www.pharmalex.com Open in urlscan Pro
2606:4700:10::ac43:ceb Public Scan

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Submitted URL:
https://checkpoint.url-protection.com/v1/url?o=https://www.pharmalex.com/contact-us/&g=MjI4M2M2MWE5YmY4ZmE0Nw==&h=ZmU4Mjk5ZGVhYzlhYzYz...
Effective URL:
https://www.pharmalex.com/contact-us/
Submission: On August 18 via api (August 18th 2022, 11:50:08 am UTC) from BE — Scanned from DE

Form analysis
6 forms found in the DOM

GET https://www.pharmalex.com/

<form class="searchform" role="search" method="get" action="https://www.pharmalex.com/">
  <input type="text" class="field searchform-s" name="s" value="" placeholder="Type and hit enter …">
  <input type="submit" class="assistive-text searchsubmit" value="Go!">
  <a href="#go" id="trigger-overlay" class="submit">Search</a>
</form>

https://www.pharmalex.com/

<form class="mega-search mega-search-open" role="search" action="https://www.pharmalex.com/">
  <span class="dashicons dashicons-search search-icon"></span>
  <input type="submit" value="Search">
  <input type="text" aria-label="Search..." data-placeholder="Search..." placeholder="Search..." name="s">
</form>

POST /contact-us/#wpcf7-f124-p7-o3

<form action="/contact-us/#wpcf7-f124-p7-o3" method="post" class="wpcf7-form init wpcf7-acceptance-as-validation" novalidate="novalidate" data-status="init">
  <div style="display: none;">
    <input type="hidden" name="_wpcf7" value="124">
    <input type="hidden" name="_wpcf7_version" value="5.6.1">
    <input type="hidden" name="_wpcf7_locale" value="de_DE">
    <input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f124-p7-o3">
    <input type="hidden" name="_wpcf7_container_post" value="7">
    <input type="hidden" name="_wpcf7_posted_data_hash" value="">
    <input type="hidden" name="_wpcf7cf_hidden_group_fields" value="[&quot;state&quot;]">
    <input type="hidden" name="_wpcf7cf_hidden_groups" value="[&quot;countiesgroup&quot;]">
    <input type="hidden" name="_wpcf7cf_visible_groups" value="[]">
    <input type="hidden" name="_wpcf7cf_repeaters" value="[]">
    <input type="hidden" name="_wpcf7cf_steps" value="{}">
    <input type="hidden" name="_wpcf7cf_options"
      value="{&quot;form_id&quot;:124,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;countiesgroup&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;country&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;United States&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;notice_dismissed_rollback-cf7-5.5.1&quot;:true}}">
    <input type="hidden" name="_wpcf7_recaptcha_response" value="">
  </div>
  <div class="wpcf7-response-output" aria-hidden="true"></div>
  <p><strong>Please DO NOT send us event/conference information.<br> We will not respond and these will be deleted immediately.</strong>
  </p>
  <p><span class="wpcf7-form-control-wrap" data-name="first-name"><input type="text" name="first-name" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required input_field" id="your-name" aria-required="true"
        aria-invalid="false" placeholder="Your First Name (Mandatory)"></span><br>
    <span class="wpcf7-form-control-wrap" data-name="last-name"><input type="text" name="last-name" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required input_field" id="your-name" aria-required="true"
        aria-invalid="false" placeholder="Your Last Name (Mandatory)"></span><br>
    <span class="wpcf7-form-control-wrap" data-name="e-mail"><input type="email" name="e-mail" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email input_field" id="email"
        aria-required="true" aria-invalid="false" placeholder="Your Email (Mandatory)"></span><br>
    <span class="wpcf7-form-control-wrap" data-name="phone"><input type="text" name="phone" value="" size="40" class="wpcf7-form-control wpcf7-text input_field" id="your-name" aria-invalid="false" placeholder="Your Telephone Number"></span><br>
