ftmus24-registration.personatech.com
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2600:1901:0:4895::
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Submitted URL: https://d14q1z04.na1.hubspotlinks.com/Ctc/V+113/d14q1Z04/VWvgS82sP0P-W2rJ5Zm19grwrW3Bmyl958_gJgN1qZLqK5kBVqW50kH_H6lZ3ltW1BY0051FLMHPW...
Effective URL: https://ftmus24-registration.personatech.com/form/initiate?fId=ZWRlZmVjMTItYmFhNC00MDE4LThiY2EtYTRjYzZhMDVkYjM0&utm_medium=email&_hsmi=292389...
Submission: On February 01 via manual from IN — Scanned from DE
Effective URL: https://ftmus24-registration.personatech.com/form/initiate?fId=ZWRlZmVjMTItYmFhNC00MDE4LThiY2EtYTRjYzZhMDVkYjM0&utm_medium=email&_hsmi=292389...
Submission: On February 01 via manual from IN — Scanned from DE
Form analysis
1 forms found in the DOM#
<form action="#" class="form--flex">
<div class="form_item form_item--fullWidth"><label for="" class="form_label" title=""><label class="dynamicLabel dynamicLabel--required"><label><span title="" class="dynamicLabel_primaryLabel">
<p>Pronouns</p>
</span><span class="dynamicLabel_asterisk"></span></label></label><span class="form_label--required">*</span></label>
<div class="radioBtnGroup radioBtnGroup--horizontal">
<div class="radioBtn"><label><input type="radio" name="e069d15a-25d1-432f-8156-16a7e4d277c9" class="radioBtn_input" value="MR"><b class="radioBtn_circle smooth"></b><span class="radioBtn_text smooth">He/Him</span></label></div>
<div class="radioBtn"><label><input type="radio" name="e069d15a-25d1-432f-8156-16a7e4d277c9" class="radioBtn_input" value="MS"><b class="radioBtn_circle smooth"></b><span class="radioBtn_text smooth">She/Her</span></label></div>
<div class="radioBtn"><label><input type="radio" name="e069d15a-25d1-432f-8156-16a7e4d277c9" class="radioBtn_input" value="MX"><b class="radioBtn_circle smooth"></b><span class="radioBtn_text smooth">They/Them</span></label></div>
<div class="radioBtn"><label><input type="radio" name="e069d15a-25d1-432f-8156-16a7e4d277c9" class="radioBtn_input" value="UNREVEALED"><b class="radioBtn_circle smooth"></b><span class="radioBtn_text smooth">Prefer not to say</span></label>
</div>
</div>
</div>
<div class="form_item"><label for="" class="form_label" title=""><label class="dynamicLabel dynamicLabel--required"><label><span title="" class="dynamicLabel_primaryLabel">
<p>First Name</p>
</span><span class="dynamicLabel_asterisk"></span></label></label><span class="form_label--required">*</span></label>
<div class="inputBox"><input type="text" name="f5de834c-a6b4-4058-97bb-bb41328fd20d" data-testid="f5de834c-a6b4-4058-97bb-bb41328fd20d" value=""></div>
</div>
<div class="form_item"><label for="" class="form_label" title=""><label class="dynamicLabel dynamicLabel--required"><label><span title="" class="dynamicLabel_primaryLabel">
<p>Last Name</p>
</span><span class="dynamicLabel_asterisk"></span></label></label><span class="form_label--required">*</span></label>
<div class="inputBox"><input type="text" name="b7e3a090-6aab-4ea5-a7ac-87d0a3fb52b1" data-testid="b7e3a090-6aab-4ea5-a7ac-87d0a3fb52b1" value=""></div>
</div>
<div class="form_item"><label for="" class="form_label" title=""><label class="dynamicLabel dynamicLabel--required"><label><span title="" class="dynamicLabel_primaryLabel">
<p>Mobile Number</p>
</span><span class="dynamicLabel_asterisk"></span></label></label><span class="form_label--required">*</span></label>
<div class="mobileNumber_wrapper">
<div class="customSelect_dropdown_wrapper customSelect_dropdown">
<div class="customSelect_dropdown_selectedOption_details">
<span class="customSelect_dropdown_selectedOption_details_additionalOption cflag US"></span>
<small class="customSelect_dropdown_selectedOption_details_code">+1</small>
</div>
<div class="customSelect_dropdown_list_wrapper">
<div class="xsVisible customSelect_dropdown_list_header"><b>Select Country Code</b><span class="customSelect_dropdown_list_close"><svg stroke="currentColor" fill="currentColor" stroke-width="0" xmlns="http://www.w3.org/2000/svg"
viewBox="0 0 24 24" width="1em" height="1em">
<path d="M19 6.41L17.59 5 12 10.59 6.41 5 5 6.41 10.59 12 5 17.59 6.41 19 12 13.41 17.59 19 19 17.59 13.41 12z"></path>
</svg></span></div>
</div>
<div class="customSelect_dropdown_overlay smooth xsVisible"></div>
</div>
<div class="inputBox"><input type="text" name="056b2626-e48b-44c1-a403-cdbc2a248be0" data-testid="056b2626-e48b-44c1-a403-cdbc2a248be0" value=""></div>
</div>
</div>
<div class="transformToLowerCase form_item"><label for="" class="form_label" title=""><label class="dynamicLabel dynamicLabel--required"><label><span title="" class="dynamicLabel_primaryLabel">Work Email</span><span
class="dynamicLabel_asterisk"></span></label></label><span class="form_label--required">*</span></label>
<div class="transformToLowerCase inputBox"><input type="text" name="5109b685-500d-4967-8ecb-ecdeadbf25a1" data-testid="5109b685-500d-4967-8ecb-ecdeadbf25a1" value=""></div>
</div>
<div class="transformToLowerCase form_item"><label for="" class="form_label" title=""><label class="dynamicLabel"><label><span title="" class="dynamicLabel_primaryLabel">
<p>Alternate Email</p>
</span></label></label></label>
<div class="transformToLowerCase inputBox"><input type="text" name="3b701f41-7d6d-4976-9f91-1d158ffc2f51" data-testid="3b701f41-7d6d-4976-9f91-1d158ffc2f51" value=""></div>
</div>
<div class="form_item"><label for="" class="form_label" title=""><label class="dynamicLabel dynamicLabel--required"><label><span title="" class="dynamicLabel_primaryLabel">
<p>Your LinkedIn Profile URL</p>
</span><span class="dynamicLabel_asterisk"></span></label></label><span class="form_label--required">*</span></label>
<div class="inputBox"><input type="text" name="40a11ad7-a6d2-44c4-96d3-fe765e8affe1" data-testid="40a11ad7-a6d2-44c4-96d3-fe765e8affe1" value=""></div>
</div>
<div class="form_item form_item--fullWidth">
<div class="checkbox checkbox--lg"><label><input class="checkbox_input" type="checkbox" name="0701896c-23ec-4bd8-b91a-a535ad6c8797"><b></b><span class="checkbox_text"><label class="dynamicLabel"><label><span title=""
