.ly/330HsEg"></a><a href="https://bit.ly/330HsEg"></a><a href="https://bit.ly/330HsEg"></a><a href="https://bit.ly/2IWrzbl"></a><a href="https://bit.ly/2IWrzbl"></a>.</label><br>
<div class="inputWrapper"><span id="tfa_34" class="choices vertical required" aria-required="true"><span class="oneChoice"><input type="checkbox" value="tfa_35" class="" id="tfa_35" name="tfa_35" aria-labelledby="tfa_35-L"
data-tfa-labelledby="tfa_34-L tfa_35-L"><label class="label postField" id="tfa_35-L" for="tfa_35"><span class="input-checkbox-faux"></span>Yes</label></span></span></div>
</div>
<div class="htmlSection" id="tfa_141">
<div class="htmlContent" id="tfa_141-HTML"><b>BY REGISTERING TO ATTEND THIS EVENT YOU AGREE:</b></div>
</div>
<div class="oneField field-container-D " id="tfa_137-D" role="group" aria-labelledby="tfa_137-L" data-tfa-labelledby="-L tfa_137-L" aria-required="true">
<label id="tfa_137-L" class="label preField reqMark"
aria-label="To send a replacement in the event you have to cancel: (Due to the small, interactive nature of the event; every lost attendee can have a significant impact on the value of the event. We would like to limit that as much as possible). required">To
send a replacement in the event you have to cancel: <span
style="font-size: 13.6px;">(</span><i style="font-size: 13.6px;">Due to the small, interactive nature of the event; every lost attendee can have a significant impact on the value of the event. We would like to limit that as much as possible</i><span
style="font-size: 13.6px;">).</span></label><br>
<div class="inputWrapper"><span id="tfa_137" class="choices vertical required" aria-required="true"><span class="oneChoice"><input type="checkbox" value="tfa_138" class="" id="tfa_138" name="tfa_138" aria-labelledby="tfa_138-L"
data-tfa-labelledby="tfa_137-L tfa_138-L"><label class="label postField" id="tfa_138-L" for="tfa_138"><span class="input-checkbox-faux"></span>Yes</label></span></span></div>
</div>
</fieldset>
<div class="actions" id="5035160-A" data-contentid="submit_button"><input type="submit" data-label="Register" class="primaryAction" id="submit_button" value="Register"></div>
<div style="clear:both"></div>
<input type="hidden" value="288-b4c5de0ceb1600d86bec55a0c38be841" name="tfa_dbCounters" id="tfa_dbCounters" autocomplete="off"><input type="hidden" value="5037205" name="tfa_dbFormId" id="tfa_dbFormId"><input type="hidden" value=""
name="tfa_dbResponseId" id="tfa_dbResponseId"><input type="hidden" value="b420938c72a3f139d8c718aaba3df08b" name="tfa_dbControl" id="tfa_dbControl"><input type="hidden" value="" name="tfa_dbWorkflowSessionUuid"
id="tfa_dbWorkflowSessionUuid"><input type="hidden" value="1673388043" name="tfa_dbTimeStarted" id="tfa_dbTimeStarted" autocomplete="off"><input type="hidden" value="1" name="tfa_dbVersionId" id="tfa_dbVersionId"><input type="hidden"
value="tfa_196" name="tfa_switchedoff" id="tfa_switchedoff">
</form>Text Content
CAROLINAS CIO/CISO STRATEGY MEETING Contact Information First Name: Last Name: Title: Email: Cell Phone: Business Phone *This will not be shared with anyone and will be used for event communication purposes only. What is your preferred method of communication? Please select... Office Phone Call Cell Phone Call Email Text LinkedIn Message Add up to four team members Company Information Company: Address 1: Address 2: City: State/Province: Please select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Virgin Island Northern Mariana Islands Guam American Samoa Palau Alberta British Columbia Manitoba Newfoundland and Labrador New Brunswick Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Postal Code: Do you plan on attending in-person or virtually? Please select... In-Person Virtually Annual Revenue: Please select... $100M-$500M $500M-$1B $1B+ Private Number of Company Employees: Please select... 250-499 500-999 1,000-4,999 5,000-9,999 10,000+ What are your 2-3 biggest challenges right now? Are you interested in earning CPE Credits? YesNo We are associated with (ISC)². If you are also associated, please enter your membership number below. You will be automatically entered on a list of CPE Credits to file. Terms & Conditions I have read and agree with the terms and conditions. Yes BY REGISTERING TO ATTEND THIS EVENT YOU AGREE: To send a replacement in the event you have to cancel: (Due to the small, interactive nature of the event; every lost attendee can have a significant impact on the value of the event. We would like to limit that as much as possible). Yes