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2606:4700::6812:a07d  Public Scan

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Submitted URL: https://czpgx04.na1.hubspotlinks.com/Ctc/T8+113/czpGx04/VWd9PN5C2_GFW2_07g_7JMmjPW3Z50n15bgJtWN15bQXx3qn9gW7Y8-PT6lZ3p5W3-b9cQ7xV607W...
Effective URL: https://share.hsforms.com/18XC8FzYNRUSQkab41VVr-A2ulqa?utm_campaign=SCM45LI24&utm_medium=email&_hsmi=296818943&_hsenc=p2AN...
Submission: On March 05 via manual from GB — Scanned from GB

Form analysis 1 forms found in the DOM

<form id="hs-form-f170bc17-360d-4544-9091-a6f8d5556bf8-24d9b575-1951-4c25-8f5e-19133e5c4c1d" class="hs-form-f170bc17-360d-4544-9091-a6f8d5556bf8 hs-form hs-form_theme-canvas" data-instance-id="24d9b575-1951-4c25-8f5e-19133e5c4c1d"
  data-form-id="f170bc17-360d-4544-9091-a6f8d5556bf8" data-portal-id="4787074" lang="en" data-test-id="hs-form-f170bc17-360d-4544-9091-a6f8d5556bf8-24d9b575-1951-4c25-8f5e-19133e5c4c1d" data-hs-cf-bound="true">
  <div class="hs-form__pagination-content-container">
    <div class="hs-form__row">
      <div class="hs-form__group">
        <div data-hsfc-id="RichText" style="font-size: 14px; color: rgb(51, 71, 91);"><img src="https://4787074.fs1.hubspotusercontent-na1.net/hubfs/4787074/SCM45_Brochure-Request-(LinkedIn)%20(1).png" style="max-width: 100%; max-height: 100%"
            data-img-aspect-ratio="1.910828025477707" alt="Supply chain week " width="1200" data-img-width="1200" data-img-height="628"></div>
      </div>
    </div>
    <div class="hs-form__row">
      <div class="hs-form__group">
        <div class="hs-form__field-row">
          <div class="hs-form__field-row__column">
            <div class="hs-form__field hs-form__field-firstname hs-firstname"><label id="firstname-label" for="firstname-input" class="hs-form__field__label" data-required="true"><span lang="en">First name</span><span
                  class="hs-form__field__label__required">*</span></label><input id="firstname-input" class="hs-form__field__input" type="text" name="firstname" required="" autocomplete="given-name" inputmode="text" aria-invalid="false"
                aria-required="true" value=""></div>
          </div>
          <div class="hs-form__field-row__column">
            <div class="hs-form__field hs-form__field-lastname hs-lastname"><label id="lastname-label" for="lastname-input" class="hs-form__field__label" data-required="true"><span lang="en">Last name</span><span
                  class="hs-form__field__label__required">*</span></label><input id="lastname-input" class="hs-form__field__input" type="text" name="lastname" required="" autocomplete="family-name" inputmode="text" aria-invalid="false"
                aria-required="true" value=""></div>
          </div>
        </div>
      </div>
    </div>
    <div class="hs-form__row">
      <div class="hs-form__group">
        <div class="hs-form__field-row">
          <div class="hs-form__field-row__column">
            <div class="hs-form__field hs-form__field-email hs-email"><label id="email-label" for="email-input" class="hs-form__field__label" data-required="true"><span lang="en">Email</span><span
                  class="hs-form__field__label__required">*</span></label><input id="email-input" class="hs-form__field__input" type="email" name="email" required="" autocomplete="email" inputmode="email" aria-invalid="false" aria-required="true"
                value=""></div>
          </div>
        </div>
      </div>
    </div>
    <div class="hs-form__row">
      <div class="hs-form__group">
        <div class="hs-form__field-row">
          <div class="hs-form__field-row__column">
            <div class="hs-form__field hs-form__field-phone hs-phone"><label id="phone-label" for="phone-input" class="hs-form__field__label" data-required="true"><span lang="en">Phone number</span><span
                  class="hs-form__field__label__required">*</span></label>
              <div class="hs-form__field__phone"><input id="phone-input" class="hs-form__field__input" type="tel" name="phone" required="" autocomplete="tel" inputmode="tel" aria-invalid="false" aria-required="true" value=""></div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="hs-form__row">
      <div class="hs-form__group">
        <div class="hs-form__field-row">
          <div class="hs-form__field-row__column">
            <div class="hs-form__field hs-form__field-jobtitle hs-jobtitle"><label id="jobtitle-label" for="jobtitle-input" class="hs-form__field__label" data-required="true"><span lang="en">Job Title</span><span
                  class="hs-form__field__label__required">*</span></label><input id="jobtitle-input" class="hs-form__field__input" type="text" name="jobtitle" required="" autocomplete="organization-title" inputmode="text" aria-invalid="false"
                aria-required="true" value=""></div>
          </div>
        </div>
      </div>
    </div>
    <div class="hs-form__row">
      <div class="hs-form__group">
        <div class="hs-form__field-row">
          <div class="hs-form__field-row__column">
            <div class="hs-form__field hs-form__field-company hs-company"><label id="company-label" for="company-input" class="hs-form__field__label" data-required="true"><span lang="en">Company name</span><span
                  class="hs-form__field__label__required">*</span></label><input id="company-input" class="hs-form__field__input" type="text" name="company" required="" autocomplete="organization" inputmode="text" aria-invalid="false"