    <span class="wpcf7-form-control-wrap" data-name="message"><textarea name="message" cols="40" rows="4" class="wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required input_field" id="message" aria-required="true" aria-invalid="false"
        placeholder="Your message (Mandatory)"></textarea></span>
  </p>
  <p><span class="wpcf7-form-control-wrap" data-name="country"><select name="country" class="wpcf7-form-control wpcf7-select wpcf7-validates-as-required" aria-required="true" aria-invalid="false">
        <option value="">Where are you located?</option>
        <option value="Afghanistan">Afghanistan</option>
        <option value="Albania">Albania</option>
        <option value="Algeria">Algeria</option>
        <option value="Armenia">Armenia</option>
        <option value="Argentina">Argentina</option>
        <option value="Austria">Austria</option>
        <option value="Australia">Australia</option>
        <option value="Azerbaijan">Azerbaijan</option>
        <option value="Bangladesh">Bangladesh</option>
        <option value="Belarus">Belarus</option>
        <option value="Belgium">Belgium</option>
        <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
        <option value="Bolivia">Bolivia</option>
        <option value="Brazil">Brazil</option>
        <option value="British Virgin Islands">British Virgin Islands</option>
        <option value="Bulgaria">Bulgaria</option>
        <option value="Canada">Canada</option>
        <option value="Chile">Chile</option>
        <option value="China">China</option>
        <option value="Colombia">Colombia</option>
        <option value="Costa Rica">Costa Rica</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="Dominican Republic">Dominican Republic</option>
        <option value="Ecuador">Ecuador</option>
        <option value="El Salvador">El Salvador</option>
        <option value="Estonia">Estonia</option>
        <option value="Egypt">Egypt</option>
        <option value="Spain">Spain</option>
        <option value="Finland">Finland</option>
        <option value="France">France</option>
        <option value="Georgia">Georgia</option>
        <option value="Germany">Germany</option>
        <option value="Ghana">Ghana</option>
        <option value="Greece">Greece</option>
        <option value="Honduras">Honduras</option>
        <option value="Hungary">Hungary</option>
        <option value="Iceland">Iceland</option>
        <option value="India">India</option>
        <option value="Indonesia">Indonesia</option>
        <option value="Israel">Israel</option>
        <option value="Ireland">Ireland</option>
        <option value="Iraq">Iraq</option>
        <option value="Iran, Islamic Republic of">Iran, Islamic Republic of</option>
        <option value="Isle of Man">Isle of Man</option>
        <option value="Italy">Italy</option>
        <option value="Jamaica">Jamaica</option>
        <option value="Japan">Japan</option>
        <option value="Jordan">Jordan</option>
        <option value="Kazakhstan">Kazakhstan</option>
        <option value="Korea (North)">Korea (North)</option>
        <option value="Korea (South)">Korea (South)</option>
        <option value="Kuwait">Kuwait</option>
        <option value="Latvia">Latvia</option>
        <option value="Lebanon">Lebanon</option>
        <option value="Liechtenstein">Liechtenstein</option>
        <option value="Lithuania">Lithuania</option>
        <option value="Luxemburg">Luxemburg</option>
        <option value="Macao">Macao</option>
        <option value="Macedonia, Republic of">Macedonia, Republic of</option>
        <option value="Malta">Malta</option>
        <option value="Malaysia">Malaysia</option>
        <option value="Marshall Islands">Marshall Islands</option>
        <option value="Mexico">Mexico</option>
        <option value="Morocco">Morocco</option>
        <option value="Monaco">Monaco</option>
        <option value="Moldova">Moldova</option>
        <option value="Montenegro">Montenegro</option>
        <option value="Myanmar">Myanmar</option>
        <option value="Namibia">Namibia</option>
