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regula.qcdigitalhub.com Open in urlscan Pro
81.91.230.86  Public Scan

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URL: https://regula.qcdigitalhub.com/
Submission: On September 19 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST https://forms.hsforms.com/submissions/v3/public/submit/formsnext/multipart/23647713/9b991a26-a5b0-4e85-b4a6-ad52c5868338

<form id="hsForm_9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" method="POST" accept-charset="UTF-8" enctype="multipart/form-data" novalidate=""
  action="https://forms.hsforms.com/submissions/v3/public/submit/formsnext/multipart/23647713/9b991a26-a5b0-4e85-b4a6-ad52c5868338"
  class="hs-form-private hsForm_9b991a26-a5b0-4e85-b4a6-ad52c5868338 hs-form-9b991a26-a5b0-4e85-b4a6-ad52c5868338 hs-form-9b991a26-a5b0-4e85-b4a6-ad52c5868338_8186522b-c8e7-4984-8163-3962e0e499da hs-form stacked"
  target="target_iframe_9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" data-instance-id="8186522b-c8e7-4984-8163-3962e0e499da" data-form-id="9b991a26-a5b0-4e85-b4a6-ad52c5868338" data-portal-id="23647713"
  data-test-id="hsForm_9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom">
  <div class="hs_firstname hs-firstname hs-fieldtype-text field hs-form-field"><label id="label-firstname-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" class="" placeholder="Enter your First name"
      for="firstname-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom"><span>First name</span><span class="hs-form-required">*</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input id="firstname-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" name="firstname" required="" placeholder="First name" type="text" class="hs-input" inputmode="text" autocomplete="given-name" value=""></div>
  </div>
  <div class="hs_lastname hs-lastname hs-fieldtype-text field hs-form-field"><label id="label-lastname-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" class="" placeholder="Enter your Last name"
      for="lastname-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom"><span>Last name</span><span class="hs-form-required">*</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input id="lastname-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" name="lastname" required="" placeholder="Last name" type="text" class="hs-input" inputmode="text" autocomplete="family-name" value=""></div>
  </div>
  <div class="hs_jobtitle hs-jobtitle hs-fieldtype-text field hs-form-field"><label id="label-jobtitle-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" class="" placeholder="Enter your Job title"
      for="jobtitle-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom"><span>Job title</span><span class="hs-form-required">*</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input id="jobtitle-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" name="jobtitle" required="" placeholder="Job title" type="text" class="hs-input" inputmode="text" autocomplete="organization-title" value=""></div>
  </div>
  <div class="hs_company hs-company hs-fieldtype-text field hs-form-field"><label id="label-company-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" class="" placeholder="Enter your Company name"
      for="company-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom"><span>Company name</span><span class="hs-form-required">*</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input id="company-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" name="company" required="" placeholder="Company name" type="text" class="hs-input" inputmode="text" autocomplete="organization" value=""></div>
  </div>
  <div class="hs_contact_industry hs-contact_industry hs-fieldtype-select field hs-form-field"><label id="label-contact_industry-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" class="" placeholder="Enter your Contact industry"
      for="contact_industry-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom"><span>Contact industry</span><span class="hs-form-required">*</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><select id="contact_industry-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" required="" class="hs-input is-placeholder" name="contact_industry">
        <option disabled="" value="">Please select</option>
        <option value="Fintech">Fintech</option>
        <option value="Banking">Banking</option>
        <option value="Telecommunication">Telecommunication</option>
        <option value="Government">Government</option>
        <option value="Travel &amp; Hospitality">Travel &amp; Hospitality</option>
        <option value="Aviation">Aviation</option>
        <option value="Healthcare">Healthcare</option>
        <option value="Insurance">Insurance</option>
        <option value="Education">Education</option>
        <option value="Gambling &amp; Betting">Gambling &amp; Betting</option>
        <option value="Vehicle-sharing &amp; Rental">Vehicle-sharing &amp; Rental</option>
        <option value="KYC Operator">KYC Operator</option>
        <option value="IDV Vendor">IDV Vendor</option>
        <option value="Partner/Integrator/Reseller">Partner/Integrator/Reseller</option>
        <option value="Others">Others</option>
      </select></div>
  </div>
  <div class="hs_verifications hs-verifications hs-fieldtype-select field hs-form-field"><label id="label-verifications-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" class="" placeholder="Enter your Estimated verifications annually"