                aria-required="true" value=""></div>
          </div>
        </div>
      </div>
    </div>
    <div class="hs-form__row">
      <div class="hs-form__group">
        <div class="hs-form__field-row">
          <div class="hs-form__field-row__column">
            <div class="hs-form__field hs-form__field-i_am_interested_in_ hs-i_am_interested_in_"><label id="i_am_interested_in_-label" for="i_am_interested_in_-input" class="hs-form__field__label" data-required="false"><span lang="en">I am
                  interested in:</span></label><select id="i_am_interested_in_-input" class="hs-form__field__input" name="i_am_interested_in_" aria-invalid="false">
                <option label="Please Select" disabled="" value="">Please Select</option>
                <option label="Attending the event" value="Attending the event">Attending the event</option>
                <option label="Sponsoring the event" value="Sponsoring the event">Sponsoring the event</option>
                <option label="Partnership" value="Partnership">Partnership</option>
                <option label="Other" value="Other">Other</option>
              </select></div>
          </div>
        </div>
      </div>
    </div>
    <div class="hs-form__row">
      <div class="hs-form__group">
        <div class="hs-form__field-row">
          <div class="hs-form__field-row__column">
            <div class="hs-form__field hs-form__field-state hs-state"><label id="state-label" for="state-input" class="hs-form__field__label" data-required="false"><span lang="en">State/Region</span></label><select id="state-input"
                class="hs-form__field__input is-placeholder" name="state" aria-invalid="false">
                <option label="Please Select" disabled="" value="">Please Select</option>
                <option label="NSW" value="NSW">NSW</option>
                <option label="VIC" value="VIC">VIC</option>
                <option label="SA" value="SA">SA</option>
                <option label="WA" value="WA">WA</option>
                <option label="QLD" value="QLD">QLD</option>
                <option label="NT" value="NT">NT</option>
                <option label="TAS" value="TAS">TAS</option>
                <option label="ACT" value="ACT">ACT</option>
                <option label="Other / No State" value="Other / No State">Other / No State</option>
                <option label="Alabama" value="Alabama">Alabama</option>
                <option label="Alaska" value="Alaska">Alaska</option>
                <option label="Arizona" value="Arizona">Arizona</option>
                <option label="Arkansas" value="Arkansas">Arkansas</option>
                <option label="California" value="California">California</option>
                <option label="Colorado" value="Colorado">Colorado</option>
                <option label="Connecticut" value="Connecticut">Connecticut</option>
                <option label="Delaware" value="Delaware">Delaware</option>
                <option label="Florida" value="Florida">Florida</option>
                <option label="Georgia" value="Georgia">Georgia</option>
                <option label="Hawaii" value="Hawaii">Hawaii</option>
                <option label="Idaho" value="Idaho">Idaho</option>
                <option label="Illinois" value="Illinois">Illinois</option>
                <option label="Indiana" value="Indiana">Indiana</option>
                <option label="Iowa" value="Iowa">Iowa</option>
                <option label="Kansas" value="Kansas">Kansas</option>
                <option label="Kentucky" value="Kentucky">Kentucky</option>
                <option label="Louisiana" value="Louisiana">Louisiana</option>
                <option label="Maine" value="Maine">Maine</option>
                <option label="Maryland" value="Maryland">Maryland</option>
                <option label="Massachusetts" value="Massachusetts">Massachusetts</option>
                <option label="Michigan" value="Michigan">Michigan</option>
                <option label="Minnesota" value="Minnesota">Minnesota</option>
                <option label="Mississippi" value="Mississippi">Mississippi</option>
                <option label="Missouri" value="Missouri">Missouri</option>
                <option label="Montana" value="Montana">Montana</option>
                <option label="Nebraska" value="Nebraska">Nebraska</option>
                <option label="Nevada" value="Nevada">Nevada</option>
                <option label="New Hampshire" value="New Hampshire">New Hampshire</option>
                <option label="New Jersey" value="New Jersey">New Jersey</option>
                <option label="New Mexico" value="New Mexico">New Mexico</option>
                <option label="New York" value="New York">New York</option>
                <option label="North Carolina" value="North Carolina">North Carolina</option>
                <option label="North Dakota" value="North Dakota">North Dakota</option>
                <option label="Ohio" value="Ohio">Ohio</option>
                <option label="Oklahoma" value="Oklahoma">Oklahoma</option>
                <option label="Oregon" value="Oregon">Oregon</option>
                <option label="Pennsylvania" value="Pennsylvania">Pennsylvania</option>
                <option label="Rhode Island" value="Rhode Island">Rhode Island</option>
