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pages.actmkt.com Open in urlscan Pro
44.237.157.207  Public Scan

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Submitted URL: http://click.swiftpage.marketing/s/055-ed0c2deb-0ede-443b-a115-1cee6e714e85?enr=naahiaduabyaa4yahiac6abpabyaayiam4agkadtaaxaayiam...
Effective URL: https://pages.actmkt.com/(S(e5d3ribc0bvlh3oyqjho1ock))/l/f6NZr5a2PJx83GwKy79F
Submission: On November 11 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST ./f6NZr5a2PJx83GwKy79F

<form method="post" action="./f6NZr5a2PJx83GwKy79F" onsubmit="javascript:return WebForm_OnSubmit();" id="form1">
  <div class="aspNetHidden">
    <input type="hidden" name="ctl04_TSM" id="ctl04_TSM"
      value=";;System.Web.Extensions, Version=4.0.0.0, Culture=neutral, PublicKeyToken=31bf3856ad364e35:en-US:9ead301a-2c07-4fc5-be19-f8423a34e117:ea597d4b:b25378d2;Telerik.Web.UI, Version=2021.2.616.45, Culture=neutral, PublicKeyToken=121fae78165ba3d4:en-US:fd978f7e-3da5-4815-803f-07e58a83cefa:16e4e7cd:ed16cbdc:f7645509:88144a7a:33715776:4877f69a:86526ba7:874f8ea2:b7778d6c:24ee1bba:b4374ab3:a42e906f:82923ac3:6d43f6d9">
    <input type="hidden" name="__EVENTTARGET" id="__EVENTTARGET" value="">
    <input type="hidden" name="__EVENTARGUMENT" id="__EVENTARGUMENT" value="">
    <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE"
      value="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">
  </div>
  <script type="text/javascript">
    //<![CDATA[
    var theForm = document.forms['form1'];
    if (!theForm) {
      theForm = document.form1;
    }

    function __doPostBack(eventTarget, eventArgument) {
      if (!theForm.onsubmit || (theForm.onsubmit() != false)) {
        theForm.__EVENTTARGET.value = eventTarget;
        theForm.__EVENTARGUMENT.value = eventArgument;
        theForm.submit();
      }
    }
    //]]>
  </script>
  <script src="/WebResource.axd?d=pynGkmcFUV13He1Qd6_TZKxPTLz7OFhOkgvWSBlXNdgdoHmbPBXQ-vLd6AbN99sFoscLn33blxHtivD36HhOEA2&amp;t=637941825789936754" type="text/javascript"></script>
  <script src="/ScriptResource.axd?d=nv7asgRUU0tRmHNR2D6t1BJ_7GTF-rm2VQhw9OywjsLPwJCKSq7pFO0BTdit2-D3okBN2XMasJbnaz7PmvJBNnJL90tSOSkpQC3kuDdZmiFWGnPPqgxXHQXiUhWOkJlN-Z3d3hOHL9-32ZuqkNtxCA2&amp;t=125d5fef" type="text/javascript"></script>
  <script
    src="/Telerik.Web.UI.WebResource.axd?_TSM_HiddenField_=ctl04_TSM&amp;compress=1&amp;_TSM_CombinedScripts_=%3b%3bSystem.Web.Extensions%2c+Version%3d4.0.0.0%2c+Culture%3dneutral%2c+PublicKeyToken%3d31bf3856ad364e35%3aen-US%3a9ead301a-2c07-4fc5-be19-f8423a34e117%3aea597d4b%3ab25378d2%3bTelerik.Web.UI%2c+Version%3d2021.2.616.45%2c+Culture%3dneutral%2c+PublicKeyToken%3d121fae78165ba3d4%3aen-US%3afd978f7e-3da5-4815-803f-07e58a83cefa%3a16e4e7cd%3aed16cbdc%3af7645509%3a88144a7a%3a33715776%3a4877f69a%3a86526ba7%3a874f8ea2%3ab7778d6c%3a24ee1bba%3ab4374ab3%3aa42e906f%3a82923ac3%3a6d43f6d9"
    type="text/javascript"></script>
  <script type="text/javascript">
    //<![CDATA[
    function WebForm_OnSubmit() {
      if (typeof(ValidatorOnSubmit) == "function" && ValidatorOnSubmit() == false) return false;
      return true;
    }
    //]]>
  </script>
  <div class="aspNetHidden">
    <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="80F158A0">
    <input type="hidden" name="__EVENTVALIDATION" id="__EVENTVALIDATION"
      value="zUen7YZGES03Pp4etA/LQx1AcBppTpu0sxKNruOIZCuLnmAbC126Mww5IIZKCRDZw3Dh30PLtyo+xoW70uiEoRU88EoVU2Sme45VyY+1m2M3V0g2Gmc3b3lu6Rzu0wigqGbGGFhhyeY1D0s+VButCBmajIeJk9igpcXd+FgsOh1zl/SgShQKUhrf5cpyAbX/yvVS/IjTr0X2rKS3hQkOyKxpTPM6yVD3kQN7NqPvFVkifuQZltJQaEIb+f5gQEp09Hlz6I8+1iaR2+TsclokCoH7VYSH+/az5ox5bc9j305CvgXtPtA9nUhD3LFDBmuh">
  </div>
  <!-- 2021.2.616.45 -->
  <div id="RadAjaxManager1SU" style="display: block;">
    <span id="ctl00_RadAjaxManager1" style="display:none;"></span>
  </div>
  <div id="RadAjaxLoadingPanel1" class="RadAjax RadAjax_Bootstrap" style="display:none;">
    <div class="raDiv">
    </div>
    <div class="raColor raTransp">
    </div>
  </div>
  <div id="ctl00_RadFormDecorator1" class="RadFormDecorator" style="display:none;">
    <script type="text/javascript">
      //<![CDATA[
      if (typeof(WebForm_AutoFocus) != 'undefined' && !isWebFormAutoFocusMethodCalled) {