      for="verifications-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom"><span>Estimated verifications annually</span><span class="hs-form-required">*</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><select id="verifications-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" required="" class="hs-input is-placeholder" name="verifications">
        <option disabled="" value="">Please select</option>
        <option value="1.000.000+">1.000.000+</option>
        <option value="200.000 - 1.000.000">200.000 - 1.000.000</option>
        <option value="40 000 - 200 000">40.000 - 200.000</option>
        <option value="15 000 - 40 000">15.000 - 40.000</option>
        <option value="5 000 - 15 000">5.000 - 15.000</option>
        <option value="less than 5 000">less than 5.000</option>
        <option value="I don't know">I don't know</option>
      </select></div>
  </div>
  <div class="hs_phone hs-phone hs-fieldtype-phonenumber field hs-form-field"><label id="label-phone-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" class="" placeholder="Enter your Phone number"
      for="phone-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom"><span>Phone number</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input id="phone-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" name="phone" placeholder="Phone number" type="tel" class="hs-input" inputmode="tel" autocomplete="tel" value=""></div>
  </div>
  <div class="hs_email hs-email hs-fieldtype-text field hs-form-field"><label id="label-email-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" class="" placeholder="Enter your Business e-mail"
      for="email-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom"><span>Business e-mail</span><span class="hs-form-required">*</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input id="email-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" name="email" required="" placeholder="Business e-mail" type="email" class="hs-input" inputmode="email" autocomplete="email" value=""></div>
  </div>
  <div class="hs_message hs-message hs-fieldtype-textarea field hs-form-field"><label id="label-message-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" class="" placeholder="Enter your Message"
      for="message-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom"><span>Message</span><span class="hs-form-required">*</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><textarea id="message-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" class="hs-input hs-fieldtype-textarea" name="message" required="" placeholder="Message"></textarea></div>
  </div>
  <div class="hs-dependent-field">
    <div class="hs_contact_country hs-contact_country hs-fieldtype-select field hs-form-field"><label id="label-contact_country-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" class="" placeholder="Enter your Contact country"
        for="contact_country-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom"><span>Contact country</span><span class="hs-form-required">*</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><select id="contact_country-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" required="" class="hs-input is-placeholder" name="contact_country">
          <option disabled="" value="">Please select</option>
          <option value="Afghanistan">Afghanistan</option>
          <option value="Albania">Albania</option>
          <option value="Algeria">Algeria</option>
          <option value="American Samoa">American Samoa</option>
          <option value="Andorra">Andorra</option>
          <option value="Angola">Angola</option>
          <option value="Anguilla">Anguilla</option>
          <option value="Antigua &amp; Barbuda">Antigua &amp; Barbuda</option>
          <option value="Argentina">Argentina</option>
          <option value="Armenia">Armenia</option>
          <option value="Aruba">Aruba</option>
          <option value="Australia">Australia</option>
          <option value="Austria">Austria</option>
          <option value="Azerbaijan">Azerbaijan</option>
          <option value="Bahamas, The">Bahamas, The</option>
          <option value="Bahrain">Bahrain</option>
          <option value="Bangladesh">Bangladesh</option>
          <option value="Barbados">Barbados</option>
          <option value="Belarus">Belarus</option>
          <option value="Belgium">Belgium</option>
          <option value="Belize">Belize</option>
          <option value="Benin">Benin</option>
          <option value="Bermuda">Bermuda</option>
          <option value="Bhutan">Bhutan</option>
          <option value="Bolivia">Bolivia</option>
          <option value="Bosnia &amp; Herzegovina">Bosnia &amp; Herzegovina</option>
          <option value="Botswana">Botswana</option>
          <option value="Brazil">Brazil</option>
          <option value="British Virgin Is.">British Virgin Is.</option>
          <option value="Brunei">Brunei</option>
          <option value="Bulgaria">Bulgaria</option>
          <option value="Burkina Faso">Burkina Faso</option>
          <option value="Burma">Burma</option>
          <option value="Burundi">Burundi</option>
          <option value="Cambodia">Cambodia</option>
          <option value="Cameroon">Cameroon</option>
          <option value="Canada">Canada</option>
          <option value="Cape Verde">Cape Verde</option>
          <option value="Cayman Islands">Cayman Islands</option>
          <option value="Central African Rep.">Central African Rep.</option>
          <option value="Chad">Chad</option>
          <option value="Chile">Chile</option>
          <option value="China">China</option>