class="dynamicLabel_primaryLabel">I have an Assistant</span><span title="" class="form_label_additionalNote"><i>(your Assistant will be copied on all emails)</i></span></label></label> </span></label></div>
</div>
<div class="form_item"><label for="" class="form_label" title=""><label class="dynamicLabel dynamicLabel--required"><label><span title="" class="dynamicLabel_primaryLabel">
<p>Time Zone</p>
</span><span class="dynamicLabel_asterisk"></span><span title="" class="form_label_additionalNote"><i><p>(for display purposes only)</p></i></span></label></label><span class="form_label--required">*</span></label>
<div class="selectDropdown_wrapper">
<div class="selectDropdown css-b62m3t-container"><span id="react-select-2-live-region" class="css-7pg0cj-a11yText"></span><span aria-live="polite" aria-atomic="false" aria-relevant="additions text" class="css-7pg0cj-a11yText"></span>
<div class="selectDropdown__control css-1s2u09g-control">
<div class="selectDropdown__value-container css-1d8n9bt">
<div class="selectDropdown__placeholder css-14el2xx-placeholder" id="react-select-2-placeholder">Select...</div>
<div class="selectDropdown__input-container css-ackcql" data-value=""><input class="selectDropdown__input" autocapitalize="none" autocomplete="off" autocorrect="off" id="55fc689a-9c0d-4447-99cb-e11ba970d49f" spellcheck="false"
tabindex="0" type="text" aria-autocomplete="list" aria-expanded="false" aria-haspopup="true" aria-controls="react-select-2-listbox" aria-owns="react-select-2-listbox" role="combobox" aria-describedby="react-select-2-placeholder"
value="" style="color: inherit; background: 0px center; opacity: 1; width: 100%; grid-area: 1 / 2; font: inherit; min-width: 2px; border: 0px; margin: 0px; outline: 0px; padding: 0px;"></div>
</div>
<div class="selectDropdown__indicators css-1wy0on6"><span class="selectDropdown__indicator-separator css-1okebmr-indicatorSeparator"></span>
<div class="selectDropdown__indicator selectDropdown__dropdown-indicator css-tlfecz-indicatorContainer" aria-hidden="true"><svg height="20" width="20" viewBox="0 0 20 20" aria-hidden="true" focusable="false" class="css-8mmkcg">
<path
d="M4.516 7.548c0.436-0.446 1.043-0.481 1.576 0l3.908 3.747 3.908-3.747c0.533-0.481 1.141-0.446 1.574 0 0.436 0.445 0.408 1.197 0 1.615-0.406 0.418-4.695 4.502-4.695 4.502-0.217 0.223-0.502 0.335-0.787 0.335s-0.57-0.112-0.789-0.335c0 0-4.287-4.084-4.695-4.502s-0.436-1.17 0-1.615z">
</path>
</svg></div>
</div>
</div><input name="55fc689a-9c0d-4447-99cb-e11ba970d49f" type="hidden" value="">
</div>
</div>
</div>
<div class="form_item"><label for="" class="form_label" title=""><label class="dynamicLabel dynamicLabel--required"><label><span title="" class="dynamicLabel_primaryLabel">
<p>Country</p>
</span><span class="dynamicLabel_asterisk"></span></label></label><span class="form_label--required">*</span></label>
<div class="selectDropdown_wrapper">
<div class="selectDropdown css-b62m3t-container"><span id="react-select-3-live-region" class="css-7pg0cj-a11yText"></span><span aria-live="polite" aria-atomic="false" aria-relevant="additions text" class="css-7pg0cj-a11yText"></span>
<div class="selectDropdown__control css-1s2u09g-control">
<div class="selectDropdown__value-container css-1d8n9bt">
<div class="selectDropdown__placeholder css-14el2xx-placeholder" id="react-select-3-placeholder">Select...</div>
<div class="selectDropdown__input-container css-ackcql" data-value=""><input class="selectDropdown__input" autocapitalize="none" autocomplete="off" autocorrect="off" id="8390f0b8-275f-411f-9c06-c75f47d821ec" spellcheck="false"
tabindex="0" type="text" aria-autocomplete="list" aria-expanded="false" aria-haspopup="true" aria-controls="react-select-3-listbox" aria-owns="react-select-3-listbox" role="combobox" aria-describedby="react-select-3-placeholder"
value="" style="color: inherit; background: 0px center; opacity: 1; width: 100%; grid-area: 1 / 2; font: inherit; min-width: 2px; border: 0px; margin: 0px; outline: 0px; padding: 0px;"></div>
</div>
<div class="selectDropdown__indicators css-1wy0on6"><span class="selectDropdown__indicator-separator css-1okebmr-indicatorSeparator"></span>
<div class="selectDropdown__indicator selectDropdown__dropdown-indicator css-tlfecz-indicatorContainer" aria-hidden="true"><svg height="20" width="20" viewBox="0 0 20 20" aria-hidden="true" focusable="false" class="css-8mmkcg">
<path
d="M4.516 7.548c0.436-0.446 1.043-0.481 1.576 0l3.908 3.747 3.908-3.747c0.533-0.481 1.141-0.446 1.574 0 0.436 0.445 0.408 1.197 0 1.615-0.406 0.418-4.695 4.502-4.695 4.502-0.217 0.223-0.502 0.335-0.787 0.335s-0.57-0.112-0.789-0.335c0 0-4.287-4.084-4.695-4.502s-0.436-1.17 0-1.615z">
</path>
</svg></div>
</div>
</div><input name="8390f0b8-275f-411f-9c06-c75f47d821ec" type="hidden" value="">
</div>
</div>
</div>
<div class="form_item"><label for="" class="form_label" title=""><label class="dynamicLabel"><label><span title="" class="dynamicLabel_primaryLabel">
<p>Address</p>
</span></label></label></label>
<div class="inputBox"><input type="text" name="3f3fc75f-300d-412d-8e33-a88d094ab2fd" data-testid="3f3fc75f-300d-412d-8e33-a88d094ab2fd" value=""></div>
</div>
<div class="form_item"><label for="" class="form_label" title=""><label class="dynamicLabel"><label><span title="" class="dynamicLabel_primaryLabel">
<p>Suite, Apt, etc.</p>
</span></label></label></label>
<div class="inputBox"><input type="text" name="23a7965e-e99f-49ce-aa79-326adfe64c62" data-testid="23a7965e-e99f-49ce-aa79-326adfe64c62" value=""></div>
</div>
<div class="form_item"><label for="" class="form_label" title=""><label class="dynamicLabel"><label><span title="" class="dynamicLabel_primaryLabel">
<p>City/Locality</p>
</span></label></label></label>
<div class="inputBox"><input type="text" name="37957bf3-e909-4c8a-928c-61ecdae6d8e1" data-testid="37957bf3-e909-4c8a-928c-61ecdae6d8e1" value=""></div>
</div>
