www.acquia.com Open in urlscan Pro
2606:4700::6810:762d  Public Scan

Submitted URL: https://click.marketing.acquia.com/?qs=88aecb2e6f5c52bbb6fa5f752676acf3a42148498f78eb01e684c2ac4c9cc6a0884dc1ccf6005da13b2941074dac...
Effective URL: https://www.acquia.com/about-us/contact?utm_source=in-house&utm_medium=email&utm_campaign=em_atv_northwellhealth_Q2-12....
Submission: On April 17 via api from BE — Scanned from DE

Form analysis 1 forms found in the DOM

POST https://acquia.my.salesforce-sites.com/apex/MultiPartEndpoint?encoding=UTF-8

<form action="https://acquia.my.salesforce-sites.com/apex/MultiPartEndpoint?encoding=UTF-8" enctype="multipart/form-data" id="form1" method="post" target="ffIframe">
  <input id="userTimeZone" type="hidden" value="-120">
  <input id="txtObjId" type="hidden" value="">
  <input id="txtHtmlId" type="hidden" value="">
  <input id="formHtml" type="hidden">
  <input id="txtSessionID" type="hidden" value="">
  <input class="ignore-submit" id="txtSubmittedData" type="hidden" value="">
  <input id="multipageEnabled" type="hidden" value="false">
  <input id="googleCaptchaEnabled" type="hidden" value="true">
  <input id="breadcrumbEnabled" type="hidden" value="false">
  <input id="breadcrumbNumbered" type="hidden" value="false">
  <input id="breadcrumbPrefix" type="hidden" value="">
  <input id="submitMessage" type="hidden" value="Thank you for getting in touch with Acquia!">
  <input id="submitUrl" type="hidden" value="">
  <input id="submitBtnText" type="hidden" value="Submit">
  <input id="prevBtnText" type="hidden" value="Back">
  <input id="nextBtnText" type="hidden" value="Next">
  <input id="pageValType" type="hidden" value="form">
  <input id="txtUserContentId" type="hidden" value="">
  <input id="hasCustomCSS" type="hidden" value="true">
  <input id="isCurrentForm" type="hidden" value="false">
  <input id="isDraft" type="hidden" value="false">
  <input id="saveForLaterEnabled" type="hidden" value="false">
  <input id="saveBtnText" type="hidden" value="Save">
  <input id="discardBtnText" type="hidden" value="Discard">
  <input id="draftSaved" type="hidden" value="false">
  <input id="draftEmail" type="hidden" value="">
  <input class="ignore-submit" id="hfSaveForLaterMetadata" type="hidden" value="{&quot;saveForLaterRedirectURL&quot;:null}">
  <input id="paymentType" type="hidden" value="">
  <input class="ignore-submit" id="ruleFieldsMap" type="hidden" value="{&quot;FSGFDropdown636&quot;:&quot;2||false,2||false,3||false,4||false,5||false&quot;,&quot;FSGFDropdown218&quot;:&quot;1||false,1||false&quot;}">
  <input class="ignore-submit" id="relatedFieldsMapJSON" type="hidden" value="">
  <input class="ignore-submit" id="staticPrefillParams" type="hidden"
    value="{&quot;utm_term&quot;:&quot;em_ww_acquiatv_campaigns_q12024&quot;,&quot;utm_source&quot;:&quot;in-house&quot;,&quot;utm_medium&quot;:&quot;email&quot;,&quot;utm_content&quot;:&quot;701Pb00000GU8IIIA1&quot;,&quot;utm_campaign&quot;:&quot;em_atv_northwellhealth_Q2-12.1234.dxp.04172024&quot;,&quot;id_mc&quot;:&quot;14889771&quot;}">
  <input id="formName" type="hidden" value="">
  <input id="formId" type="hidden" value="aAS6g000000L1RcGAK">
  <input id="prefillObj" type="hidden" value="">
  <input id="accessToken" type="hidden" value="sE96jGgpP1+kHJRIhJtLfCQB6N0/hokw5jrSf5DSfe2IWaXhE1ap8IJkp7frXuwRfKjhA7jLq1LrDXYzgk+EnDIRQ5GcI7mPh0dE0uPgH9BWaLG7nv0s0hQe22upwVz/n7SAsGG6EXKEDuHVxq+mLVw7djE5uLE/SreCFFaOSww=">
  <input id="dateFormat" type="hidden" value="mm/dd/yy">
  <input id="todayDate" type="hidden" value="Wed Apr 17 00:00:00 GMT 2024">
  <input id="userLocal" type="hidden" value="en_US">
  <input id="jsCode" type="hidden" value="function FF_OnAfterRender()
{
    //Rules are triggered at form load and some of the rules are setting the calues in these fields, we want this sript to run just after the rules, hence the 1 second wait
    setTimeout(() =&amp;gt; {
    //Grab UTM parameters form URL and place them in an array
  var utm_array = JSON.parse(fs(&amp;#39;#staticPrefillParams&amp;#39;).val());
  //Check for null values and assign UTM values to corresponding fields.