          <option value="Colombia">Colombia</option>
          <option value="Comoros">Comoros</option>
          <option value="Congo, Dem. Rep.">Congo, Dem. Rep.</option>
          <option value="Congo, Repub. of the">Congo, Repub. of the</option>
          <option value="Cook Islands">Cook Islands</option>
          <option value="Costa Rica">Costa Rica</option>
          <option value="Cote d'Ivoire">Cote d'Ivoire</option>
          <option value="Croatia">Croatia</option>
          <option value="Cuba">Cuba</option>
          <option value="Cyprus">Cyprus</option>
          <option value="Czech Republic">Czech Republic</option>
          <option value="Denmark">Denmark</option>
          <option value="Djibouti">Djibouti</option>
          <option value="Dominica">Dominica</option>
          <option value="Dominican Republic">Dominican Republic</option>
          <option value="East Timor">East Timor</option>
          <option value="Ecuador">Ecuador</option>
          <option value="Egypt">Egypt</option>
          <option value="El Salvador">El Salvador</option>
          <option value="Equatorial Guinea">Equatorial Guinea</option>
          <option value="Eritrea">Eritrea</option>
          <option value="Estonia">Estonia</option>
          <option value="Ethiopia">Ethiopia</option>
          <option value="Faroe Islands">Faroe Islands</option>
          <option value="Fiji">Fiji</option>
          <option value="Finland">Finland</option>
          <option value="France">France</option>
          <option value="French Guiana">French Guiana</option>
          <option value="French Polynesia">French Polynesia</option>
          <option value="Gabon">Gabon</option>
          <option value="Gambia, The">Gambia, The</option>
          <option value="Gaza Strip">Gaza Strip</option>
          <option value="Georgia">Georgia</option>
          <option value="Germany">Germany</option>
          <option value="Ghana">Ghana</option>
          <option value="Gibraltar">Gibraltar</option>
          <option value="Greece">Greece</option>
          <option value="Greenland">Greenland</option>
          <option value="Grenada">Grenada</option>
          <option value="Guadeloupe">Guadeloupe</option>
          <option value="Guam">Guam</option>
          <option value="Guatemala">Guatemala</option>
          <option value="Guernsey">Guernsey</option>
          <option value="Guinea">Guinea</option>
          <option value="Guinea-Bissau">Guinea-Bissau</option>
          <option value="Guyana">Guyana</option>
          <option value="Haiti">Haiti</option>
          <option value="Honduras">Honduras</option>
          <option value="Hong Kong">Hong Kong</option>
          <option value="Hungary">Hungary</option>
          <option value="Iceland">Iceland</option>
          <option value="India">India</option>
          <option value="Indonesia">Indonesia</option>
          <option value="Iran">Iran</option>
          <option value="Iraq">Iraq</option>
          <option value="Ireland">Ireland</option>
          <option value="Isle of Man">Isle of Man</option>
          <option value="Israel">Israel</option>
          <option value="Italy">Italy</option>
          <option value="Jamaica">Jamaica</option>
          <option value="Japan">Japan</option>
          <option value="Jersey">Jersey</option>
          <option value="Jordan">Jordan</option>
          <option value="Kazakhstan">Kazakhstan</option>
          <option value="Kenya">Kenya</option>
          <option value="Kiribati">Kiribati</option>
          <option value="Korea, North">Korea, North</option>
          <option value="Korea, South">Korea, South</option>
          <option value="Kuwait">Kuwait</option>
          <option value="Kyrgyzstan">Kyrgyzstan</option>
          <option value="Laos">Laos</option>
          <option value="Latvia">Latvia</option>
          <option value="Lebanon">Lebanon</option>
          <option value="Lesotho">Lesotho</option>
          <option value="Liberia">Liberia</option>
          <option value="Libya">Libya</option>
          <option value="Liechtenstein">Liechtenstein</option>
          <option value="Lithuania">Lithuania</option>
          <option value="Luxembourg">Luxembourg</option>
          <option value="Macau">Macau</option>
          <option value="Macedonia">Macedonia</option>
          <option value="Madagascar">Madagascar</option>
          <option value="Malawi">Malawi</option>
          <option value="Malaysia">Malaysia</option>
          <option value="Maldives">Maldives</option>
          <option value="Mali">Mali</option>
          <option value="Malta">Malta</option>
          <option value="Marshall Islands">Marshall Islands</option>
          <option value="Martinique">Martinique</option>
          <option value="Mauritania">Mauritania</option>
          <option value="Mauritius">Mauritius</option>
          <option value="Mayotte">Mayotte</option>
          <option value="Mexico">Mexico</option>
          <option value="Micronesia, Fed. St.">Micronesia, Fed. St.</option>
          <option value="Moldova">Moldova</option>
          <option value="Monaco">Monaco</option>
          <option value="Mongolia">Mongolia</option>
          <option value="Montenegro">Montenegro</option>
          <option value="Montserrat">Montserrat</option>
          <option value="Morocco">Morocco</option>
          <option value="Mozambique">Mozambique</option>
          <option value="N. Mariana Islands">N. Mariana Islands</option>
          <option value="Namibia">Namibia</option>