        var old_WebForm_AutoFocus = WebForm_AutoFocus;
        WebForm_AutoFocus = function(arg) {
          Sys.Application.add_load(function() {
            old_WebForm_AutoFocus(arg);
            WebForm_AutoFocus = old_WebForm_AutoFocus;
          });
        }
        var isWebFormAutoFocusMethodCalled = true;
      }
      if (typeof(Telerik) != 'undefined' && Type.isNamespace(Telerik.Web)) {
        if (Telerik.Web.UI.RadFormDecorator) {
          Telerik.Web.UI.RadFormDecorator.initializePage("ctl00_RadFormDecorator1", "demo-container", "Bootstrap", 65535);
        }
      }
      //]]>
    </script><input id="ctl00_RadFormDecorator1_ClientState" name="ctl00_RadFormDecorator1_ClientState" type="hidden">
  </div>
  <script type="text/javascript">
    //<![CDATA[
    Sys.WebForms.PageRequestManager._initialize('ctl00$ctl04', 'form1', ['tctl00$ContentPlaceHolder1$ctl00$ContentPlaceHolder1$DynamicPlaceholderPanel', '', 'tctl00$ContentPlaceHolder1$ctl00$ContentPlaceHolder1$PanelCaptchaPanel', '',
      'tctl00$ContentPlaceHolder1$ctl00$ContentPlaceHolder1$RadCaptcha1Panel', '', 'tctl00$ContentPlaceHolder1$ctl00$ContentPlaceHolder1$lblCaptchaErrorPanel', '', 'tctl00$RadAjaxManager1SU', 'RadAjaxManager1SU',
      'tctl00$ContentPlaceHolder1$RadAjaxManager1SU', 'ContentPlaceHolder1_RadAjaxManager1SU'
    ], ['ctl00$ContentPlaceHolder1$rbSubmit', ''], [], 90, 'ctl00');
    //]]>
  </script>
  <div>
    <div class="panel-body">
      <div id="ContentPlaceHolder1_RadAjaxManager1SU" style="display: block;">
        <span id="ctl00_ContentPlaceHolder1_RadAjaxManager1" style="display:none;"></span>
      </div>
      <div id="ContentPlaceHolder1_RadAjaxLoadingPanel1" class="RadAjax RadAjax_Bootstrap" style="display:none;">
        <div class="raDiv">
        </div>
        <div class="raColor raTransp">
        </div>
      </div>
      <table style="width: 100%; padding: 0px;">
        <tbody>
          <tr>
            <td style="width: 100%;">
              <div class="RadAjaxPanel" id="ctl00_ContentPlaceHolder1_ctl00_ContentPlaceHolder1_DynamicPlaceholderPanel" style="display: block;">
                <div style="width:100%;height:100%;border:1px solid;border-color:#ddd;margin-bottom:10px;background-color:white;">
                  <div style="width:100%;height:38px;background-color:#f5f5f5;border:1px solid;border-color:#ddd;display:flex;align-items:center;"><span style="padding-left:10px">Contact Information</span></div>
                  <div style="padding-left:10px;padding-top:10px;width:100%;height:100%;"><span id="ctl00_ContentPlaceHolder1_ctl03" class="RadLabel RadLabel_Bootstrap">* Name</span><br><br><span
                      id="ctl00_ContentPlaceHolder1_071-5b9fc5c7-eeec-4a12-a4af-710b76e078c2_wrapper" class="riSingle RadInput RadInput_Bootstrap" style="width:250px;"><input id="ctl00_ContentPlaceHolder1_071-5b9fc5c7-eeec-4a12-a4af-710b76e078c2"
                        name="ctl00$ContentPlaceHolder1$071-5b9fc5c7-eeec-4a12-a4af-710b76e078c2" size="20" class="riTextBox riEmpty" value="Please enter your name" type="text" style="height:40px;"><input
                        id="ctl00_ContentPlaceHolder1_071-5b9fc5c7-eeec-4a12-a4af-710b76e078c2_ClientState" name="ctl00_ContentPlaceHolder1_071-5b9fc5c7-eeec-4a12-a4af-710b76e078c2_ClientState" type="hidden" autocomplete="off"
                        value="{&quot;enabled&quot;:true,&quot;emptyMessage&quot;:&quot;Please enter your name&quot;,&quot;validationText&quot;:&quot;&quot;,&quot;valueAsString&quot;:&quot;&quot;,&quot;lastSetTextBoxValue&quot;:&quot;Please enter your name&quot;}"></span><span
                      id="ContentPlaceHolder1_ctl05" class="actionRequiredAlert" style="color:Red;display:none;">Required</span><br><br><span id="ctl00_ContentPlaceHolder1_ctl07" class="RadLabel RadLabel_Bootstrap">* Company</span><br><br><span
                      id="ctl00_ContentPlaceHolder1_071-3fb82df4-193c-4541-b441-c589bcaa290c_wrapper" class="riSingle RadInput RadInput_Bootstrap" style="width:250px;"><input id="ctl00_ContentPlaceHolder1_071-3fb82df4-193c-4541-b441-c589bcaa290c"