  console.log(utm_array);

  if (utm_array.utm_medium != null)
  {
      fs(&amp;#39;#Campaign\\.CampaignMember\\.A\\.LeadId\\.Most_Recent_Channel_Type__c&amp;#39;).val(utm_array.utm_medium);
      console.log(utm_array.utm_medium);
  }
if (utm_array.utm_medium != null)
  {
      fs(&amp;#39;#Campaign\\.CampaignMember\\.A\\.LeadId\\.Latest_Lead_Source_Type__c&amp;#39;).val(utm_array.utm_medium);
      console.log(utm_array.utm_medium);
  }

  if (utm_array.utm_term != null)
  {
      fs(&amp;#39;#Campaign\\.CampaignMember\\.A\\.LeadId\\.UTM_Term__c&amp;#39;).val(utm_array.utm_term);
      console.log(utm_array.utm_term);
  }
  if (utm_array.utm_source != null)
  {
      fs(&amp;#39;#Campaign\\.CampaignMember\\.A\\.LeadId\\.Latest_Lead_Source__c&amp;#39;).val(utm_array.utm_source);
      console.log(utm_array.utm_source);
  }
}, &amp;quot;1000&amp;quot;);
    
}">
  <input id="ipAddress" type="hidden" value="217.114.218.24">
  <input id="recaptchaSiteKey" type="hidden" value="6Lc18EwUAAAAAOB_uHmFppxqGckUWnMwK0h3fsdp">
  <input id="submitRules" type="hidden">
  <input id="hfFileServiceEndpoint" name="hfFileServiceEndpoint" type="hidden" value="https://sfapi.formstack.io">
  <input id="hfFileServiceApiKey" name="hfFileServiceApiKey" type="hidden" value="8fc5982e-6eca-4d73-a3ff-997902b163b0-20212151122">
  <input id="fsListFileUploadedJSON" name="fsListFileUploadedJSON" type="hidden" value="[]">
  <input id="CommunityInstanceURL" type="hidden" value="">
  <input id="CommunitySessioID" type="hidden" value="">
  <input id="CommunityUserId" type="hidden" value="">
  <input id="CommunityUserType" type="hidden" value="">
  <input id="CommunityViewMode" type="hidden" value="">
  <input id="comPrefillDataset" type="hidden" value="">
  <input id="comPrefillObj" type="hidden">
  <input id="isPopulateHTMLFromBackEnd" type="hidden">
  <input id="reCaptchaV3token" type="hidden">
  <div id="dvBannerHTML" runat="server">
    <div id="j_id0:ffRules">
      <script data-js="fastforms" type="text/javascript" language="javascript">
        function evaluateRules(lstRules, source) {
          if (arguments.length > 0) {
            for (var i = 0; i < lstRules.length; i++) {
              switch (lstRules[i]) {
                case 1:
                  if ((!FFEqualTo('FSGFDropdown218', '', false, source) || FFEqualTo('FSGFDropdown218', '', false, source))) {
                    FFPopulate('Campaign.CampaignMember.A.LeadId.State', 'FSGFDropdown218', true, source);
                  }
                  break;
                case 2:
                  if ((FFEqualTo('FSGFDropdown636', '', false, source) || !FFEqualTo('FSGFDropdown636', '', false, source))) {
                    FFPopulate('Campaign.CampaignMember.A.LeadId.Country', 'FSGFDropdown636', true, source);
                  }
                  break;
                case 3:
                  if ((FFEqualTo('FSGFDropdown636', 'United States', false, source))) {
                    FFShowField('FSGFDropdown218', source);
                  } else {
                    FFHideField('FSGFDropdown218', source);
                  }
                  break;
                case 4:
                  if ((FFEqualTo('FSGFDropdown636', 'Australia', false, source))) {
                    FFShowField('FSGFDropdown868', source);
                  } else {
                    FFHideField('FSGFDropdown868', source);
                  }
                  break;
                case 5:
                  if ((FFEqualTo('FSGFDropdown636', 'Canada', false, source))) {
                    FFShowField('FSGFDropdown715', source);
                  } else {
                    FFHideField('FSGFDropdown715', source);
                  }
                  break;
              }
            }
          } else {
            if ((!FFEqualTo('FSGFDropdown218', '', false, source) || FFEqualTo('FSGFDropdown218', '', false, source))) {
              FFPopulate('Campaign.CampaignMember.A.LeadId.State', 'FSGFDropdown218', true, source);
            }
            if ((FFEqualTo('FSGFDropdown636', '', false, source) || !FFEqualTo('FSGFDropdown636', '', false, source))) {
              FFPopulate('Campaign.CampaignMember.A.LeadId.Country', 'FSGFDropdown636', true, source);
            }
            if ((FFEqualTo('FSGFDropdown636', 'United States', false, source))) {
              FFShowField('FSGFDropdown218', source);
            } else {
              FFHideField('FSGFDropdown218', source);
            }
            if ((FFEqualTo('FSGFDropdown636', 'Australia', false, source))) {
              FFShowField('FSGFDropdown868', source);
            } else {
              FFHideField('FSGFDropdown868', source);
            }
            if ((FFEqualTo('FSGFDropdown636', 'Canada', false, source))) {
              FFShowField('FSGFDropdown715', source);
            } else {
              FFHideField('FSGFDropdown715', source);
            }
          }
        }
      </script>
    </div>
    <div id="j_id0:j_id13" class="ff-form-main">
      <div id="ffOverlay"></div><input type="hidden" id="fs_googlecaptchav3_site" value="6LfSdG8dAAAAAOEcWcRZx-G4t1SKMS0CWzH3x7TZ"><input type="hidden" id="fs_googlecaptchav3_action" value="/">
      <div id="ffPage1467" class="ff-page-row page-1" data-pagetitle="Page Title">
        <div class="ff-group-row group-0" id="ffSection0">
          <div class="ff-item-row">
            <div class="ff-col-1 ff-section-col"><label class="ff-section-header" id="sectionLabel0"></label></div>
          </div>
          <div class="ff-item-row" style="display: none;">
            <div class="ff-col-1 ff-label-col"><label vatt="STRING" for="Campaign.Name" class="ff-label" id="lblCampaignName">Name</label><span class="requiredSpan ff-required-mark">*</span></div>
            <div class="ff-col-2 ff-field-col"><input type="textbox" id="Campaign.Name" placeholder="" aria-placeholder="" name="Campaign.Name" vatt="STRING" class="ff-input-type ff-type-text" data-maxlengthmessage="Maximum 80 characters"
                maxlength="80" data-validatefieldtype="" value="WS_General_ContactUs_Q32021" data-requiredmessage="required" data-isrequired="true" aria-required="true" data-isupsert="false" data-ishidden="true" data-vatt="STRING"></div>
          </div>
          <div class="ff-item-row">
            <div class="ff-col-1 ff-label-col"><label vatt="STRING" for="Campaign.CampaignMember.A.LeadId.FirstName" class="ff-label" id="lblCampaignCampaignMemberALeadIdFirstName">First Name</label><span
                class="requiredSpan ff-required-mark">*</span></div>
            <div class="ff-col-2 ff-field-col"><input type="textbox" id="Campaign.CampaignMember.A.LeadId.FirstName" placeholder="" aria-placeholder="" name="Campaign.CampaignMember.A.LeadId.FirstName" vatt="STRING" class="ff-input-type ff-type-text"
                data-maxlengthmessage="Maximum 40 characters" maxlength="40" data-validatefieldtype="" value="" data-requiredmessage="required" data-isrequired="true" aria-required="true" data-isupsert="false" data-ishidden="false"
                data-vatt="STRING"></div>
          </div>
          <div class="ff-item-row">
