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212.237.5.161
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Submitted URL: https://customer7165.musvc3.net/e/t?q=3%3dPWPU%265%3dWQ%26D%3dLbLY%268%3dYRXKfP%26K%3d1PDFB_Nksi_Yu_Hjyj_Ry_Nksi_XzMFS.9Cv.ED_Hj...
Effective URL: https://www.omc.it/en/information-form
Submission: On July 04 via api from IE — Scanned from DE
Effective URL: https://www.omc.it/en/information-form
Submission: On July 04 via api from IE — Scanned from DE
Form analysis
1 forms found in the DOMName: frmServ — POST /en/service-insert/
<form class="form-mini" method="POST" action="/en/service-insert/" name="frmServ" enctype="multipart/form-data" role="form">
<input type="hidden" name="id_service" value="3">
<input type="hidden" name="service_uri" value="Item=information-form">
<div class="form-group">
<label>First name<span class="reqField">*</span> </label>
<input type="text" name="frmFld42" class="form-control form-control Text required " value="">
</div>
<div class="form-group">
<label>Surname<span class="reqField">*</span> </label>
<input type="text" name="frmFld43" class="form-control form-control Text required " value="">
</div>
<div class="form-group">
<label>Job Title<span class="reqField">*</span> </label>
<input type="text" name="frmFld44" class="form-control form-control Text required " value="">
</div>
<div class="form-group">
<label>Company<span class="reqField">*</span> </label>
<input type="text" name="frmFld45" class="form-control form-control Text required " value="">
</div>
<div class="form-group">
<label>Address </label>
<textarea id="frmFld46" name="frmFld46" class="form-control
" rows="3"></textarea>
</div>
<div class="form-group">
<label>City<span class="reqField">*</span> </label>
<input type="text" name="frmFld47" class="form-control form-control Text required " value="">
</div>
<div class="form-group">
<label>Postal Code </label>
<input type="text" name="frmFld48" class="form-control form-control Text " value="">
</div>
<div class="form-group">
<label>Nation/State<span class="reqField">*</span> </label>
<input type="text" name="frmFld49" class="form-control form-control Text required " value="">
</div>
<div class="form-group">
<label>Telephone - country code<span class="reqField">*</span> </label>
<input type="text" name="frmFld50" class="form-control form-control Text required " value="">
</div>
<div class="form-group">
<label>Telephone number<span class="reqField">*</span> </label>
<input type="text" name="frmFld51" class="form-control form-control Phone required " value="">
</div>
<div class="form-group">
<label>Mobile </label>
<input type="text" name="frmFld52" class="form-control form-control Phone " value="">
</div>
<div class="form-group">
<label>Fax number </label>
<input type="text" name="frmFld53" class="form-control form-control Phone " value="">
</div>
<div class="form-group">
<label>E-mail<span class="reqField">*</span> </label>
<input type="text" name="frmFld54" class="form-control form-control Email required " value="">
</div>
<div class="form-group">
<label>Website </label>
<input type="text" name="frmFld55" class="form-control form-control Text " value="">
</div>
<div class="form-group">
<label>I need information about:<span class="reqField">*</span> </label>
<div class="form-check">
<input type="checkbox" class="form-check-input " name="frmFld56[Exhibiting]" value="Exhibiting"> Exhibiting
</div>
<div class="form-check">
<input type="checkbox" class="form-check-input " name="frmFld56[Visiting]" value="Visiting"> Visiting
</div>
<div class="form-check">
<input type="checkbox" class="form-check-input " name="frmFld56[Sponsoring]" value="Sponsoring"> Sponsoring
</div>
<div class="form-check">
<input type="checkbox" class="form-check-input " name="frmFld56[Conference Programme]" value="Conference Programme"> Conference Programme
</div>
<div class="form-check">
<input type="checkbox" class="form-check-input " name="frmFld56[Call for Papers]" value="Call for Papers"> Call for Papers
</div>
<div class="form-check">
<input type="checkbox" class="form-check-input " name="frmFld56[Delegate Registration]" value="Delegate Registration"> Delegate Registration
</div>
<div class="form-check">
<input type="checkbox" class="form-check-input " name="frmFld56[Media Partnership]" value="Media Partnership"> Media Partnership
</div>
<div class="form-check">
<input type="checkbox" class="form-check-input " name="frmFld56[Advertising]" value="Advertising"> Advertising
</div>
<div class="form-check">
<input type="checkbox" class="form-check-input " name="frmFld56[Exhibitor Showcase]" value="Exhibitor Showcase"> Exhibitor Showcase
</div>
<div class="form-check">