                        name="ctl00$ContentPlaceHolder1$071-3fb82df4-193c-4541-b441-c589bcaa290c" size="20" class="riTextBox riEnabled" type="text" value="" style="height:40px;"><input
                        id="ctl00_ContentPlaceHolder1_071-3fb82df4-193c-4541-b441-c589bcaa290c_ClientState" name="ctl00_ContentPlaceHolder1_071-3fb82df4-193c-4541-b441-c589bcaa290c_ClientState" type="hidden" autocomplete="off"
                        value="{&quot;enabled&quot;:true,&quot;emptyMessage&quot;:&quot;&quot;,&quot;validationText&quot;:&quot;&quot;,&quot;valueAsString&quot;:&quot;&quot;,&quot;lastSetTextBoxValue&quot;:&quot;&quot;}"></span><span
                      id="ContentPlaceHolder1_ctl09" class="actionRequiredAlert" style="color:Red;display:none;"></span><br><br><span id="ctl00_ContentPlaceHolder1_ctl11" class="RadLabel RadLabel_Bootstrap">Would you prefer to be contacted by email
                      or telephone?</span><br><br>
                    <div id="ctl00_ContentPlaceHolder1_071-375a46f0-5aa9-4f29-8ece-3efa204a8355" class="RadCheckBoxList RadCheckBoxList_Bootstrap rbHorizontalList">
                      <input id="ctl00_ContentPlaceHolder1_071-375a46f0-5aa9-4f29-8ece-3efa204a8355_ClientState" name="ctl00_ContentPlaceHolder1_071-375a46f0-5aa9-4f29-8ece-3efa204a8355_ClientState" type="hidden" autocomplete="off"
                        value="{&quot;visible&quot;:true,&quot;enabled&quot;:true,&quot;selectedIndex&quot;:-1,&quot;toolTip&quot;:&quot;&quot;,&quot;validationGroup&quot;:&quot;&quot;,&quot;selectedIndices&quot;:[]}">
                    </div><br><br><span id="ctl00_ContentPlaceHolder1_ctl14" class="RadLabel RadLabel_Bootstrap">* Email</span><br><br><span id="ctl00_ContentPlaceHolder1_071-28136771-33aa-4471-b7ee-3bb18bb2304c_wrapper"
                      class="riSingle RadInput RadInput_Bootstrap" style="width:250px;"><input id="ctl00_ContentPlaceHolder1_071-28136771-33aa-4471-b7ee-3bb18bb2304c" name="ctl00$ContentPlaceHolder1$071-28136771-33aa-4471-b7ee-3bb18bb2304c" size="20"
                        class="riTextBox riEmpty" value="Enter your email address" type="text" style="height:40px;"><input id="ctl00_ContentPlaceHolder1_071-28136771-33aa-4471-b7ee-3bb18bb2304c_ClientState"
                        name="ctl00_ContentPlaceHolder1_071-28136771-33aa-4471-b7ee-3bb18bb2304c_ClientState" type="hidden" autocomplete="off"
                        value="{&quot;enabled&quot;:true,&quot;emptyMessage&quot;:&quot;Enter your email address&quot;,&quot;validationText&quot;:&quot;&quot;,&quot;valueAsString&quot;:&quot;&quot;,&quot;lastSetTextBoxValue&quot;:&quot;Enter your email address&quot;}"></span><span
                      id="ContentPlaceHolder1_ctl16" class="actionRequiredAlert" style="color:Red;display:none;"></span><br><br><span id="ctl00_ContentPlaceHolder1_ctl18" class="RadLabel RadLabel_Bootstrap">* Phone</span><br><br><span
                      id="ctl00_ContentPlaceHolder1_071-d08452b1-3d61-441a-8023-ce49dad1ae12_wrapper" class="riSingle RadInput RadInput_Bootstrap" style="width:250px;"><input id="ctl00_ContentPlaceHolder1_071-d08452b1-3d61-441a-8023-ce49dad1ae12"
                        name="ctl00$ContentPlaceHolder1$071-d08452b1-3d61-441a-8023-ce49dad1ae12" type="text" size="20" class="riTextBox riEnabled" value="(___) ___-____" style="height:40px;"><input
                        id="ctl00_ContentPlaceHolder1_071-d08452b1-3d61-441a-8023-ce49dad1ae12_ClientState" name="ctl00_ContentPlaceHolder1_071-d08452b1-3d61-441a-8023-ce49dad1ae12_ClientState" type="hidden" autocomplete="off"
                        value="{&quot;enabled&quot;:true,&quot;emptyMessage&quot;:&quot;&quot;,&quot;validationText&quot;:&quot;&quot;,&quot;valueAsString&quot;:&quot;(___) ___-____&quot;,&quot;valueWithPromptAndLiterals&quot;:&quot;(___) ___-____&quot;,&quot;lastSetTextBoxValue&quot;:&quot;(___) ___-____&quot;}"></span><span
                      id="ContentPlaceHolder1_ctl20" class="actionRequiredAlert" style="color:Red;display:none;">Required</span><br><br><span id="ctl00_ContentPlaceHolder1_ctl22" class="RadLabel RadLabel_Bootstrap">* Which products are you interested