            <div class="ff-col-1 ff-label-col"><label vatt="STRING" for="Campaign.CampaignMember.A.LeadId.LastName" class="ff-label" id="lblCampaignCampaignMemberALeadIdLastName">Last Name</label><span class="requiredSpan ff-required-mark">*</span>
            </div>
            <div class="ff-col-2 ff-field-col"><input type="textbox" id="Campaign.CampaignMember.A.LeadId.LastName" placeholder="" aria-placeholder="" name="Campaign.CampaignMember.A.LeadId.LastName" vatt="STRING" class="ff-input-type ff-type-text"
                data-maxlengthmessage="Maximum 80 characters" maxlength="80" data-validatefieldtype="" value="" data-requiredmessage="required" data-isrequired="true" aria-required="true" data-isupsert="false" data-ishidden="false"
                data-vatt="STRING"></div>
          </div>
          <div class="ff-item-row">
            <div class="ff-col-1 ff-label-col"><label vatt="EMAIL" for="Campaign.CampaignMember.A.LeadId.Email" class="ff-label" id="lblCampaignCampaignMemberALeadIdEmail">Business Email</label><span class="requiredSpan ff-required-mark">*</span>
            </div>
            <div class="ff-col-2 ff-field-col"><input type="textbox" id="Campaign.CampaignMember.A.LeadId.Email" placeholder="" aria-placeholder="" name="Campaign.CampaignMember.A.LeadId.Email" vatt="EMAIL" class="ff-input-type ff-type-text"
                data-maxlengthmessage="Maximum 80 characters" maxlength="80" data-validatefieldtype="" value="" data-requiredmessage="required" data-isrequired="true" aria-required="true" data-isupsert="true" data-ishidden="false" data-vatt="EMAIL">
            </div>
          </div>
          <div class="ff-item-row">
            <div class="ff-col-1 ff-label-col"><label vatt="STRING" for="Campaign.CampaignMember.A.LeadId.Company" class="ff-label" id="lblCampaignCampaignMemberALeadIdCompany">Company</label><span class="requiredSpan ff-required-mark">*</span></div>
            <div class="ff-col-2 ff-field-col"><input type="textbox" id="Campaign.CampaignMember.A.LeadId.Company" placeholder="" aria-placeholder="" name="Campaign.CampaignMember.A.LeadId.Company" vatt="STRING" class="ff-input-type ff-type-text"
                data-maxlengthmessage="Maximum 255 characters" maxlength="255" data-validatefieldtype="" value="" data-requiredmessage="required" data-isrequired="true" aria-required="true" data-isupsert="false" data-ishidden="false"
                data-vatt="STRING"></div>
          </div>
          <div class="ff-item-row">
            <div class="ff-col-1 ff-label-col"><label vatt="PHONE" for="Campaign.CampaignMember.A.LeadId.Phone" class="ff-label" id="lblCampaignCampaignMemberALeadIdPhone">Phone</label></div>
            <div class="ff-col-2 ff-field-col"><input type="textbox" id="Campaign.CampaignMember.A.LeadId.Phone" placeholder="" aria-placeholder="" name="Campaign.CampaignMember.A.LeadId.Phone" vatt="PHONE" class="ff-input-type ff-type-text"
                data-maxlengthmessage="Maximum 40 characters" maxlength="40" data-validatefieldtype="" value="" data-requiredmessage="required" data-isupsert="false" data-ishidden="false" data-vatt="PHONE"></div>
          </div>
          <div class="ff-item-row">
            <div class="ff-col-1 ff-label-col"><label id="lblFSGFDropdown636" for="FSGFDropdown636" class="ff-label" vatt="PICKLIST">Country</label><span class="ff-required-mark">*</span></div>
            <div class="ff-col-2 ff-field-col"><select id="FSGFDropdown636" name="FSGFDropdown636" vatt="PICKLIST" class="ff-select-type ff-singlepicklist mainField" data-ishidden="false" data-isreadonly="false" data-isrequired="true"
                data-requiredmessage="required" data-vatt="PICKLIST" data-rules="2,3,4,5">
                <option value="" selected="selected">--select an item--</option>
                <option value="United States">United States</option>
                <option value="Canada">Canada</option>
                <option value="United Kingdom">United Kingdom</option>
                <option value="Australia">Australia</option>
                <option value="Andorra">Andorra</option>
                <option value="United Arab Emirates">United Arab Emirates</option>
                <option value="Afghanistan">Afghanistan</option>
                <option value="Antigua and Barbuda">Antigua and Barbuda</option>
                <option value="Anguilla">Anguilla</option>
                <option value="Albania">Albania</option>
                <option value="Armenia">Armenia</option>
                <option value="Angola">Angola</option>
                <option value="Antarctica">Antarctica</option>
                <option value="Argentina">Argentina</option>
                <option value="Austria">Austria</option>
                <option value="Aruba">Aruba</option>
                <option value="Aland Islands">Aland Islands</option>
                <option value="Azerbaijan">Azerbaijan</option>
                <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
                <option value="Barbados">Barbados</option>
                <option value="Bangladesh">Bangladesh</option>
                <option value="Belgium">Belgium</option>
                <option value="Burkina Faso">Burkina Faso</option>
                <option value="Bulgaria">Bulgaria</option>
                <option value="Bahrain">Bahrain</option>
                <option value="Burundi">Burundi</option>
                <option value="Benin">Benin</option>
                <option value="Saint Barthélemy">Saint Barthélemy</option>
                <option value="Bermuda">Bermuda</option>
                <option value="Brunei Darussalam">Brunei Darussalam</option>
                <option value="Bolivia, Plurinational State of">Bolivia, Plurinational State of</option>
                <option value="Bonaire, Sint Eustatius and Saba">Bonaire, Sint Eustatius and Saba</option>
                <option value="Brazil">Brazil</option>
                <option value="Bahamas">Bahamas</option>
                <option value="Bhutan">Bhutan</option>
                <option value="Bouvet Island">Bouvet Island</option>
                <option value="Botswana">Botswana</option>
                <option value="Belarus">Belarus</option>
                <option value="Belize">Belize</option>
                <option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
                <option value="Congo, the Democratic Republic of the">Congo, the Democratic Republic of the</option>
                <option value="Central African Republic">Central African Republic</option>
                <option value="Congo">Congo</option>
                <option value="Switzerland">Switzerland</option>
                <option value="Cote d'Ivoire">Cote d'Ivoire</option>
                <option value="Cook Islands">Cook Islands</option>
                <option value="Chile">Chile</option>
                <option value="Cameroon">Cameroon</option>
                <option value="China">China</option>
                <option value="Colombia">Colombia</option>
                <option value="Costa Rica">Costa Rica</option>
                <option value="Cuba">Cuba</option>
                <option value="Cape Verde">Cape Verde</option>