        <option value="Netherlands">Netherlands</option>
        <option value="New Zealand">New Zealand</option>
        <option value="Norway">Norway</option>
        <option value="Oman">Oman</option>
        <option value="Pakistan">Pakistan</option>
        <option value="Palestinian Territory">Palestinian Territory</option>
        <option value="Panama">Panama</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="Romania">Romania</option>
        <option value="Serbia">Serbia</option>
        <option value="Russian Federation">Russian Federation</option>
        <option value="Saudi Arabia">Saudi Arabia</option>
        <option value="Singapore">Singapore</option>
        <option value="Slovenia">Slovenia</option>
        <option value="Slovakia">Slovakia</option>
        <option value="South Africa">South Africa</option>
        <option value="Sri Lanka">Sri Lanka</option>
        <option value="Sudan">Sudan</option>
        <option value="Sweden">Sweden</option>
        <option value="Switzerland">Switzerland</option>
        <option value="Syrian Arab Republic (Syria)">Syrian Arab Republic (Syria)</option>
        <option value="Taiwan, Republic of China">Taiwan, Republic of China</option>
        <option value="Thailand">Thailand</option>
        <option value="Tunisia">Tunisia</option>
        <option value="Turkey">Turkey</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="Venezuela (Bolivarian Republic)">Venezuela (Bolivarian Republic)</option>
        <option value="Vietnam">Vietnam</option>
      </select></span></p>
  <div data-id="countiesgroup" data-orig_data_id="countiesgroup" data-class="wpcf7cf_group" style="height: auto;" class="wpcf7cf-hidden">
    <p>Select your state: </p>
    <p>
      <span class="wpcf7-form-control-wrap" data-name="state"><select name="state" class="wpcf7-form-control wpcf7-select wpcf7-validates-as-required" aria-required="true" aria-invalid="false">
          <option value="">---</option>
          <option value="Alabama">Alabama</option>
          <option value="Alaska">Alaska</option>
          <option value="Arizona">Arizona</option>
          <option value="Arkansas">Arkansas</option>
          <option value="California">California</option>
          <option value="Colorado">Colorado</option>
          <option value="Connecticut">Connecticut</option>
          <option value="Delaware">Delaware</option>
          <option value="District of Columbia">District of Columbia</option>
          <option value="Florida">Florida</option>
          <option value="Georgia">Georgia</option>
          <option value="Hawaii">Hawaii</option>
          <option value="Idaho">Idaho</option>
          <option value="Illinois">Illinois</option>
          <option value="Indiana">Indiana</option>
          <option value="Iowa">Iowa</option>
          <option value="Kansas">Kansas</option>
          <option value="Kentucky">Kentucky</option>
          <option value="Louisiana">Louisiana</option>
          <option value="Maine">Maine</option>
          <option value="Maryland">Maryland</option>
          <option value="Massachusetts">Massachusetts</option>
          <option value="Michigan">Michigan</option>
          <option value="Minnesota">Minnesota</option>
          <option value="Mississippi">Mississippi</option>
          <option value="Missouri">Missouri</option>
          <option value="Montana">Montana</option>
          <option value="Nebraska">Nebraska</option>
          <option value="Nevada">Nevada</option>
          <option value="New Hampshire">New Hampshire</option>
          <option value="New Jersey">New Jersey</option>
          <option value="New Mexico">New Mexico</option>
          <option value="New York">New York</option>
          <option value="North Carolina">North Carolina</option>
          <option value="North Dakota">North Dakota</option>
          <option value="Ohio">Ohio</option>
          <option value="Oklahoma">Oklahoma</option>
          <option value="Oregon">Oregon</option>