                      in?</span><br><br><span id="ctl00_ContentPlaceHolder1_071-66961624-911f-443d-9ee3-7493c107bb4d_wrapper" class="riSingle RadInput RadInput_Bootstrap RadInputMultiline RadInputMultiline_Bootstrap" style="width:400px;"><textarea
                        id="ctl00_ContentPlaceHolder1_071-66961624-911f-443d-9ee3-7493c107bb4d" name="ctl00$ContentPlaceHolder1$071-66961624-911f-443d-9ee3-7493c107bb4d" rows="2" cols="20" class="riTextBox riEnabled"
                        style="height:200px;"></textarea><input id="ctl00_ContentPlaceHolder1_071-66961624-911f-443d-9ee3-7493c107bb4d_ClientState" name="ctl00_ContentPlaceHolder1_071-66961624-911f-443d-9ee3-7493c107bb4d_ClientState" type="hidden"
                        autocomplete="off"
                        value="{&quot;enabled&quot;:true,&quot;emptyMessage&quot;:&quot;&quot;,&quot;validationText&quot;:&quot;&quot;,&quot;valueAsString&quot;:&quot;&quot;,&quot;lastSetTextBoxValue&quot;:&quot;&quot;}"></span><span
                      id="ContentPlaceHolder1_ctl24" class="actionRequiredAlert" style="color:Red;display:none;">Required</span><br><br><span id="ctl00_ContentPlaceHolder1_ctl26" class="RadLabel RadLabel_Bootstrap">Do you have a preferred
                      distributor?</span><br><br><span id="ctl00_ContentPlaceHolder1_071-096c6f8c-dbc9-4d06-b56c-dd7374d74588_wrapper" class="riSingle RadInput RadInput_Bootstrap" style="width:250px;"><input
                        id="ctl00_ContentPlaceHolder1_071-096c6f8c-dbc9-4d06-b56c-dd7374d74588" name="ctl00$ContentPlaceHolder1$071-096c6f8c-dbc9-4d06-b56c-dd7374d74588" size="20" class="riTextBox riEnabled" type="text" value=""
                        style="height:40px;"><input id="ctl00_ContentPlaceHolder1_071-096c6f8c-dbc9-4d06-b56c-dd7374d74588_ClientState" name="ctl00_ContentPlaceHolder1_071-096c6f8c-dbc9-4d06-b56c-dd7374d74588_ClientState" type="hidden"
                        autocomplete="off"
                        value="{&quot;enabled&quot;:true,&quot;emptyMessage&quot;:&quot;&quot;,&quot;validationText&quot;:&quot;&quot;,&quot;valueAsString&quot;:&quot;&quot;,&quot;lastSetTextBoxValue&quot;:&quot;&quot;}"></span><br><br>
                  </div>
                </div>
              </div>
            </td>
          </tr>
          <tr>
            <td style="width: 100%;">
              <div class="RadAjaxPanel" id="ctl00_ContentPlaceHolder1_ctl00_ContentPlaceHolder1_PanelCaptchaPanel" style="display: block;">
                <div class="RadAjaxPanel" id="ctl00_ContentPlaceHolder1_ctl00_ContentPlaceHolder1_RadCaptcha1Panel" style="display: block;">
                </div>
                <div class="RadAjaxPanel" id="ctl00_ContentPlaceHolder1_ctl00_ContentPlaceHolder1_lblCaptchaErrorPanel" style="display: block;">
                </div>
              </div>
            </td>
          </tr>
          <tr>
            <td>
              <span id="ctl00_ContentPlaceHolder1_rbSubmit" class="RadButton RadButton_Bootstrap rbVerticalButton" style="display: inline-block; color: rgb(51, 51, 51); background-color: rgb(255, 255, 255); width: 56px; height: 20px;"
                tabindex="0"><input class="rbDecorated" type="button" name="ctl00$ContentPlaceHolder1$rbSubmit_input" id="ctl00_ContentPlaceHolder1_rbSubmit_input" value="Submit"
                  style="color:#333333;width:100%;padding-left:0;padding-right:4px;height:20px;" tabindex="-1"><input id="ctl00_ContentPlaceHolder1_rbSubmit_ClientState" name="ctl00_ContentPlaceHolder1_rbSubmit_ClientState" type="hidden"
                  autocomplete="off"
                  value="{&quot;text&quot;:&quot;Submit&quot;,&quot;value&quot;:&quot;&quot;,&quot;checked&quot;:false,&quot;target&quot;:&quot;&quot;,&quot;navigateUrl&quot;:&quot;&quot;,&quot;commandName&quot;:&quot;&quot;,&quot;commandArgument&quot;:&quot;&quot;,&quot;autoPostBack&quot;:true,&quot;selectedToggleStateIndex&quot;:0,&quot;validationGroup&quot;:null,&quot;readOnly&quot;:false,&quot;primary&quot;:false,&quot;enabled&quot;:true}"></span>
              <br>
              <input type="hidden" name="ctl00$ContentPlaceHolder1$hfTest" id="ContentPlaceHolder1_hfTest">
              <input type="hidden" name="ctl00$ContentPlaceHolder1$hfFormsLayout" id="ContentPlaceHolder1_hfFormsLayout" value="1">
            </td>
