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POST /dnem-pub/;jsessionid=217ACBDFC6233E8A5835B88A6D2C2871

<form action="/dnem-pub/;jsessionid=217ACBDFC6233E8A5835B88A6D2C2871" method="post" id="unsubForm">
  <input type="hidden" id="dept" name="dept" value="gwm">
  <input type="hidden" id="busLines" name="busLines" value="SBPB,SAMG,DMFN,SIAM,PVIC,STRD,SMSC,STRU,SCST,SPIA,SIPB">
  <input type="hidden" id="selectedBusLines" name="selectedBusLines" value="">
  <input type="hidden" id="legEntities" name="legEntities" value="">
  <input type="hidden" id="selectedLegEntities" name="selectedLegEntities" value="">
  <div id="contact-information" style="width: 100%; padding-bottom:20px;">
    <fieldset>
      <legend><span>Contact Information</span></legend>
      <div style="height: 5px;"></div>
      <label class="inputLabel" for="email"><span>Enter your email address</span></label>
      <input name="email" maxlength="128" size="45" id="email" type="text" value="">
      <em><span>(required)</span></em>
      <div style="height: 10px;"></div>
      <label class="inputLabel" for="emailConfirmation"><span>Re-enter your email address</span></label>
      <input name="emailConfirmation" maxlength="128" size="45" id="emailConfirmation" type="text" value="">
      <em><span>(required)</span></em>
      <div style="height: 10px;"></div>
      <label class="inputLabel" for="name"><span>Your name</span></label>
      <input name="name" id="name" maxlength="128" size="45" type="text" value="">
      <em><span>(required)</span></em>
    </fieldset>
  </div>
  <p><span>Please indicate your selection by clicking on the business line(s).</span></p>
  <div>
    <button id="selectButton" class="btn" type="button" onclick="selectAll()"><span class="smallwhiteboldtext">Select All</span></button>
    <button id="deselectButton" class="btn" type="button" onclick="deselectAll()"><span class="smallwhiteboldtext">Clear All</span></button>
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  <p></p>
  <div id="checkboxesB" style="width: 100%;">
    <fieldset>
      <legend><span>Business line(s)</span></legend>
      <ul id="businessNames" class="gbmList">
        <li>
          <input class="queryCheckBox" type="checkbox" id="chkbox_DMFN" value="DMFN" name="businessNames">
          <label class="checkbox-label"><span>Dynamic Funds</span> </label>
        </li>
        <li>
          <input class="queryCheckBox" type="checkbox" id="chkbox_PVIC" value="PVIC" name="businessNames">
          <label class="checkbox-label"><span>Private Investment Counsel (PIC)</span> </label>
        </li>
        <li>
          <input class="queryCheckBox" type="checkbox" id="chkbox_SIAM" value="SIAM" name="businessNames">
          <label class="checkbox-label"><span>Scotia Institutional Asset Management</span> </label>
        </li>
        <li>
          <input class="queryCheckBox" type="checkbox" id="chkbox_STRD" value="STRD" name="businessNames">
          <label class="checkbox-label"><span>Scotia iTRADE</span> </label>
        </li>
        <li>
          <input class="queryCheckBox" type="checkbox" id="chkbox_SCST" value="SCST" name="businessNames">
          <label class="checkbox-label"><span>Scotia Securities</span> </label>
        </li>
        <li>
          <input class="queryCheckBox" type="checkbox" id="chkbox_SPIA" value="SPIA" name="businessNames">
          <label class="checkbox-label"><span>Scotia Wealth Management - International Investment Advisory (IIA)</span> </label>
        </li>
        <li>
          <input class="queryCheckBox" type="checkbox" id="chkbox_SIPB" value="SIPB" name="businessNames">
          <label class="checkbox-label"><span>Scotiabank International Private Banking</span> </label>
        </li>
        <li>
          <input class="queryCheckBox" type="checkbox" id="chkbox_SBPB" value="SBPB" name="businessNames">
          <label class="checkbox-label"><span>Scotiabank Private Banking</span> </label>
        </li>
        <li>
          <input class="queryCheckBox" type="checkbox" id="chkbox_SAMG" value="SAMG" name="businessNames">
          <label class="checkbox-label"><span>ScotiaFunds</span> </label>
        </li>
        <li>
          <input class="queryCheckBox" type="checkbox" id="chkbox_SMSC" value="SMSC" name="businessNames">
          <label class="checkbox-label"><span>ScotiaMcLeod (includes Scotia Wealth Insurance Services)</span> </label>
        </li>
        <li>
          <input class="queryCheckBox" type="checkbox" id="chkbox_STRU" value="STRU" name="businessNames">
          <label class="checkbox-label"><span>Scotiatrust</span> </label>
        </li>
      </ul>
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  <div style="clear:both"></div>
  <br>
  <p>
    <span>Please review the information and click on the Submit button. </span>
  </p>
  <button data-toggle="modal" id="showModalBtn" class="btn" onclick="javascript:showModal()" type="button">
    <span>Submit</span>
  </button>
  <button type="reset" class="btn" id="reset-button" name="Reset">
    <span>Reset</span>
  </button>
</form>

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Business line(s)
 * Dynamic Funds
 * Private Investment Counsel (PIC)
 * Scotia Institutional Asset Management
 * Scotia iTRADE
 * Scotia Securities
 * Scotia Wealth Management - International Investment Advisory (IIA)
 * Scotiabank International Private Banking
 * Scotiabank Private Banking
 * ScotiaFunds
 * ScotiaMcLeod (includes Scotia Wealth Insurance Services)
 * Scotiatrust




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