          <option value="Pennsylvania">Pennsylvania</option>
          <option value="Puerto Rico">Puerto Rico</option>
          <option value="Rhode Island">Rhode Island</option>
          <option value="South Carolina">South Carolina</option>
          <option value="South Dakota">South Dakota</option>
          <option value="Tennessee">Tennessee</option>
          <option value="Texas">Texas</option>
          <option value="Utah">Utah</option>
          <option value="Vermont">Vermont</option>
          <option value="Virginia">Virginia</option>
          <option value="Washington">Washington</option>
          <option value="West Virginia">West Virginia</option>
          <option value="Wisconsin">Wisconsin</option>
          <option value="Wyoming">Wyoming</option>
        </select></span>
    </p>
  </div>
  <p style="margin-bottom: 10px;font-size: 11px;"><span class="wpcf7-form-control-wrap" data-name="gdpr-consent"><span class="wpcf7-form-control wpcf7-acceptance"><span class="wpcf7-list-item"><label><input type="checkbox" name="gdpr-consent"
              value="1" aria-invalid="false"><span class="wpcf7-list-item-label">Please tick this box to agree to our <a href="https://www.pharmalex.com/data-protection/" target="_blank">Privacy Policy</a></span></label></span></span></span></p>
  <p style="margin-bottom: 10px;font-size: 11px;"><span class="wpcf7-form-control-wrap" data-name="marketing-materials"><span class="wpcf7-form-control wpcf7-checkbox"><span class="wpcf7-list-item first last"><label><input type="checkbox"
              name="marketing-materials[]" value="Please tick this box if you agree to periodic updates from PharmaLex"><span class="wpcf7-list-item-label">Please tick this box if you agree to periodic updates from
              PharmaLex</span></label></span></span></span>. <br>If you do not wish to receive any communication from us, you may unsubscribe at any time.</p>
  <p><span id="wpcf7-62f10ea2f2996-wrapper" class="wpcf7-form-control-wrap county-wrap"><label for="wpcf7-62f10ea2f2996-field" class="hp-message">Please leave this field empty.</label><input id="wpcf7-62f10ea2f2996-field"
        class="wpcf7-form-control wpcf7-text" type="text" name="county" value="" size="40" tabindex="-1" autocomplete="new-password"></span></p>
  <span class="wpcf7-form-control-wrap recaptcha"><span data-sitekey="6Ld5IU0UAAAAACrCkbMzml_RNn203llY5LCRm-cW" class="wpcf7-form-control g-recaptcha wpcf7-recaptcha">
      <div style="width: 304px; height: 78px;">
        <div><iframe title="reCAPTCHA"
            src="https://www.recaptcha.net/recaptcha/api2/anchor?ar=1&amp;k=6Ld5IU0UAAAAACrCkbMzml_RNn203llY5LCRm-cW&amp;co=aHR0cHM6Ly93d3cucGhhcm1hbGV4LmNvbTo0NDM.&amp;hl=en&amp;v=mq0-U1BHZ5YTcoDC-CvsLPNc&amp;size=normal&amp;cb=ahz4az2u0b3"
            width="304" height="78" role="presentation" name="a-4mvhighozyph" 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>
    </span>
    <noscript>
      <div class="grecaptcha-noscript">
        <iframe src="https://www.recaptcha.net/recaptcha/api/fallback?k=6Ld5IU0UAAAAACrCkbMzml_RNn203llY5LCRm-cW" frameborder="0" scrolling="no" width="310" height="430">
        </iframe>
        <textarea name="g-recaptcha-response" rows="3" cols="40" placeholder="reCaptcha Response Here">		</textarea>
      </div>
    </noscript>
  </span>
  <p><input type="submit" value="Send" class="wpcf7-form-control has-spinner wpcf7-submit"><span class="wpcf7-spinner"></span>
  </p>
  <div class="wpcf7-response-output" aria-hidden="true"></div>
  <p></p>
  <p style="display: none !important;"><label>Δ<textarea name="_wpcf7_ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_3" name="_wpcf7_ak_js" value="1660823402315">
    <script>
      document.getElementById("ak_js_3").setAttribute("value", (new Date()).getTime());
    </script>
  </p><input type="hidden" class="wpcf7-pum" value="{&quot;closepopup&quot;:false,&quot;closedelay&quot;:0,&quot;openpopup&quot;:false,&quot;openpopup_id&quot;:0}">
</form>