          </tr>
        </tbody>
      </table>
    </div>
  </div>
  <script type="text/javascript">
    //<![CDATA[
    var Page_Validators = new Array(document.getElementById("ContentPlaceHolder1_ctl05"), document.getElementById("ContentPlaceHolder1_ctl09"), document.getElementById("ContentPlaceHolder1_ctl16"), document.getElementById(
      "ContentPlaceHolder1_ctl20"), document.getElementById("ContentPlaceHolder1_ctl24"));
    //]]>
  </script>
  <script type="text/javascript">
    //<![CDATA[
    var ContentPlaceHolder1_ctl05 = document.all ? document.all["ContentPlaceHolder1_ctl05"] : document.getElementById("ContentPlaceHolder1_ctl05");
    ContentPlaceHolder1_ctl05.controltovalidate = "ctl00_ContentPlaceHolder1_071-5b9fc5c7-eeec-4a12-a4af-710b76e078c2";
    ContentPlaceHolder1_ctl05.errormessage = "Required";
    ContentPlaceHolder1_ctl05.display = "Dynamic";
    ContentPlaceHolder1_ctl05.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
    ContentPlaceHolder1_ctl05.initialvalue = "";
    var ContentPlaceHolder1_ctl09 = document.all ? document.all["ContentPlaceHolder1_ctl09"] : document.getElementById("ContentPlaceHolder1_ctl09");
    ContentPlaceHolder1_ctl09.controltovalidate = "ctl00_ContentPlaceHolder1_071-3fb82df4-193c-4541-b441-c589bcaa290c";
    ContentPlaceHolder1_ctl09.display = "Dynamic";
    ContentPlaceHolder1_ctl09.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
    ContentPlaceHolder1_ctl09.initialvalue = "";
    var ContentPlaceHolder1_ctl16 = document.all ? document.all["ContentPlaceHolder1_ctl16"] : document.getElementById("ContentPlaceHolder1_ctl16");
    ContentPlaceHolder1_ctl16.controltovalidate = "ctl00_ContentPlaceHolder1_071-28136771-33aa-4471-b7ee-3bb18bb2304c";
    ContentPlaceHolder1_ctl16.display = "Dynamic";
    ContentPlaceHolder1_ctl16.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
    ContentPlaceHolder1_ctl16.initialvalue = "";
    var ContentPlaceHolder1_ctl20 = document.all ? document.all["ContentPlaceHolder1_ctl20"] : document.getElementById("ContentPlaceHolder1_ctl20");
    ContentPlaceHolder1_ctl20.controltovalidate = "ctl00_ContentPlaceHolder1_071-d08452b1-3d61-441a-8023-ce49dad1ae12";
    ContentPlaceHolder1_ctl20.errormessage = "Required";
    ContentPlaceHolder1_ctl20.display = "Dynamic";
    ContentPlaceHolder1_ctl20.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
    ContentPlaceHolder1_ctl20.initialvalue = "";
    var ContentPlaceHolder1_ctl24 = document.all ? document.all["ContentPlaceHolder1_ctl24"] : document.getElementById("ContentPlaceHolder1_ctl24");
    ContentPlaceHolder1_ctl24.controltovalidate = "ctl00_ContentPlaceHolder1_071-66961624-911f-443d-9ee3-7493c107bb4d";
    ContentPlaceHolder1_ctl24.errormessage = "Required";
    ContentPlaceHolder1_ctl24.display = "Dynamic";
    ContentPlaceHolder1_ctl24.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
    ContentPlaceHolder1_ctl24.initialvalue = "";
    //]]>
  </script>
  <script type="text/javascript">
    //<![CDATA[
    window.__TsmHiddenField = $get('ctl04_TSM');
    var Page_ValidationActive = false;
    if (typeof(ValidatorOnLoad) == "function") {
      ValidatorOnLoad();
    }

    function ValidatorOnSubmit() {
      if (Page_ValidationActive) {
        return ValidatorCommonOnSubmit();
      } else {
        return true;
      }
    }
    Sys.Application.add_init(function() {
      $create(Telerik.Web.UI.RadAjaxManager, {
        "_updatePanels": "",
        "ajaxSettings": [{
          InitControlID: "ctl00_RadAjaxManager1",
          UpdatedControls: [{
            ControlID: "",
            PanelID: "RadAjaxLoadingPanel1"
          }]
        }],
        "clientEvents": {
          OnRequestStart: "",
          OnResponseEnd: ""
        },
        "defaultLoadingPanelID": "",
        "enableAJAX": true,
        "enableHistory": false,
        "links": [],
        "styles": [],
        "uniqueID": "ctl00$RadAjaxManager1",
        "updatePanelsRenderMode": 0
      }, null, null, $get("ctl00_RadAjaxManager1"));
    });
    Sys.Application.add_init(function() {
      $create(Telerik.Web.UI.RadAjaxLoadingPanel, {
        "initialDelayTime": 0,
        "isSticky": false,
        "minDisplayTime": 0,