                <option value="Curaçao">Curaçao</option>
                <option value="Christmas Island">Christmas Island</option>
                <option value="Cyprus">Cyprus</option>
                <option value="Czech Republic">Czech Republic</option>
                <option value="Germany">Germany</option>
                <option value="Djibouti">Djibouti</option>
                <option value="Denmark">Denmark</option>
                <option value="Dominica">Dominica</option>
                <option value="Dominican Republic">Dominican Republic</option>
                <option value="Algeria">Algeria</option>
                <option value="Ecuador">Ecuador</option>
                <option value="Estonia">Estonia</option>
                <option value="Egypt">Egypt</option>
                <option value="Western Sahara">Western Sahara</option>
                <option value="Eritrea">Eritrea</option>
                <option value="Spain">Spain</option>
                <option value="Ethiopia">Ethiopia</option>
                <option value="Finland">Finland</option>
                <option value="Fiji">Fiji</option>
                <option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option>
                <option value="Faroe Islands">Faroe Islands</option>
                <option value="France">France</option>
                <option value="Gabon">Gabon</option>
                <option value="Grenada">Grenada</option>
                <option value="Georgia">Georgia</option>
                <option value="French Guiana">French Guiana</option>
                <option value="Guernsey">Guernsey</option>
                <option value="Ghana">Ghana</option>
                <option value="Gibraltar">Gibraltar</option>
                <option value="Greenland">Greenland</option>
                <option value="Gambia">Gambia</option>
                <option value="Guinea">Guinea</option>
                <option value="Guadeloupe">Guadeloupe</option>
                <option value="Equatorial Guinea">Equatorial Guinea</option>
                <option value="Greece">Greece</option>
                <option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
                <option value="Guatemala">Guatemala</option>
                <option value="Guinea-Bissau">Guinea-Bissau</option>
                <option value="Guyana">Guyana</option>
                <option value="Hong Kong">Hong Kong</option>
                <option value="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option>
                <option value="Honduras">Honduras</option>
                <option value="Croatia">Croatia</option>
                <option value="Haiti">Haiti</option>
                <option value="Hungary">Hungary</option>
                <option value="Indonesia">Indonesia</option>
                <option value="Ireland">Ireland</option>
                <option value="Israel">Israel</option>
                <option value="Isle of Man">Isle of Man</option>
                <option value="India">India</option>
                <option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
                <option value="Iraq">Iraq</option>
                <option value="Iran, Islamic Republic of">Iran, Islamic Republic of</option>
                <option value="Iceland">Iceland</option>
                <option value="Italy">Italy</option>
                <option value="Jersey">Jersey</option>
                <option value="Jamaica">Jamaica</option>
                <option value="Jordan">Jordan</option>
                <option value="Japan">Japan</option>
                <option value="Kenya">Kenya</option>
                <option value="Kyrgyzstan">Kyrgyzstan</option>
                <option value="Cambodia">Cambodia</option>
                <option value="Kiribati">Kiribati</option>
                <option value="Comoros">Comoros</option>
                <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
                <option value="Korea, Democratic People's Republic of">Korea, Democratic People's Republic of</option>
                <option value="Korea, Republic of">Korea, Republic of</option>
                <option value="Kuwait">Kuwait</option>
                <option value="Cayman Islands">Cayman Islands</option>
                <option value="Kazakhstan">Kazakhstan</option>
                <option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
                <option value="Lebanon">Lebanon</option>
                <option value="Saint Lucia">Saint Lucia</option>
                <option value="Liechtenstein">Liechtenstein</option>
                <option value="Sri Lanka">Sri Lanka</option>
                <option value="Liberia">Liberia</option>
                <option value="Lesotho">Lesotho</option>
                <option value="Lithuania">Lithuania</option>
                <option value="Luxembourg">Luxembourg</option>
                <option value="Latvia">Latvia</option>
                <option value="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option>
                <option value="Morocco">Morocco</option>
                <option value="Monaco">Monaco</option>
                <option value="Moldova, Republic of">Moldova, Republic of</option>
                <option value="Montenegro">Montenegro</option>
                <option value="Saint Martin (French part)">Saint Martin (French part)</option>
                <option value="Madagascar">Madagascar</option>
                <option value="Macedonia, the former Yugoslav Republic of">Macedonia, the former Yugoslav Republic of</option>
                <option value="Mali">Mali</option>
                <option value="Myanmar">Myanmar</option>
                <option value="Mongolia">Mongolia</option>
                <option value="Macao">Macao</option>
                <option value="Martinique">Martinique</option>
                <option value="Mauritania">Mauritania</option>
                <option value="Montserrat">Montserrat</option>
                <option value="Malta">Malta</option>
                <option value="Mauritius">Mauritius</option>
                <option value="Maldives">Maldives</option>
                <option value="Malawi">Malawi</option>
                <option value="Mexico">Mexico</option>
                <option value="Malaysia">Malaysia</option>
                <option value="Mozambique">Mozambique</option>
                <option value="Namibia">Namibia</option>
                <option value="New Caledonia">New Caledonia</option>
                <option value="Niger">Niger</option>
                <option value="Norfolk Island">Norfolk Island</option>
                <option value="Nigeria">Nigeria</option>
                <option value="Nicaragua">Nicaragua</option>
                <option value="Netherlands">Netherlands</option>
                <option value="Norway">Norway</option>
                <option value="Nepal">Nepal</option>
                <option value="Nauru">Nauru</option>
                <option value="Niue">Niue</option>
                <option value="New Zealand">New Zealand</option>
                <option value="Oman">Oman</option>