<input type="checkbox" class="form-check-input " name="frmFld56[Process Equipment Zone]" value="Process Equipment Zone"> Process Equipment Zone
</div>
</div>
<div class="form-group">
<div class="form-check">
<input type="checkbox" class="form-check-input " name="frmFld65" value="1">
<label class="form-check-label">I accept the <a href="/en/privacy-policy">privacy policy</a><span class="reqField">*</span> </label>
</div>
</div>
<div class="g-recaptcha" data-sitekey="6LdNOUUaAAAAAInGEkFAt-E-i8Ra3Y44VZSglTUE">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LdNOUUaAAAAAInGEkFAt-E-i8Ra3Y44VZSglTUE&co=aHR0cHM6Ly93d3cub21jLml0OjQ0Mw..&hl=de&v=4rwLQsl5N_ccppoTAwwwMrEN&size=normal&cb=bhivrnf6d4ya" width="304"
height="78" role="presentation" name="a-jugr6pvboc3c" frameborder="0" scrolling="no" sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div>
<textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
<input name="Submit" class="btn btn-lg btn-primary btn-block" type="submit" value="Send">
<p class="textNote text-center">(<span class="reqField">*</span>) Required fields</p>
</form>
Text Content
Please accept Experience Enhancement cookie policy to view this content 23rd-25th May 2023 - Ravenna, Italy * 23rd-25th May 2023 - Ravenna, Italy * CONFERENCE * CALL FOR PAPERS * MEET THE OMC CHAIR * PROGRAMME COMMITTEE CHAIR * 2023 PROGRAMME AT A GLANCE * ROADMAP TO 2023 * ADVISORY BOARD * PROGRAMME COMMITTEE MEMBERS * TECHNICAL SESSIONS * CONFERENCE PROCEEDINGS * OMC 2021 ON DEMAND * EXHIBITION * WHY EXHIBIT * FLOOR PLAN * SPACE BOOKING * POST SHOW REPORT * 2021 PHOTOGALLERY * EXHIBITOR LIST * EXHIBITOR SHOWCASE * PROCESS EQUIPMENT ZONE * INFORMATION REQUEST FORM * VISITING * WHY VISIT * 2021 FACTS AND FIGURES * 2021 PHOTOGALLERY * EXHIBITOR LIST * VISITOR REGISTRATION * VENUE * INFORMATION REQUEST FORM * PARTNERING WITH OMC * OMC PARTNERS * SUPPORTING ASSOCIATIONS * LAST EVENT SPONSORS * BECOME A SPONSOR * NEWS * NEWS & PRESS RELEASES * TWITTER & SOCIALS * MEDIA PARTNERS * PRESS REGISTRATION * SIGN IN 1. Information Request INFORMATION REQUEST Are you interested in learning more about OMC, receiving information by email or being contacted directly by OMC team? Anything you need to know or you are curious to learn, please ask OMC team! We invite you to use the below form to send your requests. A copy of your request is also sent to your email address. If you do not receive the email, please check your spam box first, then contact exhibition@omc.it INFORMATION REQUEST FORM First name* Surname* Job Title* Company* Address City* Postal Code Nation/State* Telephone - country code* Telephone number* Mobile Fax number E-mail* Website I need information about:* Exhibiting Visiting Sponsoring Conference Programme Call for Papers Delegate Registration Media Partnership Advertising Exhibitor Showcase Process Equipment Zone I accept the privacy policy* (*) Required fields SHOW DATES & LOCATION Tue 23rd May 2023: 09.00 - 18.00 Wed 24th May 2023: 09.00 - 18.00 Thu 25th May 2023: 09.00 - 15.00 Ravenna, Italy Google Maps directions PAST CONFERENCE PROCEEDINGS QUICK LINKS * OMC 2021 Photogallery * Archives of Previous Events * Stand Booking * Information Request Form * Ravenna * Safety Protocol CONTACT US Conference E. conference@omc.it T. 0039 0544219418 Exhibition E. exhibition@omc.it T. 0039 0630883030 Sponsorship E. sponsorship@omc.it T. 0039 0630883030 / 0039 0544219418 * * * * © OMC MED ENERGY CONFERENCE AND EXHIBITION * CONTACT US * PRIVACY POLICY * COOKIE POLICY * COOKIE PREFERENCES * COMPANY INFO * CORPORATE TRANSPARENCY web design: excogita Press again to continue 0/1 Notice We and selected third parties use cookies or similar technologies for technical purposes and, with your consent, for “experience enhancement”, “measurement” and “targeting & advertising” as specified in the cookie policy. Denying consent may make related features unavailable. You can freely give, deny, or withdraw your consent at any time. You can consent to the use of such technologies by using the “Accept” button. By closing this notice, you continue without accepting. Learn more and customise RejectAccept × English English Deutsch Español Suomi Nederlands Polski Português Français EnglishDeutschEspañolSuomiNederlandsPolskiPortuguêsFrançais Privacy on this site We collect and process your data on this site to better understand how it is used. You can give your consent to all or selected purposes, or you can decline them all. For more information, see our privacy policy. Analytics Accept allDecline all Consent detailsHide consent detailsPrivacy policy AnalyticsWe'll collect information about your visit to our site. It helps us understand how the site is used – what's working, what might be broken and what we should improve. Save and close Piwik PROPowered by