<div class="form_item"><label for="" class="form_label" title=""><label class="dynamicLabel"><label><span title="" class="dynamicLabel_primaryLabel">
<p>State/Region</p>
</span></label></label></label>
<div class="inputBox"><input type="text" name="e64e87ba-bfab-439b-875e-8a96981c5951" data-testid="e64e87ba-bfab-439b-875e-8a96981c5951" value=""></div>
</div>
<div class="form_item"><label for="" class="form_label" title=""><label class="dynamicLabel"><label><span title="" class="dynamicLabel_primaryLabel">
<p>Zip/Postal Code</p>
</span></label></label></label>
<div class="inputBox"><input type="text" name="62692c28-8798-465e-a529-aaace7f397be" data-testid="62692c28-8798-465e-a529-aaace7f397be" value=""></div>
</div>
<div class="form_item form_item--fullWidth">
<hr>
</div>
<div class="form_item form_item--fullWidth"><label for="" class="form_label" title=""><label class="dynamicLabel"><label><span title="" class="dynamicLabel_primaryLabel">
<p><b>Your Organization</b></p>
</span></label></label></label></div>
<div class="form_item"><label for="a105040b-87c6-4c66-987e-83c845d3995e" class="form_label" title=""><label class="dynamicLabel dynamicLabel--required"><label><span title="" class="dynamicLabel_primaryLabel">Organization Name</span><span
class="dynamicLabel_asterisk"></span></label></label><span class="form_label--required">*</span></label>
<div></div>
<div class="inputBox" data-reach-combobox="" data-state="idle"><input aria-autocomplete="both" aria-controls="listbox--:r0:" aria-expanded="false" aria-haspopup="listbox" role="combobox" placeholder="" data-reach-combobox-input=""
data-state="idle" value=""></div>
</div>
<div class="form_item"><label for="" class="form_label" title=""><label class="dynamicLabel dynamicLabel--required"><label><span title="" class="dynamicLabel_primaryLabel">Organization URL</span><span
class="dynamicLabel_asterisk"></span></label></label><span class="form_label--required">*</span></label>
<div class="inputBox"><input type="text" name="71a9c095-d3c2-46ab-a134-98426071a934" data-testid="71a9c095-d3c2-46ab-a134-98426071a934" value=""></div>
</div>
<div class="form_item"><label for="" class="form_label" title=""><label class="dynamicLabel dynamicLabel--required"><label><span title="" class="dynamicLabel_primaryLabel">
<p>Describe your organization based on your primary job function</p>
</span><span class="dynamicLabel_asterisk"></span></label></label><span class="form_label--required">*</span></label>
<div class="selectDropdown_wrapper">
<div class="selectDropdown css-b62m3t-container"><span id="react-select-4-live-region" class="css-7pg0cj-a11yText"></span><span aria-live="polite" aria-atomic="false" aria-relevant="additions text" class="css-7pg0cj-a11yText"></span>
<div class="selectDropdown__control css-1s2u09g-control">
<div class="selectDropdown__value-container css-1d8n9bt">
<div class="selectDropdown__placeholder css-14el2xx-placeholder" id="react-select-4-placeholder">Select...</div>
<div class="selectDropdown__input-container css-ackcql" data-value=""><input class="selectDropdown__input" autocapitalize="none" autocomplete="off" autocorrect="off" id="69c52210-f094-4b4d-8adb-7bd0f855cae1" spellcheck="false"
tabindex="0" type="text" aria-autocomplete="list" aria-expanded="false" aria-haspopup="true" aria-controls="react-select-4-listbox" aria-owns="react-select-4-listbox" role="combobox" aria-describedby="react-select-4-placeholder"
value="" style="color: inherit; background: 0px center; opacity: 1; width: 100%; grid-area: 1 / 2; font: inherit; min-width: 2px; border: 0px; margin: 0px; outline: 0px; padding: 0px;"></div>
</div>
<div class="selectDropdown__indicators css-1wy0on6"><span class="selectDropdown__indicator-separator css-1okebmr-indicatorSeparator"></span>
<div class="selectDropdown__indicator selectDropdown__dropdown-indicator css-tlfecz-indicatorContainer" aria-hidden="true"><svg height="20" width="20" viewBox="0 0 20 20" aria-hidden="true" focusable="false" class="css-8mmkcg">
<path
d="M4.516 7.548c0.436-0.446 1.043-0.481 1.576 0l3.908 3.747 3.908-3.747c0.533-0.481 1.141-0.446 1.574 0 0.436 0.445 0.408 1.197 0 1.615-0.406 0.418-4.695 4.502-4.695 4.502-0.217 0.223-0.502 0.335-0.787 0.335s-0.57-0.112-0.789-0.335c0 0-4.287-4.084-4.695-4.502s-0.436-1.17 0-1.615z">
</path>
</svg></div>
</div>
</div><input name="69c52210-f094-4b4d-8adb-7bd0f855cae1" type="hidden" value="">
</div>
</div>
</div>
<div class="form_item"><label for="" class="form_label" title=""><label class="dynamicLabel dynamicLabel--required"><label><span title="" class="dynamicLabel_primaryLabel">
<p>What is the asset size of your institution?</p>
</span><span class="dynamicLabel_asterisk"></span></label></label><span class="form_label--required">*</span></label>
<div class="selectDropdown_wrapper">
<div class="selectDropdown css-b62m3t-container"><span id="react-select-5-live-region" class="css-7pg0cj-a11yText"></span><span aria-live="polite" aria-atomic="false" aria-relevant="additions text" class="css-7pg0cj-a11yText"></span>
<div class="selectDropdown__control css-1s2u09g-control">
<div class="selectDropdown__value-container css-1d8n9bt">
<div class="selectDropdown__placeholder css-14el2xx-placeholder" id="react-select-5-placeholder">Select...</div><input id="f6f4122a-b181-4fad-8459-5a4d0995d04d" tabindex="0" inputmode="none" aria-autocomplete="list" aria-expanded="false"
aria-haspopup="true" aria-controls="react-select-5-listbox" aria-owns="react-select-5-listbox" role="combobox" aria-readonly="true" aria-describedby="react-select-5-placeholder" class="css-1hac4vs-dummyInput" value="">
</div>
<div class="selectDropdown__indicators css-1wy0on6"><span class="selectDropdown__indicator-separator css-1okebmr-indicatorSeparator"></span>
<div class="selectDropdown__indicator selectDropdown__dropdown-indicator css-tlfecz-indicatorContainer" aria-hidden="true"><svg height="20" width="20" viewBox="0 0 20 20" aria-hidden="true" focusable="false" class="css-8mmkcg">
<path