                <option value="Panama">Panama</option>
                <option value="Peru">Peru</option>
                <option value="French Polynesia">French Polynesia</option>
                <option value="Papua New Guinea">Papua New Guinea</option>
                <option value="Philippines">Philippines</option>
                <option value="Pakistan">Pakistan</option>
                <option value="Poland">Poland</option>
                <option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
                <option value="Pitcairn">Pitcairn</option>
                <option value="Palestinian Territory, Occupied">Palestinian Territory, Occupied</option>
                <option value="Portugal">Portugal</option>
                <option value="Paraguay">Paraguay</option>
                <option value="Qatar">Qatar</option>
                <option value="Reunion">Reunion</option>
                <option value="Romania">Romania</option>
                <option value="Serbia">Serbia</option>
                <option value="Russian Federation">Russian Federation</option>
                <option value="Rwanda">Rwanda</option>
                <option value="Saudi Arabia">Saudi Arabia</option>
                <option value="Solomon Islands">Solomon Islands</option>
                <option value="Seychelles">Seychelles</option>
                <option value="Sudan">Sudan</option>
                <option value="Sweden">Sweden</option>
                <option value="Singapore">Singapore</option>
                <option value="Saint Helena, Ascension and Tristan da Cunha">Saint Helena, Ascension and Tristan da Cunha</option>
                <option value="Slovenia">Slovenia</option>
                <option value="Svalbard and Jan Mayen">Svalbard and Jan Mayen</option>
                <option value="Slovakia">Slovakia</option>
                <option value="Sierra Leone">Sierra Leone</option>
                <option value="San Marino">San Marino</option>
                <option value="Senegal">Senegal</option>
                <option value="Somalia">Somalia</option>
                <option value="Suriname">Suriname</option>
                <option value="South Sudan">South Sudan</option>
                <option value="Sao Tome and Principe">Sao Tome and Principe</option>
                <option value="El Salvador">El Salvador</option>
                <option value="Sint Maarten (Dutch part)">Sint Maarten (Dutch part)</option>
                <option value="Syrian Arab Republic">Syrian Arab Republic</option>
                <option value="Swaziland">Swaziland</option>
                <option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
                <option value="Chad">Chad</option>
                <option value="French Southern Territories">French Southern Territories</option>
                <option value="Togo">Togo</option>
                <option value="Thailand">Thailand</option>
                <option value="Tajikistan">Tajikistan</option>
                <option value="Tokelau">Tokelau</option>
                <option value="Timor-Leste">Timor-Leste</option>
                <option value="Turkmenistan">Turkmenistan</option>
                <option value="Tunisia">Tunisia</option>
                <option value="Tonga">Tonga</option>
                <option value="Turkey">Turkey</option>
                <option value="Trinidad and Tobago">Trinidad and Tobago</option>
                <option value="Tuvalu">Tuvalu</option>
                <option value="Chinese Taipei">Chinese Taipei</option>
                <option value="Tanzania, United Republic of">Tanzania, United Republic of</option>
                <option value="Ukraine">Ukraine</option>
                <option value="Uganda">Uganda</option>
                <option value="Uruguay">Uruguay</option>
                <option value="Uzbekistan">Uzbekistan</option>
                <option value="Holy See (Vatican City State)">Holy See (Vatican City State)</option>
                <option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
                <option value="Venezuela, Bolivarian Republic of">Venezuela, Bolivarian Republic of</option>
                <option value="Virgin Islands, British">Virgin Islands, British</option>
                <option value="Viet Nam">Viet Nam</option>
                <option value="Vanuatu">Vanuatu</option>
                <option value="Wallis and Futuna">Wallis and Futuna</option>
                <option value="Samoa">Samoa</option>
                <option value="Yemen">Yemen</option>
                <option value="Mayotte">Mayotte</option>
                <option value="South Africa">South Africa</option>
                <option value="Zambia">Zambia</option>
                <option value="Zimbabwe">Zimbabwe</option>
              </select></div>
          </div>
          <div class="ff-item-row" style="display: none;">
            <div class="ff-col-1 ff-label-col"><label vatt="STRING" for="Campaign.CampaignMember.A.LeadId.Country" class="ff-label" id="lblCampaignCampaignMemberALeadIdCountry">Country</label><span class="requiredSpan ff-required-mark">*</span></div>
            <div class="ff-col-2 ff-field-col"><input type="textbox" id="Campaign.CampaignMember.A.LeadId.Country" placeholder="" aria-placeholder="" name="Campaign.CampaignMember.A.LeadId.Country" vatt="STRING" class="ff-input-type ff-type-text"
                data-maxlengthmessage="Maximum 80 characters" maxlength="80" data-validatefieldtype="" value="" data-requiredmessage="required" data-isrequired="true" aria-required="true" data-isupsert="false" data-ishidden="true" data-vatt="STRING">
            </div>
          </div>
          <div class="ff-item-row" style="display: none;">
            <div class="ff-col-1 ff-label-col"><label vatt="STRING" for="Campaign.CampaignMember.A.LeadId.State" class="ff-label" id="lblCampaignCampaignMemberALeadIdState">State/Province</label></div>
            <div class="ff-col-2 ff-field-col"><input type="textbox" id="Campaign.CampaignMember.A.LeadId.State" placeholder="" aria-placeholder="" name="Campaign.CampaignMember.A.LeadId.State" vatt="STRING" class="ff-input-type ff-type-text"
                data-maxlengthmessage="Maximum 80 characters" maxlength="80" data-validatefieldtype="" value="" data-requiredmessage="required" data-isupsert="false" data-ishidden="true" data-vatt="STRING"></div>
          </div>
          <div class="ff-item-row" style="display: none;">
            <div class="ff-col-1 ff-label-col"><label id="lblFSGFDropdown218" for="FSGFDropdown218" class="ff-label" vatt="PICKLIST">State</label><span class="ff-required-mark">*</span></div>
            <div class="ff-col-2 ff-field-col"><select id="FSGFDropdown218" name="FSGFDropdown218" vatt="PICKLIST" class="ff-select-type ff-singlepicklist mainField" data-ishidden="true" data-isreadonly="false" data-isrequired="true"
                data-requiredmessage="required" data-vatt="PICKLIST" data-rules="1">
                <option value="" selected="selected">--select an item--</option>
                <option value="Alabama">Alabama</option>
                <option value="Alaska">Alaska</option>