        "skin": "Bootstrap",
        "uniqueID": "ctl00$RadAjaxLoadingPanel1",
        "zIndex": 90000
      }, null, null, $get("RadAjaxLoadingPanel1"));
    });
    Sys.Application.add_init(function() {
      $create(Telerik.Web.UI.RadFormDecorator, {
        "_renderMode": 1,
        "clientStateFieldID": "ctl00_RadFormDecorator1_ClientState",
        "decoratedControls": 65535,
        "decorationZoneID": "demo-container",
        "enableRoundedCorners": false,
        "enabled": true,
        "skin": "Bootstrap"
      }, null, null, $get("ctl00_RadFormDecorator1"));
    });
    Sys.Application.add_init(function() {
      $create(Telerik.Web.UI.RadAjaxManager, {
        "_updatePanels": "",
        "ajaxSettings": [{
          InitControlID: "ctl00_ContentPlaceHolder1_rbSubmit",
          UpdatedControls: [{
            ControlID: "ContentPlaceHolder1_DynamicPlaceholder",
            PanelID: "ContentPlaceHolder1_RadAjaxLoadingPanel1"
          }, {
            ControlID: "ContentPlaceHolder1_PanelCaptcha",
            PanelID: ""
          }, {
            ControlID: "ctl00_ContentPlaceHolder1_RadCaptcha1",
            PanelID: ""
          }, {
            ControlID: "ContentPlaceHolder1_lblCaptchaError",
            PanelID: ""
          }]
        }],
        "clientEvents": {
          OnRequestStart: "",
          OnResponseEnd: ""
        },
        "defaultLoadingPanelID": "",
        "enableAJAX": true,
        "enableHistory": false,
        "links": [],
        "styles": [],
        "uniqueID": "ctl00$ContentPlaceHolder1$RadAjaxManager1",
        "updatePanelsRenderMode": 0
      }, null, null, $get("ctl00_ContentPlaceHolder1_RadAjaxManager1"));
    });
    Sys.Application.add_init(function() {
      $create(Telerik.Web.UI.RadAjaxLoadingPanel, {
        "initialDelayTime": 0,
        "isSticky": false,
        "minDisplayTime": 0,
        "skin": "Bootstrap",
        "uniqueID": "ctl00$ContentPlaceHolder1$RadAjaxLoadingPanel1",
        "zIndex": 90000
      }, null, null, $get("ContentPlaceHolder1_RadAjaxLoadingPanel1"));
    });
    Sys.Application.add_init(function() {
      $create(Telerik.Web.UI.RadTextBox, {
        "_displayText": "Please enter your name",
        "_focused": false,
        "_initialValueAsText": "",
        "_postBackEventReferenceScript": "setTimeout(\"__doPostBack(\\\u0027ctl00$ContentPlaceHolder1$071-5b9fc5c7-eeec-4a12-a4af-710b76e078c2\\\u0027,\\\u0027\\\u0027)\", 0)",
        "_skin": "Bootstrap",
        "_validationText": "",
        "clientStateFieldID": "ctl00_ContentPlaceHolder1_071-5b9fc5c7-eeec-4a12-a4af-710b76e078c2_ClientState",
        "emptyMessage": "Please enter your name",
        "enabled": true,
        "styles": {
          HoveredStyle: ["height:40px;width:250px;", "riTextBox riHover"],
          InvalidStyle: ["height:40px;width:250px;", "riTextBox riError"],
          DisabledStyle: ["height:40px;width:250px;", "riTextBox riDisabled"],
          FocusedStyle: ["height:40px;width:250px;", "riTextBox riFocused"],
          EmptyMessageStyle: ["height:40px;width:250px;", "riTextBox riEmpty"],
          ReadOnlyStyle: ["height:40px;width:250px;", "riTextBox riRead"],
          EnabledStyle: ["height:40px;width:250px;", "riTextBox riEnabled"]
        }
      }, null, null, $get("ctl00_ContentPlaceHolder1_071-5b9fc5c7-eeec-4a12-a4af-710b76e078c2"));
    });
    document.getElementById('ContentPlaceHolder1_ctl05').dispose = function() {
      Array.remove(Page_Validators, document.getElementById('ContentPlaceHolder1_ctl05'));
    }
    Sys.Application.add_init(function() {
      $create(Telerik.Web.UI.RadTextBox, {
        "_displayText": "",
        "_focused": false,
        "_initialValueAsText": "",
        "_postBackEventReferenceScript": "setTimeout(\"__doPostBack(\\\u0027ctl00$ContentPlaceHolder1$071-3fb82df4-193c-4541-b441-c589bcaa290c\\\u0027,\\\u0027\\\u0027)\", 0)",
        "_skin": "Bootstrap",
        "_validationText": "",
        "clientStateFieldID": "ctl00_ContentPlaceHolder1_071-3fb82df4-193c-4541-b441-c589bcaa290c_ClientState",
        "enabled": true,
        "styles": {
          HoveredStyle: ["height:40px;width:250px;", "riTextBox riHover"],