d="M4.516 7.548c0.436-0.446 1.043-0.481 1.576 0l3.908 3.747 3.908-3.747c0.533-0.481 1.141-0.446 1.574 0 0.436 0.445 0.408 1.197 0 1.615-0.406 0.418-4.695 4.502-4.695 4.502-0.217 0.223-0.502 0.335-0.787 0.335s-0.57-0.112-0.789-0.335c0 0-4.287-4.084-4.695-4.502s-0.436-1.17 0-1.615z">
</path>
</svg></div>
</div>
</div><input name="f6f4122a-b181-4fad-8459-5a4d0995d04d" type="hidden" value="">
</div>
</div>
</div>
<div class="form_item"><label for="" class="form_label" title=""><label class="dynamicLabel dynamicLabel--required"><label><span title="" class="dynamicLabel_primaryLabel">
<p>What is the stage of your organization?</p>
</span><span class="dynamicLabel_asterisk"></span></label></label><span class="form_label--required">*</span></label>
<div class="selectDropdown_wrapper">
<div class="selectDropdown css-b62m3t-container"><span id="react-select-6-live-region" class="css-7pg0cj-a11yText"></span><span aria-live="polite" aria-atomic="false" aria-relevant="additions text" class="css-7pg0cj-a11yText"></span>
<div class="selectDropdown__control css-1s2u09g-control">
<div class="selectDropdown__value-container css-1d8n9bt">
<div class="selectDropdown__placeholder css-14el2xx-placeholder" id="react-select-6-placeholder">Select...</div><input id="dba5074f-3700-4ed8-a63f-61395d18404f" tabindex="0" inputmode="none" aria-autocomplete="list" aria-expanded="false"
aria-haspopup="true" aria-controls="react-select-6-listbox" aria-owns="react-select-6-listbox" role="combobox" aria-readonly="true" aria-describedby="react-select-6-placeholder" class="css-1hac4vs-dummyInput" value="">
</div>
<div class="selectDropdown__indicators css-1wy0on6"><span class="selectDropdown__indicator-separator css-1okebmr-indicatorSeparator"></span>
<div class="selectDropdown__indicator selectDropdown__dropdown-indicator css-tlfecz-indicatorContainer" aria-hidden="true"><svg height="20" width="20" viewBox="0 0 20 20" aria-hidden="true" focusable="false" class="css-8mmkcg">
<path
d="M4.516 7.548c0.436-0.446 1.043-0.481 1.576 0l3.908 3.747 3.908-3.747c0.533-0.481 1.141-0.446 1.574 0 0.436 0.445 0.408 1.197 0 1.615-0.406 0.418-4.695 4.502-4.695 4.502-0.217 0.223-0.502 0.335-0.787 0.335s-0.57-0.112-0.789-0.335c0 0-4.287-4.084-4.695-4.502s-0.436-1.17 0-1.615z">
</path>
</svg></div>
</div>
</div><input name="dba5074f-3700-4ed8-a63f-61395d18404f" type="hidden" value="">
</div>
</div>
</div>
<div class="form_item form_item--fullWidth">
<hr>
</div>
<div class="form_item form_item--fullWidth"><label for="" class="form_label" title=""><label class="dynamicLabel"><label><span title="" class="dynamicLabel_primaryLabel">
<p><b>Your Role</b></p>
</span></label></label></label></div>
<div class="form_item"><label for="" class="form_label" title=""><label class="dynamicLabel dynamicLabel--required"><label><span title="" class="dynamicLabel_primaryLabel">
<p>Job Title</p>
</span><span class="dynamicLabel_asterisk"></span></label></label><span class="form_label--required">*</span></label>
<div class="inputBox"><input type="text" name="aaf25064-f96f-4b5c-b91a-2eb1865c9b4a" data-testid="aaf25064-f96f-4b5c-b91a-2eb1865c9b4a" value=""></div>
</div>
<div class="form_item"><label for="" class="form_label" title=""><label class="dynamicLabel dynamicLabel--required"><label><span title="" class="dynamicLabel_primaryLabel">
<p>Job Title Level</p>
</span><span class="dynamicLabel_asterisk"></span></label></label><span class="form_label--required">*</span></label>
<div class="selectDropdown_wrapper">
<div class="selectDropdown css-b62m3t-container"><span id="react-select-7-live-region" class="css-7pg0cj-a11yText"></span><span aria-live="polite" aria-atomic="false" aria-relevant="additions text" class="css-7pg0cj-a11yText"></span>
<div class="selectDropdown__control css-1s2u09g-control">
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<div class="checkboxGroup_labelWrapper"><label for="" class="checkboxGroup_title form_label" title=""><label class="dynamicLabel dynamicLabel--required"><label><span title="" class="dynamicLabel_primaryLabel">
<p>Job Function</p>
</span><span class="dynamicLabel_asterisk"></span><span title="" class="form_label_additionalNote"><i><p>(select up to 3)</p></i></span></label></label><span class="form_label--required">*</span></label></div>
<div class="checkboxGroup_wrapper">
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="83acdba9-bbf9-4830-b228-fa2cba867f90"><b></b><span class="checkbox_text">Executive Leadership & Board of Directors </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="690c9c42-7bd3-40cc-8918-4c32e2450800"><b></b><span class="checkbox_text">Strategy, Innovation & Transformation </span></label></div>
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<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="a20dcaf7-473a-4291-8357-5a841ba803fd"><b></b><span class="checkbox_text">Partnerships </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="2c8a48e9-0a46-4504-a221-d8cc70034cc5"><b></b><span class="checkbox_text">Product </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="4e4c74bc-ecb6-4e5b-ae72-e424a8c2f6d5"><b></b><span class="checkbox_text">Technology & IT </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="815764ff-74eb-4925-ada4-08a9e9212fdb"><b></b><span class="checkbox_text">Operations & Project Management </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="9c355c26-2f53-40d4-9439-859bf3756e55"><b></b><span class="checkbox_text">Data, Analytics & Insights </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="4964b0ad-1eae-43e9-910a-746135dd5a4f"><b></b><span class="checkbox_text">Marketing & Communications </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="ed90b49b-fa3a-41d4-9040-4d0a69be6b83"><b></b><span class="checkbox_text">Compliance & Risk Management </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="0e236bcb-f848-4c52-86dc-7d8ac9f0b0e3"><b></b><span class="checkbox_text">Legal </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="5e3d1124-f65a-44b5-a2a9-c34c20051541"><b></b><span class="checkbox_text">Finance & Accounting </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="dc0172bd-7580-4ac1-823a-e2ee0e331d71"><b></b><span class="checkbox_text">HR & Recruiting </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="b68e27a6-72f7-44af-b453-9dc9df3dec61"><b></b><span class="checkbox_text">Environmental, Social & Corporate Governance (ESG) </span></label>