                <option value="American Samoa">American Samoa</option>
                <option value="Arizona">Arizona</option>
                <option value="Arkansas">Arkansas</option>
                <option value="California">California</option>
                <option value="Colorado">Colorado</option>
                <option value="Connecticut">Connecticut</option>
                <option value="Delaware">Delaware</option>
                <option value="District of Columbia">District of Columbia</option>
                <option value="Federated States of Micronesia">Federated States of Micronesia</option>
                <option value="Florida">Florida</option>
                <option value="Georgia">Georgia</option>
                <option value="Guam">Guam</option>
                <option value="Hawaii">Hawaii</option>
                <option value="Idaho">Idaho</option>
                <option value="Illinois">Illinois</option>
                <option value="Indiana">Indiana</option>
                <option value="Iowa">Iowa</option>
                <option value="Kansas">Kansas</option>
                <option value="Kentucky">Kentucky</option>
                <option value="Louisiana">Louisiana</option>
                <option value="Maine">Maine</option>
                <option value="Marshall Islands">Marshall Islands</option>
                <option value="Maryland">Maryland</option>
                <option value="Massachusetts">Massachusetts</option>
                <option value="Michigan">Michigan</option>
                <option value="Minnesota">Minnesota</option>
                <option value="Mississippi">Mississippi</option>
                <option value="Missouri">Missouri</option>
                <option value="Montana">Montana</option>
                <option value="Nebraska">Nebraska</option>
                <option value="Nevada">Nevada</option>
                <option value="New Hampshire">New Hampshire</option>
                <option value="New Jersey">New Jersey</option>
                <option value="New Mexico">New Mexico</option>
                <option value="New York">New York</option>
                <option value="North Carolina">North Carolina</option>
                <option value="North Dakota">North Dakota</option>
                <option value="Northern Mariana Islands">Northern Mariana Islands</option>
                <option value="Ohio">Ohio</option>
                <option value="Oklahoma">Oklahoma</option>
                <option value="Oregon">Oregon</option>
                <option value="Palau">Palau</option>
                <option value="Pennsylvania">Pennsylvania</option>
                <option value="Puerto Rico">Puerto Rico</option>
                <option value="Rhode Island">Rhode Island</option>
                <option value="South Carolina">South Carolina</option>
                <option value="South Dakota">South Dakota</option>
                <option value="Tennessee">Tennessee</option>
                <option value="Texas">Texas</option>
                <option value="Utah">Utah</option>
                <option value="Vermont">Vermont</option>
                <option value="Virgin Islands">Virgin Islands</option>
                <option value="Virginia">Virginia</option>
                <option value="Washington">Washington</option>
                <option value="West Virginia">West Virginia</option>
                <option value="Wisconsin">Wisconsin</option>
                <option value="Wyoming">Wyoming</option>
              </select></div>
          </div>
          <div class="ff-item-row" style="display: none;">
            <div class="ff-col-1 ff-label-col"><label id="lblFSGFDropdown868" for="FSGFDropdown868" class="ff-label" vatt="PICKLIST">State (Australia)</label><span class="ff-required-mark">*</span></div>
            <div class="ff-col-2 ff-field-col"><select id="FSGFDropdown868" name="FSGFDropdown868" vatt="PICKLIST" class="ff-select-type ff-singlepicklist mainField" data-ishidden="true" data-isreadonly="false" data-isrequired="true"
                data-requiredmessage="required" data-vatt="PICKLIST">
                <option value="" selected="selected">--select an item--</option>
                <option value="Australian Capital Territory">Australian Capital Territory</option>
                <option value="New South Wales">New South Wales</option>
                <option value="Northern Territory">Northern Territory</option>
                <option value="Queensland">Queensland</option>
                <option value="South Australia">South Australia</option>
                <option value="Tasmania">Tasmania</option>
                <option value="Victoria">Victoria</option>
                <option value="Western Australia">Western Australia</option>
              </select></div>
          </div>
          <div class="ff-item-row" style="display: none;">
            <div class="ff-col-1 ff-label-col"><label id="lblFSGFDropdown715" for="FSGFDropdown715" class="ff-label" vatt="PICKLIST">State (Canada)</label><span class="ff-required-mark">*</span></div>
            <div class="ff-col-2 ff-field-col"><select id="FSGFDropdown715" name="FSGFDropdown715" vatt="PICKLIST" class="ff-select-type ff-singlepicklist mainField" data-ishidden="true" data-isreadonly="false" data-isrequired="true"
                data-requiredmessage="required" data-vatt="PICKLIST">
                <option value="" selected="selected">--select an item--</option>
                <option value="Alberta">Alberta</option>
                <option value="British Columbia">British Columbia</option>
                <option value="Manitoba">Manitoba</option>
                <option value="New Brunswick">New Brunswick</option>
                <option value="Newfoundland and Labrador">Newfoundland and Labrador</option>
                <option value="Northwest Territories">Northwest Territories</option>
                <option value="Nova Scotia">Nova Scotia</option>
                <option value="Nunavut">Nunavut</option>
                <option value="Ontario">Ontario</option>
                <option value="Prince Edward Island">Prince Edward Island</option>
                <option value="Quebec">Quebec</option>
                <option value="Saskatchewan">Saskatchewan</option>
                <option value="Yukon">Yukon</option>
              </select></div>
          </div>
          <div class="ff-item-row">
            <div class="ff-col-1 ff-label-col"><label vatt="TEXTAREA" for="Campaign.CampaignMember.A.LeadId.Notes__c" class="ff-label" id="lblCampaignCampaignMemberALeadIdNotes__c">Comments</label></div>
            <div class="ff-col-2 ff-field-col"><textarea id="Campaign.CampaignMember.A.LeadId.Notes__c" placeholder="" aria-placeholder="" name="Campaign.CampaignMember.A.LeadId.Notes__c" vatt="TEXTAREA" class="ff-textarea"
                data-maxlengthmessage="Maximum 32768 characters" maxlength="32768" data-ishtmlformatted="false" value="" data-requiredmessage="required" data-isupsert="false" data-ishidden="false" data-vatt="TEXTAREA"></textarea></div>
          </div>
          <div class="ff-item-row">