          InvalidStyle: ["height:40px;width:250px;", "riTextBox riError"],
          DisabledStyle: ["height:40px;width:250px;", "riTextBox riDisabled"],
          FocusedStyle: ["height:40px;width:250px;", "riTextBox riFocused"],
          EmptyMessageStyle: ["height:40px;width:250px;", "riTextBox riEmpty"],
          ReadOnlyStyle: ["height:40px;width:250px;", "riTextBox riRead"],
          EnabledStyle: ["height:40px;width:250px;", "riTextBox riEnabled"]
        }
      }, null, null, $get("ctl00_ContentPlaceHolder1_071-3fb82df4-193c-4541-b441-c589bcaa290c"));
    });
    document.getElementById('ContentPlaceHolder1_ctl09').dispose = function() {
      Array.remove(Page_Validators, document.getElementById('ContentPlaceHolder1_ctl09'));
    }
    Sys.Application.add_init(function() {
      $create(Telerik.Web.UI.RadCheckBoxList, {
        "clientStateFieldID": "ctl00_ContentPlaceHolder1_071-375a46f0-5aa9-4f29-8ece-3efa204a8355_ClientState",
        "selectedIndices": [],
        "toolTip": ""
      }, null, null, $get("ctl00_ContentPlaceHolder1_071-375a46f0-5aa9-4f29-8ece-3efa204a8355"));
    });
    Sys.Application.add_init(function() {
      $create(Telerik.Web.UI.RadTextBox, {
        "_displayText": "Enter your email address",
        "_focused": false,
        "_initialValueAsText": "",
        "_postBackEventReferenceScript": "setTimeout(\"__doPostBack(\\\u0027ctl00$ContentPlaceHolder1$071-28136771-33aa-4471-b7ee-3bb18bb2304c\\\u0027,\\\u0027\\\u0027)\", 0)",
        "_skin": "Bootstrap",
        "_validationText": "",
        "clientStateFieldID": "ctl00_ContentPlaceHolder1_071-28136771-33aa-4471-b7ee-3bb18bb2304c_ClientState",
        "emptyMessage": "Enter your email address",
        "enabled": true,
        "styles": {
          HoveredStyle: ["height:40px;width:250px;", "riTextBox riHover"],
          InvalidStyle: ["height:40px;width:250px;", "riTextBox riError"],
          DisabledStyle: ["height:40px;width:250px;", "riTextBox riDisabled"],
          FocusedStyle: ["height:40px;width:250px;", "riTextBox riFocused"],
          EmptyMessageStyle: ["height:40px;width:250px;", "riTextBox riEmpty"],
          ReadOnlyStyle: ["height:40px;width:250px;", "riTextBox riRead"],
          EnabledStyle: ["height:40px;width:250px;", "riTextBox riEnabled"]
        }
      }, null, null, $get("ctl00_ContentPlaceHolder1_071-28136771-33aa-4471-b7ee-3bb18bb2304c"));
    });
    document.getElementById('ContentPlaceHolder1_ctl16').dispose = function() {
      Array.remove(Page_Validators, document.getElementById('ContentPlaceHolder1_ctl16'));
    }
    Sys.Application.add_init(function() {
      $create(Telerik.Web.UI.RadMaskedTextBox, {
        "_displayText": "",
        "_focused": false,
        "_initialMasks": [new Telerik.Web.UI.RadLiteralMaskPart('('), new Telerik.Web.UI.RadDigitMaskPart(), new Telerik.Web.UI.RadDigitMaskPart(), new Telerik.Web.UI.RadDigitMaskPart(), new Telerik.Web.UI.RadLiteralMaskPart(') '),
          new Telerik.Web.UI.RadDigitMaskPart(), new Telerik.Web.UI.RadDigitMaskPart(), new Telerik.Web.UI.RadDigitMaskPart(), new Telerik.Web.UI.RadLiteralMaskPart('-'), new Telerik.Web.UI.RadDigitMaskPart(), new Telerik.Web.UI
          .RadDigitMaskPart(), new Telerik.Web.UI.RadDigitMaskPart(), new Telerik.Web.UI.RadDigitMaskPart()
        ],
        "_initialValueAsText": "",
        "_postBackEventReferenceScript": "setTimeout(\"__doPostBack(\\\u0027ctl00$ContentPlaceHolder1$071-d08452b1-3d61-441a-8023-ce49dad1ae12\\\u0027,\\\u0027\\\u0027)\", 0)",
        "_skin": "Bootstrap",
        "_validationText": "",
        "clientStateFieldID": "ctl00_ContentPlaceHolder1_071-d08452b1-3d61-441a-8023-ce49dad1ae12_ClientState",
        "enabled": true,
        "styles": {
          HoveredStyle: ["height:40px;width:250px;", "riTextBox riHover"],
          InvalidStyle: ["height:40px;width:250px;", "riTextBox riError"],
          DisabledStyle: ["height:40px;width:250px;", "riTextBox riDisabled"],
          FocusedStyle: ["height:40px;width:250px;", "riTextBox riFocused"],
          EmptyMessageStyle: ["height:40px;width:250px;", "riTextBox riEmpty"],
          ReadOnlyStyle: ["height:40px;width:250px;", "riTextBox riRead"],