</div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="04f44903-cc94-400c-bd23-d6835a1ff806"><b></b><span class="checkbox_text">Procurement & Vendor Management </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="0dbf8748-4bb3-46eb-a9de-7b13a889e8ec"><b></b><span class="checkbox_text">Investing </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="e4b40055-9180-4ddf-994e-871675083358"><b></b><span class="checkbox_text">Research, Content & Journalism </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="1d6edb68-4893-4c8a-ad30-d9512570bc2f"><b></b><span class="checkbox_text">Consulting & Advisory </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="5a25756e-4718-4f9c-ac41-acdea684651a"><b></b><span class="checkbox_text">Other </span></label></div>
</div>
</div>
</div>
<div class="form_item form_item--fullWidth">
<div class="checkboxGroup checkboxGroup--md">
<div class="checkboxGroup_labelWrapper"><label for="" class="checkboxGroup_title form_label" title=""><label class="dynamicLabel dynamicLabel--required"><label><span title="" class="dynamicLabel_primaryLabel">
<p>I am</p>
</span><span class="dynamicLabel_asterisk"></span><span title="" class="form_label_additionalNote"><i><p>(select all that apply)</p></i></span></label></label><span class="form_label--required">*</span></label></div>
<div class="checkboxGroup_wrapper hasSingleOption">
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="34fe750e-7624-4451-9bb3-a2a17491e94c"><b></b><span class="checkbox_text">The budget owner or final decision maker for payments, banking or financial
services solutions or technology buying decisions </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="a02c42d7-4d5d-4ffb-a669-5fb90122bd53"><b></b><span class="checkbox_text">Part of a team that makes payments, banking or financial services solutions
or technology buying decisions </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="6c9f4cb8-ed80-4b58-ae0c-7a14cffc47a2"><b></b><span class="checkbox_text">An influencer in payments, banking or financial services solutions or
technology buying decisions </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="9a6390eb-6c5c-4e00-b72c-69f0b05d580e"><b></b><span class="checkbox_text">In procurement </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="87be4bf8-a89b-4113-aafb-1b8cd5087045"><b></b><span class="checkbox_text">Not an influencer or buyer for payments, banking or financial services
solutions or technology </span></label></div>
</div>
</div>
</div>
<div class="form_item form_item--fullWidth">
<div class="checkboxGroup checkboxGroup--md">
<div class="checkboxGroup_labelWrapper"><label for="" class="checkboxGroup_title form_label" title=""><label class="dynamicLabel dynamicLabel--required"><label><span title="" class="dynamicLabel_primaryLabel">
<p>I am evaluating or looking to buy payments, banking or financial services solutions and technology for my organization in</p>
</span><span class="dynamicLabel_asterisk"></span><span title="" class="form_label_additionalNote"><i><p>(select all that apply)</p></i></span></label></label><span class="form_label--required">*</span></label></div>
<div class="checkboxGroup_wrapper hasSingleOption">
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="7772ba16-7d39-4123-b16c-dc5d5d404e6e"><b></b><span class="checkbox_text">0-6 months </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="7ffc07fb-c0b8-4796-9ea2-4eca90ccc6fa"><b></b><span class="checkbox_text">6-12 months </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="e348a1f8-b579-4c19-99ca-a4c859aac163"><b></b><span class="checkbox_text">12+ months </span></label></div>
</div>
</div>
</div>
<div class="form_item form_item--fullWidth">
<hr>
</div>
<div class="form_item form_item--fullWidth"><label for="" class="form_label" title=""><label class="dynamicLabel"><label><span title="" class="dynamicLabel_primaryLabel">
<p><b>Your Hosted Ticket Application</b></p>
</span></label></label></label></div>
<div class="form_item form_item--fullWidth">
<div class="checkbox checkbox--lg"><label><input class="checkbox_input" type="checkbox" name="040704a6-eb65-4942-88d2-feb93a194080"><b></b><span class="checkbox_text"><label class="dynamicLabel dynamicLabel--required"><label><span title=""
class="dynamicLabel_primaryLabel">
<p>I agree to participate in up to eight (8) 15-minute Hosted Program meetings (a total of two hours)</p>
</span><span class="dynamicLabel_asterisk"></span></label></label> </span></label></div>
</div>
<div class="form_item form_item--fullWidth">
<div class="checkbox checkbox--lg"><label><input class="checkbox_input" type="checkbox" name="f7ffb04f-2506-46f7-a5b9-072a515138fa"><b></b><span class="checkbox_text"><label class="dynamicLabel dynamicLabel--required"><label><span title=""
class="dynamicLabel_primaryLabel">
<p>I confirm that I am an employee of a bank or credit union</p>
</span><span class="dynamicLabel_asterisk"></span></label></label> </span></label></div>
</div>
<div class="form_item form_item--fullWidth"><label for="" class="form_label" title=""><label class="dynamicLabel"><label><span title="" class="dynamicLabel_primaryLabel">
<p>In addition to your requirement of up to eight (8) 15-minute onsite meetings with participating sponsors ("Hosted Meetings"), would you like to participate in non-Hosted Meetings?</p>
</span></label></label></label></div>
<div class="form_item form_item--fullWidth"><label for="" class="form_label" title=""><label class="dynamicLabel"><label><span title="" class="dynamicLabel_primaryLabel">