            <div class="ff-col-1 ff-label-col"><label vatt="BOOLEAN" for="Campaign.CampaignMember.A.LeadId.Email_Opt_In__c" class="ff-label" id="lblCampaignCampaignMemberALeadIdEmail_Opt_In__c">Yes, I would like to receive updates and information
                about Acquia's products, events, webinars, and more. I understand I can unsubscribe at any time.</label></div>
            <div class="ff-col-2 ff-field-col"><input type="checkbox" id="Campaign.CampaignMember.A.LeadId.Email_Opt_In__c" name="Campaign.CampaignMember.A.LeadId.Email_Opt_In__c" vatt="BOOLEAN" class="ff-checkbox" data-requiredmessage="required"
                data-isupsert="false" data-ishidden="false" data-vatt="BOOLEAN" value="on"></div>
          </div>
          <div class="ff-item-row" style="display: none;">
            <div class="ff-col-1 ff-label-col"><label vatt="REFERENCE" for="inputCampaign.CampaignMember.A.LeadId.Most_Recent_Campaign__c" class="ff-label" id="lblCampaignCampaignMemberALeadIdMost_Recent_Campaign__c">Most Recent Campaign</label>
            </div>
            <div class="ff-col-2 ff-field-col"><input type="hidden" id="Campaign.CampaignMember.A.LeadId.Most_Recent_Campaign__c" vatt="REFERENCE" value="7016g0000020rWsAAI" data-vatt="REFERENCE">
              <div class="select2-container ff-input-type lookup-link ff-autosuggest" id="s2id_inputCampaign.CampaignMember.A.LeadId.Most_Recent_Campaign__c" title="Lookup" style="width: 100%;">
                <a href="javascript:void(0)" class="select2-choice" tabindex="-1" style="width: 100%; max-width: -webkit-fill-available;">   <span class="select2-chosen" id="select2-chosen-1">WS_General_ContactUs_Q32021</span><abbr class="select2-search-choice-close"></abbr>   <span class="select2-arrow" role="presentation"><strong role="presentation"></strong></span></a><label
                  for="s2id_autogen1" class="select2-offscreen">Most Recent Campaign</label><input class="select2-focusser select2-offscreen" type="text" aria-haspopup="true" role="button" aria-labelledby="select2-chosen-1" id="s2id_autogen1">
                <div class="select2-drop select2-display-none select2-with-searchbox">
                  <div class="select2-search"> <label for="s2id_autogen1_search" class="select2-offscreen">Most Recent Campaign</label> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false"
                      class="select2-input" role="combobox" aria-expanded="true" aria-autocomplete="list" aria-owns="select2-results-1" id="s2id_autogen1_search" placeholder=""> </div>
                  <ul class="select2-results" role="listbox" id="select2-results-1"> </ul>
                </div>
              </div><input type="hidden" id="inputCampaign.CampaignMember.A.LeadId.Most_Recent_Campaign__c" title="Lookup" name="inputCampaign.CampaignMember.A.LeadId.Most_Recent_Campaign__c"
                class="ff-input-type lookup-link ff-autosuggest select2-offscreen" vatt="REFERENCE" value="7016g0000020rWsAAI" data-text-value="WS_General_ContactUs_Q32021" data-lobj="Campaign" data-robj="" data-flexcontrol="reference-autosuggest"
                data-display-format="[[]]" data-relationship-name="Most_Recent_Campaign__r" data-requiredmessage="required" data-vatt="REFERENCE" tabindex="-1" data-default-val-inserted="true">
            </div>
            <div class="ff-col-1 sec-footer-row " style="max-width: 100%; width: 100%; clear: left;"></div>
            <div class="ff-col-2 sec-footer-row ">
              <div class="rsec-footer-row lookup-clear"><a class="ff-alink" href="javascript:" title="clear"> clear </a></div>
            </div>
          </div>
          <div class="ff-item-row" style="display: none;">
            <div class="ff-col-1 ff-label-col"><label vatt="PICKLIST" for="Campaign.CampaignMember.A.LeadId.Latest_Lead_Source__c" class="ff-label" id="lblCampaignCampaignMemberALeadIdLatest_Lead_Source__c">Latest Lead Source</label></div>
            <div class="ff-col-2 ff-field-col"><select name="Campaign.CampaignMember.A.LeadId.Latest_Lead_Source__c" id="Campaign.CampaignMember.A.LeadId.Latest_Lead_Source__c" vatt="PICKLIST" class="ff-select-type ff-singlepicklist"
                data-flexcontrol="" data-list-of-dependent-fields="Latest_Lead_Source_Type__c" data-requiredmessage="required" data-isupsert="false" data-ishidden="true" data-vatt="PICKLIST" fs-dp-listener="true">
                <option value="">--select an item--</option>
                <option value="Paid Search">Paid Search </option>
                <option value="Display">Display </option>
                <option value="Social">Social </option>
                <option value="Online Chat">Online Chat </option>
                <option value="Cold Call">Cold Call </option>
                <option value="Employee">Employee </option>
                <option value="Existing Customer">Existing Customer </option>
                <option value="Inbound">Inbound </option>
                <option value="Partner">Partner </option>
                <option value="Self-Generated">Self-Generated </option>
                <option value="Webinar">Webinar </option>
                <option value="Website" selected="selected">Website </option>
                <option value="White paper">White paper </option>
                <option value="InsideView">InsideView </option>
                <option value="Content Syndication">Content Syndication </option>
                <option value="List Purchase">List Purchase </option>
                <option value="Referral">Referral </option>
                <option value="Organic Search">Organic Search </option>
                <option value="CSM Pipeline">CSM Pipeline </option>
                <option value="Data Migration">Data Migration </option>
                <option value="Email">Email </option>
                <option value="Events">Events </option>
              </select></div>
          </div>
          <div class="ff-item-row" style="display: none;">
            <div class="ff-col-1 ff-label-col"><label vatt="PICKLIST" for="Campaign.CampaignMember.A.LeadId.Latest_Lead_Source_Type__c" class="ff-label" id="lblCampaignCampaignMemberALeadIdLatest_Lead_Source_Type__c">Latest Lead Source Type</label>
            </div>
            <div class="ff-col-2 ff-field-col"><input type="hidden" class="not-main-field dependent-field__controller-values-map"
                value="{&quot;Events&quot;:21,&quot;Email&quot;:20,&quot;Data Migration&quot;:19,&quot;CSM Pipeline&quot;:18,&quot;Organic Search&quot;:17,&quot;Referral&quot;:16,&quot;List Purchase&quot;:15,&quot;Content Syndication&quot;:14,&quot;InsideView&quot;:13,&quot;White paper&quot;:12,&quot;Website&quot;:11,&quot;Webinar&quot;:10,&quot;Self-Generated&quot;:9,&quot;Partner&quot;:8,&quot;Inbound&quot;:7,&quot;Existing Customer&quot;:6,&quot;Employee&quot;:5,&quot;Cold Call&quot;:4,&quot;Online Chat&quot;:3,&quot;Social&quot;:2,&quot;Display&quot;:1,&quot;Paid Search&quot;:0}"><select
                name="Campaign.CampaignMember.A.LeadId.Latest_Lead_Source_Type__c" id="Campaign.CampaignMember.A.LeadId.Latest_Lead_Source_Type__c" vatt="PICKLIST" class="ff-select-type ff-singlepicklist" data-flexcontrol=""