          EnabledStyle: ["height:40px;width:250px;", "riTextBox riEnabled"]
        }
      }, null, null, $get("ctl00_ContentPlaceHolder1_071-d08452b1-3d61-441a-8023-ce49dad1ae12"));
    });
    document.getElementById('ContentPlaceHolder1_ctl20').dispose = function() {
      Array.remove(Page_Validators, document.getElementById('ContentPlaceHolder1_ctl20'));
    }
    Sys.Application.add_init(function() {
      $create(Telerik.Web.UI.RadTextBox, {
        "_displayText": "",
        "_focused": false,
        "_initialValueAsText": "",
        "_postBackEventReferenceScript": "setTimeout(\"__doPostBack(\\\u0027ctl00$ContentPlaceHolder1$071-66961624-911f-443d-9ee3-7493c107bb4d\\\u0027,\\\u0027\\\u0027)\", 0)",
        "_skin": "Bootstrap",
        "_validationText": "",
        "clientStateFieldID": "ctl00_ContentPlaceHolder1_071-66961624-911f-443d-9ee3-7493c107bb4d_ClientState",
        "enabled": true,
        "styles": {
          HoveredStyle: ["height:200px;width:400px;", "riTextBox riHover"],
          InvalidStyle: ["height:200px;width:400px;", "riTextBox riError"],
          DisabledStyle: ["height:200px;width:400px;", "riTextBox riDisabled"],
          FocusedStyle: ["height:200px;width:400px;", "riTextBox riFocused"],
          EmptyMessageStyle: ["height:200px;width:400px;", "riTextBox riEmpty"],
          ReadOnlyStyle: ["height:200px;width:400px;", "riTextBox riRead"],
          EnabledStyle: ["height:200px;width:400px;", "riTextBox riEnabled"]
        }
      }, null, null, $get("ctl00_ContentPlaceHolder1_071-66961624-911f-443d-9ee3-7493c107bb4d"));
    });
    document.getElementById('ContentPlaceHolder1_ctl24').dispose = function() {
      Array.remove(Page_Validators, document.getElementById('ContentPlaceHolder1_ctl24'));
    }
    Sys.Application.add_init(function() {
      $create(Telerik.Web.UI.RadTextBox, {
        "_displayText": "",
        "_focused": false,
        "_initialValueAsText": "",
        "_postBackEventReferenceScript": "setTimeout(\"__doPostBack(\\\u0027ctl00$ContentPlaceHolder1$071-096c6f8c-dbc9-4d06-b56c-dd7374d74588\\\u0027,\\\u0027\\\u0027)\", 0)",
        "_skin": "Bootstrap",
        "_validationText": "",
        "clientStateFieldID": "ctl00_ContentPlaceHolder1_071-096c6f8c-dbc9-4d06-b56c-dd7374d74588_ClientState",
        "enabled": true,
        "styles": {
          HoveredStyle: ["height:40px;width:250px;", "riTextBox riHover"],
          InvalidStyle: ["height:40px;width:250px;", "riTextBox riError"],
          DisabledStyle: ["height:40px;width:250px;", "riTextBox riDisabled"],
          FocusedStyle: ["height:40px;width:250px;", "riTextBox riFocused"],
          EmptyMessageStyle: ["height:40px;width:250px;", "riTextBox riEmpty"],
          ReadOnlyStyle: ["height:40px;width:250px;", "riTextBox riRead"],
          EnabledStyle: ["height:40px;width:250px;", "riTextBox riEnabled"]
        }
      }, null, null, $get("ctl00_ContentPlaceHolder1_071-096c6f8c-dbc9-4d06-b56c-dd7374d74588"));
    });
    Sys.Application.add_init(function() {
      $create(Telerik.Web.UI.RadButton, {
        "_accessKey": "",
        "_hasIcon": false,
        "_hasImage": false,
        "_isClientSubmit": true,
        "_isImageButton": false,
        "_postBackReference": "WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions('ctl00$ContentPlaceHolder1$rbSubmit', '', true, '', '', false, true))",
        "_renderMode": 1,
        "clientStateFieldID": "ctl00_ContentPlaceHolder1_rbSubmit_ClientState",
        "confirmSettings": {},
        "height": "20px",
        "iconData": {},
        "imageData": {},
        "text": "Submit",
        "toggleStatesData": [],
        "uniqueGroupName": "",
        "uniqueID": "ctl00$ContentPlaceHolder1$rbSubmit",
        "width": "78px"
      }, {
        "clicking": StandardConfirm
      }, null, $get("ctl00_ContentPlaceHolder1_rbSubmit"));
    });
    //]]>
  </script>
</form>

Text Content

CONTACT INFORMATION
* NAME

REQUIRED

* COMPANY



WOULD YOU PREFER TO BE CONTACTED BY EMAIL OR TELEPHONE?





* EMAIL



* PHONE

REQUIRED

* WHICH PRODUCTS ARE YOU INTERESTED IN?

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DO YOU HAVE A PREFERRED DISTRIBUTOR?