          <option value="Nauru">Nauru</option>
          <option value="Nepal">Nepal</option>
          <option value="Netherlands">Netherlands</option>
          <option value="Netherlands Antilles">Netherlands Antilles</option>
          <option value="New Caledonia">New Caledonia</option>
          <option value="New Zealand">New Zealand</option>
          <option value="Nicaragua">Nicaragua</option>
          <option value="Niger">Niger</option>
          <option value="Nigeria">Nigeria</option>
          <option value="Norway">Norway</option>
          <option value="Oman">Oman</option>
          <option value="Pakistan">Pakistan</option>
          <option value="Palau">Palau</option>
          <option value="Panama">Panama</option>
          <option value="Papua New Guinea">Papua New Guinea</option>
          <option value="Paraguay">Paraguay</option>
          <option value="Peru">Peru</option>
          <option value="Philippines">Philippines</option>
          <option value="Poland">Poland</option>
          <option value="Portugal">Portugal</option>
          <option value="Puerto Rico">Puerto Rico</option>
          <option value="Qatar">Qatar</option>
          <option value="Reunion">Reunion</option>
          <option value="Romania">Romania</option>
          <option value="Russia">Russia</option>
          <option value="Rwanda">Rwanda</option>
          <option value="Saint Helena">Saint Helena</option>
          <option value="Saint Kitts &amp; Nevis">Saint Kitts &amp; Nevis</option>
          <option value="Saint Lucia">Saint Lucia</option>
          <option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
          <option value="Samoa">Samoa</option>
          <option value="San Marino">San Marino</option>
          <option value="Sao Tome &amp; Principe">Sao Tome &amp; Principe</option>
          <option value="Saudi Arabia">Saudi Arabia</option>
          <option value="Senegal">Senegal</option>
          <option value="Serbia">Serbia</option>
          <option value="Seychelles">Seychelles</option>
          <option value="Sierra Leone">Sierra Leone</option>
          <option value="Singapore">Singapore</option>
          <option value="Slovakia">Slovakia</option>
          <option value="Slovenia">Slovenia</option>
          <option value="Solomon Islands">Solomon Islands</option>
          <option value="Somalia">Somalia</option>
          <option value="South Africa">South Africa</option>
          <option value="Spain">Spain</option>
          <option value="Sri Lanka">Sri Lanka</option>
          <option value="St Pierre &amp; Miquelon">St Pierre &amp; Miquelon</option>
          <option value="Sudan">Sudan</option>
          <option value="Suriname">Suriname</option>
          <option value="Swaziland">Swaziland</option>
          <option value="Sweden">Sweden</option>
          <option value="Switzerland">Switzerland</option>
          <option value="Syria">Syria</option>
          <option value="Taiwan">Taiwan</option>
          <option value="Tajikistan">Tajikistan</option>
          <option value="Tanzania">Tanzania</option>
          <option value="Thailand">Thailand</option>
          <option value="Togo">Togo</option>
          <option value="Tonga">Tonga</option>
          <option value="Trinidad &amp; Tobago">Trinidad &amp; Tobago</option>
          <option value="Tunisia">Tunisia</option>
          <option value="Turkey">Turkey</option>
          <option value="Turkmenistan">Turkmenistan</option>
          <option value="Turks &amp; Caicos Is">Turks &amp; Caicos Is</option>
          <option value="Tuvalu">Tuvalu</option>
          <option value="Uganda">Uganda</option>
          <option value="Ukraine">Ukraine</option>
          <option value="United Arab Emirates">United Arab Emirates</option>
          <option value="United Kingdom">United Kingdom</option>
          <option value="United States">United States</option>
          <option value="Uruguay">Uruguay</option>
          <option value="Uzbekistan">Uzbekistan</option>
          <option value="Vanuatu">Vanuatu</option>
          <option value="Venezuela">Venezuela</option>
          <option value="Vietnam">Vietnam</option>
          <option value="Virgin Islands">Virgin Islands</option>
          <option value="Wallis and Futuna">Wallis and Futuna</option>
          <option value="West Bank">West Bank</option>
          <option value="Western Sahara">Western Sahara</option>
          <option value="Yemen">Yemen</option>
          <option value="Zambia">Zambia</option>
          <option value="Zimbabwe">Zimbabwe</option>
        </select></div>
    </div>
  </div>
  <div class="hs_ff_device hs-ff_device hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-ff_device-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" class="" placeholder="Enter your ff_device"
      for="ff_device-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom"><span>ff_device</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="ff_device" class="hs-input" type="hidden" value="" id="ff_device"></div>
  </div>
  <div class="hs_ff_firstdevice hs-ff_firstdevice hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-ff_firstdevice-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" class="" placeholder="Enter your ff_firstdevice"
      for="ff_firstdevice-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom"><span>ff_firstdevice</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="ff_firstdevice" class="hs-input" type="hidden" value="" id="ff_firstdevice"></div>
  </div>