                data-requiredmessage="required" data-isupsert="false" data-ishidden="true" data-vatt="PICKLIST">
                <option value="" class="" selected="selected">--select an item--</option>
                <option value="Mautic" data-validfor="19" class="select__dependent-field--hide">Mautic </option>
                <option value="Agilone" data-validfor="19" class="select__dependent-field--hide">Agilone </option>
                <option value="Cohesion" data-validfor="19" class="select__dependent-field--hide">Cohesion </option>
                <option value="facebook" data-validfor="2,17" class="select__dependent-field--hide">facebook </option>
                <option value="googleplus" data-validfor="17" class="select__dependent-field--hide">googleplus </option>
                <option value="youtube" data-validfor="1,17" class="select__dependent-field--hide">youtube </option>
                <option value="google" data-validfor="0,1,17" class="select__dependent-field--hide">google </option>
                <option value="twitter" data-validfor="2,17" class="select__dependent-field--hide">twitter </option>
                <option value="LinkedIn" data-validfor="2,17" class="select__dependent-field--hide">LinkedIn </option>
                <option value="Bing" data-validfor="0,17" class="select__dependent-field--hide">Bing </option>
                <option value="Referral: Non-Employee" data-validfor="16" class="select__dependent-field--hide">Referral: Non-Employee </option>
                <option value="Referral: Employee" data-validfor="5,16" class="select__dependent-field--hide">Referral: Employee </option>
                <option value="Referral: Customer" data-validfor="16" class="select__dependent-field--hide">Referral: Customer </option>
                <option value="Referral: Partner (non-reg deal)" data-validfor="16" class="select__dependent-field--hide">Referral: Partner (non-reg deal) </option>
                <option value="Acquired List" data-validfor="15" class="select__dependent-field--hide">Acquired List </option>
                <option value="APTA" data-validfor="14" class="select__dependent-field--hide">APTA </option>
                <option value="Gartner" data-validfor="14" class="select__dependent-field--hide">Gartner </option>
                <option value="Forrester" data-validfor="14" class="select__dependent-field--hide">Forrester </option>
                <option value="Real Story Group" data-validfor="14" class="select__dependent-field--hide">Real Story Group </option>
                <option value="Digital Clarity Group" data-validfor="14" class="select__dependent-field--hide">Digital Clarity Group </option>
                <option value="Jigsaw" data-validfor="14" class="select__dependent-field--hide">Jigsaw </option>
                <option value="adweek" data-validfor="14" class="select__dependent-field--hide">adweek </option>
                <option value="bostoninteractive" data-validfor="14" class="select__dependent-field--hide">bostoninteractive </option>
                <option value="computerbusiness" data-validfor="14" class="select__dependent-field--hide">computerbusiness </option>
                <option value="digitaldoughnut" data-validfor="14" class="select__dependent-field--hide">digitaldoughnut </option>
                <option value="drupal.org" data-validfor="14" class="select__dependent-field--hide">drupal.org </option>
                <option value="drupalassociation-hostingsupport" data-validfor="14" class="select__dependent-field--hide">drupalassociation-hostingsupport </option>
                <option value="drupalcom" data-validfor="14" class="select__dependent-field--hide">drupalcom </option>
                <option value="drupalorg" data-validfor="14" class="select__dependent-field--hide">drupalorg </option>
                <option value="elevatedthird" data-validfor="14" class="select__dependent-field--hide">elevatedthird </option>
                <option value="epam" data-validfor="14" class="select__dependent-field--hide">epam </option>
                <option value="exceed-global" data-validfor="14" class="select__dependent-field--hide">exceed-global </option>
                <option value="marketing-mag" data-validfor="14" class="select__dependent-field--hide">marketing-mag </option>
                <option value="marketingweek" data-validfor="14" class="select__dependent-field--hide">marketingweek </option>
                <option value="mediacurrent" data-validfor="14" class="select__dependent-field--hide">mediacurrent </option>
                <option value="morningbrew" data-validfor="14" class="select__dependent-field--hide">morningbrew </option>
                <option value="mumbrella" data-validfor="14" class="select__dependent-field--hide">mumbrella </option>
                <option value="sfchronicles" data-validfor="14" class="select__dependent-field--hide">sfchronicles </option>
                <option value="techwireasia" data-validfor="14" class="select__dependent-field--hide">techwireasia </option>
                <option value="tomorrowpeople" data-validfor="14" class="select__dependent-field--hide">tomorrowpeople </option>
                <option value="vendermore" data-validfor="14" class="select__dependent-field--hide">vendermore </option>
                <option value="cmswire" data-validfor="14" class="select__dependent-field--hide">cmswire </option>
                <option value="list building" data-validfor="13" class="select__dependent-field--hide">list building </option>
                <option value="prospecting" data-validfor="13" class="select__dependent-field--hide">prospecting </option>
                <option value="case study" data-validfor="12" class="select__dependent-field--hide">case study </option>
                <option value="ebook" data-validfor="12" class="select__dependent-field--hide">ebook </option>
                <option value="form fill" data-validfor="11,16" class="">form fill </option>
                <option value="3rd party" data-validfor="10" class="select__dependent-field--hide">3rd party </option>
                <option value="Hosted" data-validfor="10" class="select__dependent-field--hide">Hosted </option>
                <option value="Outbound prospecting" data-validfor="4,9" class="select__dependent-field--hide">Outbound prospecting </option>
                <option value="Deal Reg" data-validfor="8" class="select__dependent-field--hide">Deal Reg </option>
                <option value="Inbound" data-validfor="7" class="select__dependent-field--hide">Inbound </option>
                <option value="Drift" data-validfor="3" class="select__dependent-field--hide">Drift </option>
                <option value="linkedin-display" data-validfor="1" class="select__dependent-field--hide">linkedin-display </option>
                <option value="Customer Success" data-validfor="18" class="select__dependent-field--hide">Customer Success </option>
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                <option value="Attended Acquia Presentation*">Attended Acquia Presentation* </option>
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