<p>These are meetings with individuals (including those not from sponsors) participating in the meetings program. All meetings are double opt-in so that they are useful to everyone and are based on your individual availability.</p>
</span></label></label></label></div>
<div class="form_item form_item--fullWidth"><label for="" class="form_label" title=""><label class="dynamicLabel dynamicLabel--required"><label><span title="" class="dynamicLabel_primaryLabel">
<p>We recommend "Yes" to get the most out of Fintech Meetup.</p>
</span><span class="dynamicLabel_asterisk"></span></label></label><span class="form_label--required">*</span></label>
<div class="radioBtnGroup radioBtnGroup--vertical">
<div class="radioBtn"><label><input type="radio" name="a66c7b5c-08d9-4fb1-b2da-e8264c8aea93" class="radioBtn_input" value="YES"><b class="radioBtn_circle smooth"></b><span class="radioBtn_text smooth">Yes, I'd like to get the most out of the
event with Hosted and Non-Hosted Meetings</span></label></div>
<div class="radioBtn"><label><input type="radio" name="a66c7b5c-08d9-4fb1-b2da-e8264c8aea93" class="radioBtn_input" value="NO"><b class="radioBtn_circle smooth"></b><span class="radioBtn_text smooth">No, I'll just do the required Hosted
Meetings</span></label></div>
</div>
</div>
<div class="form_item form_item--fullWidth">
<div class="checkbox checkbox--lg"><label><input class="checkbox_input" type="checkbox" name="b0a4a579-5abc-43be-8428-36702952a98d"><b></b><span class="checkbox_text"><label class="dynamicLabel"><label><span title=""
class="dynamicLabel_primaryLabel">
<p>To <b>OPT OUT</b> of the $750 travel/hotel reimbursement for any reason, check this box. If you want to receive the reimbursement, leave the box unchecked.</p>
</span></label></label> </span></label></div>
</div>
<div class="form_item form_item--fullWidth">
<hr>
</div>
<div class="form_item form_item--fullWidth"><label for="" class="form_label" title=""><label class="dynamicLabel"><label><span title="" class="dynamicLabel_primaryLabel">
<p><b>The following questions are for us to help you make the most of your time onsite</b></p>
</span></label></label></label></div>
<div class="form_item form_item--fullWidth">
<div class="checkbox checkbox--lg"><label><input class="checkbox_input" type="checkbox" name="ce131962-ab19-4a4a-ac9b-be9793da5fbf"><b></b><span class="checkbox_text"><label class="dynamicLabel"><label><span title=""
class="dynamicLabel_primaryLabel">
<p>As an attendee from a Bank, Credit Union, Asset or Wealth Management Firm or Insurance Company, you can join our Networking Dinner Series, which we've designed to become a key new part of the Fintech Meetup experience starting in
2024. </p>
<p>The pre-event sign up process will be automated, and we'll be in touch with details. Check this box if you're interested in joining amazing dinner experiences at top Venetian and Palazzo restaurants.</p>
</span></label></label> </span></label></div>
</div>
<div class="form_item form_item--fullWidth">
<div class="checkboxGroup checkboxGroup--md">
<div class="checkboxGroup_labelWrapper"><label for="" class="checkboxGroup_title form_label" title=""><label class="dynamicLabel"><label><span title="" class="dynamicLabel_primaryLabel">
<p>Topics of interest</p>
</span><span title="" class="form_label_additionalNote"><i><p>(Content Interests)</p></i></span></label></label></label></div>
<div class="checkboxGroup_wrapper">
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="f088d777-65fb-4637-b85d-74eadc743777"><b></b><span class="checkbox_text">Consumer Banking & Personal Finance </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="3f8535c8-bcb2-478a-b8bb-0019b0b09dee"><b></b><span class="checkbox_text">Lending & Credit </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="3ff1a7ab-9805-406c-8864-493abb9e247c"><b></b><span class="checkbox_text">Consumer Payments </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="c8fba68a-656f-44d7-888d-3f33087131ab"><b></b><span class="checkbox_text">B2B Payments & Finance </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="7be94b22-c095-433d-bf8a-aea623d77ae2"><b></b><span class="checkbox_text">Banking-as-a-Service & Embedded Finance </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="00d25191-eb84-42f7-b914-72a545cb4906"><b></b><span class="checkbox_text">Open Finance </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="0366dd1f-5957-4e75-9178-18cfc8f6a044"><b></b><span class="checkbox_text">Platforms, Infrastructure & APIs </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="3061c73c-61e7-4227-9e0e-ec8ecb016cec"><b></b><span class="checkbox_text">Risk, Security & Identity </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="d9b93002-af6b-4136-a548-1b643adb88a4"><b></b><span class="checkbox_text">Blockchain & Crypto </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="578bae82-bbb2-4220-9fb2-6ea9a8be5791"><b></b><span class="checkbox_text">Regulation & Compliance </span></label></div>
</div>
</div>
</div>
<div class="form_item form_item--fullWidth">
<div class="checkboxGroup checkboxGroup--md">
<div class="checkboxGroup_labelWrapper"><label for="" class="checkboxGroup_title form_label" title=""><label class="dynamicLabel"><label><span title="" class="dynamicLabel_primaryLabel">
<p>Your objectives for attending Fintech Meetup</p>
</span><span title="" class="form_label_additionalNote"><i><p>(select all that apply)</p></i></span></label></label></label></div>
<div class="checkboxGroup_wrapper">