  <div class="hs_ff_content hs-ff_content hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-ff_content-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" class="" placeholder="Enter your ff_content"
      for="ff_content-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom"><span>ff_content</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="ff_content" class="hs-input" type="hidden" value="" id="ff_content"></div>
  </div>
  <div class="hs_ff_firstcontent hs-ff_firstcontent hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-ff_firstcontent-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" class=""
      placeholder="Enter your ff_firstcontent" for="ff_firstcontent-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom"><span>ff_firstcontent</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="ff_firstcontent" class="hs-input" type="hidden" value="" id="ff_firstcontent"></div>
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  <div class="hs_ff_clientid hs-ff_clientid hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-ff_clientid-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" class="" placeholder="Enter your ff_clientid"
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    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="ff_clientid" class="hs-input" type="hidden" value="" id="ff_clientid"></div>
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    <legend class="hs-field-desc" style="display: none;"></legend>
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  <div class="hs_page_url hs-page_url hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-page_url-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" class="" placeholder="Enter your Page URL"
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    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="page_url" class="hs-input" type="hidden" value="https://regula.qcdigitalhub.com/"></div>
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  <div class="hs_utm_campaign hs-utm_campaign hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-utm_campaign-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" class="" placeholder="Enter your utm_campaign"
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    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="utm_campaign" class="hs-input" type="hidden" value=""></div>
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  <div class="hs_utm_term hs-utm_term hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-utm_term-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" class="" placeholder="Enter your utm_term"
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    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="utm_term" class="hs-input" type="hidden" value=""></div>
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  <div class="hs_utm_content hs-utm_content hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-utm_content-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" class="" placeholder="Enter your utm_content"
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    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="utm_content" class="hs-input" type="hidden" value=""></div>
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  <div class="hs_utm_medium hs-utm_medium hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-utm_medium-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" class="" placeholder="Enter your utm_medium"
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    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="utm_medium" class="hs-input" type="hidden" value=""></div>
  </div>
  <div class="hs_utm_source hs-utm_source hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-utm_source-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" class="" placeholder="Enter your utm_source"
      for="utm_source-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom"><span>utm_source</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="utm_source" class="hs-input" type="hidden" value=""></div>
  </div>
  <div class="hs_contact_from_form hs-contact_from_form hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-contact_from_form-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" class=""
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    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="contact_from_form" class="hs-input" type="hidden" value="Yes"></div>
  </div>
  <div class="hs_hw_or_sw hs-hw_or_sw hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-hw_or_sw-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" class="" placeholder="Enter your HW or SW"
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    <legend class="hs-field-desc" style="display: none;"></legend>
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  <div class="hs_contact_device hs-contact_device hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-contact_device-9b991a26-a5b0-4e85-b4a6-ad52c5868338_form-target-bottom" class="" placeholder="Enter your Contact Device"
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    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="contact_device" class="hs-input" type="hidden" value=""></div>
  </div>
  <div class="hs_submit hs-submit">
    <div class="hs-field-desc" style="display: none;"></div>
    <div class="actions"><input type="submit" class="hs-button primary large" value="Send request" data-gtm-id="Contact_Form_Button_Bottom"></div>
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</form>

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