                <option label="South Carolina" value="South Carolina">South Carolina</option>
                <option label="South Dakota" value="South Dakota">South Dakota</option>
                <option label="Tennessee" value="Tennessee">Tennessee</option>
                <option label="Texas" value="Texas">Texas</option>
                <option label="Utah" value="Utah">Utah</option>
                <option label="Vermont" value="Vermont">Vermont</option>
                <option label="Virginia" value="Virginia">Virginia</option>
                <option label="Washington" value="Washington">Washington</option>
                <option label="West Virginia" value="West Virginia">West Virginia</option>
                <option label="Wisconsin" value="Wisconsin">Wisconsin</option>
                <option label="Wyoming" value="Wyoming">Wyoming</option>
                <option label="Wellington " value="Wellington">Wellington </option>
                <option label="Auckland" value="Auckland">Auckland</option>
                <option label="Canterbury" value="Canterbury">Canterbury</option>
                <option label="Nelson" value="Nelson">Nelson</option>
                <option label="New Plymouth" value="New Plymouth">New Plymouth</option>
                <option label="Otago" value="Otago">Otago</option>
                <option label="" value=""></option>
              </select></div>
          </div>
        </div>
      </div>
    </div>
    <div class="hs-form__row">
      <div class="hs-form__legal-consent">
        <div class="hs-form__legal-consent__row hs-form__legal-consent__row__communication-consent">
          <div data-hsfc-id="RichText" style="line-height: 24px; font-size: 14px; color: rgb(51, 71, 91);">
            <p>Supply Chain Channel is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we
              would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick below to say how you would like us to contact you:</p>
          </div>
        </div>
        <div class="hs-form__legal-consent__row hs-form__legal-consent__row__communication-consent-checkbox">
          <div class="hs-form__field hs-form__field-LEGAL_CONSENT.subscription_type_8519225 hs-LEGAL_CONSENT.subscription_type_8519225"><label id="LEGAL_CONSENT.subscription_type_8519225-label-1"
              class="hs-form__field__label hs-form__field__checkbox__label"><input id="LEGAL_CONSENT.subscription_type_8519225-input-1" class="hs-form__field__input hs-form__field__checkbox__input" type="checkbox"
                name="LEGAL_CONSENT.subscription_type_8519225" aria-invalid="false" aria-labelledby="LEGAL_CONSENT.subscription_type_8519225-label-1" value="false"><span class="hs-form__field__checkbox__label-text">
                <p>I agree to receive other communications from Supply Chain Channel.</p>
              </span></label></div>
        </div>
        <div class="hs-form__legal-consent__row hs-form__legal-consent__row__privacy-policy">
          <div data-hsfc-id="RichText" style="line-height: 24px; font-size: 14px; color: rgb(51, 71, 91);">You may unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and how we are
            committed to protecting and respecting your privacy, please review our Privacy Policy.</div>
        </div>
        <div class="hs-form__legal-consent__row hs-form__legal-consent__row__processing-consent">
          <div data-hsfc-id="RichText" style="line-height: 24px; font-size: 14px; color: rgb(51, 71, 91);">By clicking submit below, you consent to allow Akolade to store and process the personal information submitted above to provide you the content
            requested.</div>
        </div>
      </div>
    </div>
  </div>
  <div class="hs-form__row">
    <div class="hs-form__actions"><button type="submit" name="Submit" class="hs-form__actions__submit" lang="en">Submit</button></div>
  </div>
  <div id="24d9b575-1951-4c25-8f5e-19133e5c4c1d-live-region-content" class="hs-form__visually-hidden" aria-live="polite"></div>
</form>

Text Content

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First name*
Last name*
Email*
Phone number*

Job Title*
Company name*
I am interested in:Please SelectAttending the eventSponsoring the
eventPartnershipOther
State/RegionPlease SelectNSWVICSAWAQLDNTTASACTOther / No
StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth
DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth
DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest
VirginiaWisconsinWyomingWellington AucklandCanterburyNelsonNew PlymouthOtago

Supply Chain Channel is committed to protecting and respecting your privacy, and
we’ll only use your personal information to administer your account and to
provide the products and services you requested from us. From time to time, we
would like to contact you about our products and services, as well as other
content that may be of interest to you. If you consent to us contacting you for
this purpose, please tick below to say how you would like us to contact you:

I agree to receive other communications from Supply Chain Channel.

You may unsubscribe from these communications at any time. For more information
on how to unsubscribe, our privacy practices, and how we are committed to
protecting and respecting your privacy, please review our Privacy Policy.
By clicking submit below, you consent to allow Akolade to store and process the
personal information submitted above to provide you the content requested.
Submit