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="e0300711-a5d2-41a6-8020-7b2a41e92e45"><b></b><span class="checkbox_text">Attend Sessions </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="88a58401-e6e7-409b-b06b-7e30999b32ca"><b></b><span class="checkbox_text">Network and Make New Contacts </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="c7850211-492a-40fd-a903-bd39428f718b"><b></b><span class="checkbox_text">Source New Technology Solutions </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="e23a3dd6-7c2e-4365-acb5-ddb6cba08498"><b></b><span class="checkbox_text">Raise Capital </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="a9361435-43ac-407b-8636-e27d47d16057"><b></b><span class="checkbox_text">Build Brand Awareness </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="31ca34de-b9c8-43dd-9788-726ed5d54b18"><b></b><span class="checkbox_text">Gain Media Exposure </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="6003a09d-845d-42df-a6be-3dc6a9095399"><b></b><span class="checkbox_text">Generate New Clients and Leads </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="50e607b0-c92b-4c4c-ad72-4beec1b40625"><b></b><span class="checkbox_text">Source Investment Opportunities and Acquisitions </span></label></div>
</div>
</div>
</div>
<div class="form_item form_item--fullWidth">
<div class="checkboxGroup checkboxGroup--md">
<div class="checkboxGroup_labelWrapper"><label for="" class="checkboxGroup_title form_label" title=""><label class="dynamicLabel"><label><span title="" class="dynamicLabel_primaryLabel">
<p>Do you have any dietary requirements we should know about?</p>
</span><span title="" class="form_label_additionalNote"><i><p>(select all that apply)</p></i></span></label></label></label></div>
<div class="checkboxGroup_wrapper">
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="VEGETARIAN"><b></b><span class="checkbox_text">Vegetarian </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="VEGAN"><b></b><span class="checkbox_text">Vegan </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="KOSHER"><b></b><span class="checkbox_text">Kosher </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="HALAL"><b></b><span class="checkbox_text">Halal </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="GLUTEN_INTOLERANT"><b></b><span class="checkbox_text">Gluten Intolerant </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="NON_LACTOSE"><b></b><span class="checkbox_text">Non Lactose </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="LOW_CONTENT"><b></b><span class="checkbox_text">Low Fat/Low Cholesterol/Low Calorie/Low Sodium </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="DIABETIC"><b></b><span class="checkbox_text">Diabetic </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="ALLERGY_OTHER"><b></b><span class="checkbox_text">Allergy / Other </span></label></div>
</div>
</div>
</div>
<div class="form_item form_item--fullWidth">
<div class="checkbox checkbox--lg"><label><input class="checkbox_input" type="checkbox" name="3e371b16-f742-496b-a6bd-db0b1d0f8c05"><b></b><span class="checkbox_text"><label class="dynamicLabel"><label><span title=""
class="dynamicLabel_primaryLabel">
<p>Do you have any access requirements?</p>
</span></label></label> </span></label></div>
</div>
<div class="form_item form_item--fullWidth"><label for="" class="form_label" title=""><label class="dynamicLabel"><label><span title="" class="dynamicLabel_primaryLabel">
<p>Tell us more about yourself</p>
</span></label></label></label></div>
<div class="form_item"><label for="" class="form_label" title=""><label class="dynamicLabel"><label><span title="" class="dynamicLabel_primaryLabel">
<p>Favorite thing to eat?</p>
</span></label></label></label>
<div class="inputBox"><input type="text" name="c56f0482-71b7-4950-b8bc-ad5f19511755" data-testid="c56f0482-71b7-4950-b8bc-ad5f19511755" value=""></div>
</div>
<div class="form_item"><label for="" class="form_label" title=""><label class="dynamicLabel"><label><span title="" class="dynamicLabel_primaryLabel">
<p>If you could have any superpower, what would it be?</p>
</span></label></label></label>
<div class="inputBox"><input type="text" name="43d98de4-75ec-4f36-9469-707e1b8b2417" data-testid="43d98de4-75ec-4f36-9469-707e1b8b2417" value=""></div>
</div>
<div class="form_item"><label for="" class="form_label" title=""><label class="dynamicLabel"><label><span title="" class="dynamicLabel_primaryLabel">
<p>Do you have any pets?</p>
</span></label></label></label>
<div class="selectDropdown_wrapper">
<div class="selectDropdown isClearable css-b62m3t-container"><span id="react-select-8-live-region" class="css-7pg0cj-a11yText"></span><span aria-live="polite" aria-atomic="false" aria-relevant="additions text"
class="css-7pg0cj-a11yText"></span>
<div class="selectDropdown__control css-1s2u09g-control">
<div class="selectDropdown__value-container css-1d8n9bt">
<div class="selectDropdown__placeholder css-14el2xx-placeholder" id="react-select-8-placeholder">Select...</div><input id="20766c10-f9a6-42c0-8731-ab93527896e7" tabindex="0" inputmode="none" aria-autocomplete="list" aria-expanded="false"
aria-haspopup="true" aria-controls="react-select-8-listbox" aria-owns="react-select-8-listbox" role="combobox" aria-readonly="true" aria-describedby="react-select-8-placeholder" class="css-1hac4vs-dummyInput" value="">
</div>
<div class="selectDropdown__indicators css-1wy0on6"><span class="selectDropdown__indicator-separator css-1okebmr-indicatorSeparator"></span>
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You need to enable JavaScript to run this app. Venetian, Las Vegas March 3-6, 2024 Qualified Banks & Credit Unions Can Get Free Fintech Meetup Tickets & Up To $750 Travel/Hotel Reimbursement To qualify, individuals must (a) be employed by (i) any FDIC registered bank, (ii) Credit Union registered with the National Credit Union Administration, or (iii) Credit Union Service Organization (CUSO) registered with the National Credit Union Administration, and (b) be responsible for buying or evaluating payments, banking, lending, credit, personal finance, investing or other applicable technology and solutions for their organizations, and (c) take up to eight (8) 15-minute onsite meetings with participating sponsors ("Hosted Meetings"), which are based on a double opt-in process so that they are useful to everyone. You commit to being available for at least 16 Meeting Time Slots (out of 24 total), until you receive your final schedule immediately prior to the event. Your final set of up to eight (8) 15-minute Hosted Meetings may be spread across multiple Meeting Times; they may not be back to back. If you choose to, you can also participate in meetings that are not Hosted Meetings ("Non-Hosted Meetings") with individuals (including those that are not from sponsors) participating in the meetings program. These non-hosted meetings are also based on a double opt-in process. You will not need to miss any agenda sessions for Hosted or Non-Hosted meetings. The reimbursement of up to $750 is conditioned upon (a) completing all of your scheduled meetings, (b) submitting a short feedback survey, and (c) submitting travel/hotel receipts following the event within our stated deadlines. Click here for Terms & Conditions. HOSTED BANKS & CREDIT UNIONS (FREE) Pronouns * He/Him She/Her They/Them Prefer not to say First Name * Last Name * Mobile Number * +1 Select Country Code Work Email* Alternate Email Your LinkedIn Profile URL * I have an Assistant(your Assistant will be copied on all emails) Time Zone (for display purposes only) * Select... Country * Select... Address Suite, Apt, etc. City/Locality State/Region Zip/Postal Code -------------------------------------------------------------------------------- Your Organization Organization Name* Organization URL* Describe your organization based on your primary job function * Select... What is the asset size of your institution? * Select... What is the stage of your organization? * Select... -------------------------------------------------------------------------------- Your Role Job Title * Job Title Level * Select... Job Function (select up to 3) * Executive Leadership & Board of Directors Strategy, Innovation & Transformation Sales, BD & Account Management Partnerships Product Technology & IT Operations & Project Management Data, Analytics & Insights Marketing & Communications Compliance & Risk Management Legal Finance & Accounting HR & Recruiting Environmental, Social & Corporate Governance (ESG) Procurement & Vendor Management Investing Research, Content & Journalism Consulting & Advisory Other I am (select all that apply) * The budget owner or final decision maker for payments, banking or financial services solutions or technology buying decisions Part of a team that makes payments, banking or financial services solutions or technology buying decisions An influencer in payments, banking or financial services solutions or technology buying decisions In procurement Not an influencer or buyer for payments, banking or financial services solutions or technology I am evaluating or looking to buy payments, banking or financial services solutions and technology for my organization in (select all that apply) * 0-6 months 6-12 months 12+ months -------------------------------------------------------------------------------- Your Hosted Ticket Application I agree to participate in up to eight (8) 15-minute Hosted Program meetings (a total of two hours) I confirm that I am an employee of a bank or credit union In addition to your requirement of up to eight (8) 15-minute onsite meetings with participating sponsors ("Hosted Meetings"), would you like to participate in non-Hosted Meetings? These are meetings with individuals (including those not from sponsors) participating in the meetings program. All meetings are double opt-in so that they are useful to everyone and are based on your individual availability. We recommend "Yes" to get the most out of Fintech Meetup. * Yes, I'd like to get the most out of the event with Hosted and Non-Hosted Meetings No, I'll just do the required Hosted Meetings To OPT OUT of the $750 travel/hotel reimbursement for any reason, check this box. If you want to receive the reimbursement, leave the box unchecked. -------------------------------------------------------------------------------- The following questions are for us to help you make the most of your time onsite As an attendee from a Bank, Credit Union, Asset or Wealth Management Firm or Insurance Company, you can join our Networking Dinner Series, which we've designed to become a key new part of the Fintech Meetup experience starting in 2024. The pre-event sign up process will be automated, and we'll be in touch with details. Check this box if you're interested in joining amazing dinner experiences at top Venetian and Palazzo restaurants. Topics of interest (Content Interests) Consumer Banking & Personal Finance Lending & Credit Consumer Payments B2B Payments & Finance Banking-as-a-Service & Embedded Finance Open Finance Platforms, Infrastructure & APIs Risk, Security & Identity Blockchain & Crypto Regulation & Compliance Your objectives for attending Fintech Meetup (select all that apply) Attend Sessions Network and Make New Contacts Source New Technology Solutions Raise Capital Build Brand Awareness Gain Media Exposure Generate New Clients and Leads Source Investment Opportunities and Acquisitions Do you have any dietary requirements we should know about? (select all that apply) Vegetarian Vegan Kosher Halal Gluten Intolerant Non Lactose Low Fat/Low Cholesterol/Low Calorie/Low Sodium Diabetic Allergy / Other Do you have any access requirements? Tell us more about yourself Favorite thing to eat? If you could have any superpower, what would it be? Do you have any pets? Select... -------------------------------------------------------------------------------- Your Privacy Hyve Group (Fintech Meetup's parent company) takes your privacy seriously – you can read more about this in our Privacy Notice. We use your personal information to provide the services you have requested from us and for other carefully considered legitimate business purposes. This includes sending you marketing communications and advertising about our events as well as information and publications which we think would be of interest to you. You have the right to object to this processing and, if you wish to do so, you can update your preferences here. 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