POST /contact-us/#wpcf7-f124-o1

<form action="/contact-us/#wpcf7-f124-o1" method="post" class="wpcf7-form init wpcf7-acceptance-as-validation" novalidate="novalidate" data-status="init">
  <div style="display: none;">
    <input type="hidden" name="_wpcf7" value="124">
    <input type="hidden" name="_wpcf7_version" value="5.6.1">
    <input type="hidden" name="_wpcf7_locale" value="de_DE">
    <input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f124-o1">
    <input type="hidden" name="_wpcf7_container_post" value="0">
    <input type="hidden" name="_wpcf7_posted_data_hash" value="">
    <input type="hidden" name="_wpcf7cf_hidden_group_fields" value="[&quot;state&quot;]">
    <input type="hidden" name="_wpcf7cf_hidden_groups" value="[&quot;countiesgroup&quot;]">
    <input type="hidden" name="_wpcf7cf_visible_groups" value="[]">
    <input type="hidden" name="_wpcf7cf_repeaters" value="[]">
    <input type="hidden" name="_wpcf7cf_steps" value="{}">
    <input type="hidden" name="_wpcf7cf_options"
      value="{&quot;form_id&quot;:124,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;countiesgroup&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;country&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;United States&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;notice_dismissed_rollback-cf7-5.5.1&quot;:true}}">
    <input type="hidden" name="_wpcf7_recaptcha_response" value="">
  </div>
  <div class="wpcf7-response-output" aria-hidden="true"></div>
  <p><strong>Please DO NOT send us event/conference information.<br> We will not respond and these will be deleted immediately.</strong>
  </p>
  <p><span class="wpcf7-form-control-wrap" data-name="first-name"><input type="text" name="first-name" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required input_field" id="your-name" aria-required="true"
        aria-invalid="false" placeholder="Your First Name (Mandatory)"></span><br>
    <span class="wpcf7-form-control-wrap" data-name="last-name"><input type="text" name="last-name" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required input_field" id="your-name" aria-required="true"
        aria-invalid="false" placeholder="Your Last Name (Mandatory)"></span><br>
    <span class="wpcf7-form-control-wrap" data-name="e-mail"><input type="email" name="e-mail" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email input_field" id="email"
        aria-required="true" aria-invalid="false" placeholder="Your Email (Mandatory)"></span><br>
    <span class="wpcf7-form-control-wrap" data-name="phone"><input type="text" name="phone" value="" size="40" class="wpcf7-form-control wpcf7-text input_field" id="your-name" aria-invalid="false" placeholder="Your Telephone Number"></span><br>
    <span class="wpcf7-form-control-wrap" data-name="message"><textarea name="message" cols="40" rows="4" class="wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required input_field" id="message" aria-required="true" aria-invalid="false"
        placeholder="Your message (Mandatory)"></textarea></span>
  </p>
  <p><span class="wpcf7-form-control-wrap" data-name="country"><select name="country" class="wpcf7-form-control wpcf7-select wpcf7-validates-as-required" aria-required="true" aria-invalid="false">
        <option value="">Where are you located?</option>
        <option value="Afghanistan">Afghanistan</option>
        <option value="Albania">Albania</option>
        <option value="Algeria">Algeria</option>
        <option value="Armenia">Armenia</option>
        <option value="Argentina">Argentina</option>
        <option value="Austria">Austria</option>
        <option value="Australia">Australia</option>
        <option value="Azerbaijan">Azerbaijan</option>
        <option value="Bangladesh">Bangladesh</option>
        <option value="Belarus">Belarus</option>
        <option value="Belgium">Belgium</option>
        <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
        <option value="Bolivia">Bolivia</option>
        <option value="Brazil">Brazil</option>
        <option value="British Virgin Islands">British Virgin Islands</option>
        <option value="Bulgaria">Bulgaria</option>
        <option value="Canada">Canada</option>
        <option value="Chile">Chile</option>
        <option value="China">China</option>
        <option value="Colombia">Colombia</option>
        <option value="Costa Rica">Costa Rica</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="Dominican Republic">Dominican Republic</option>
        <option value="Ecuador">Ecuador</option>
        <option value="El Salvador">El Salvador</option>
        <option value="Estonia">Estonia</option>
        <option value="Egypt">Egypt</option>
        <option value="Spain">Spain</option>
        <option value="Finland">Finland</option>
        <option value="France">France</option>
        <option value="Georgia">Georgia</option>
        <option value="Germany">Germany</option>
        <option value="Ghana">Ghana</option>
        <option value="Greece">Greece</option>
        <option value="Honduras">Honduras</option>
        <option value="Hungary">Hungary</option>
        <option value="Iceland">Iceland</option>
        <option value="India">India</option>
        <option value="Indonesia">Indonesia</option>
        <option value="Israel">Israel</option>
        <option value="Ireland">Ireland</option>
        <option value="Iraq">Iraq</option>
        <option value="Iran, Islamic Republic of">Iran, Islamic Republic of</option>
        <option value="Isle of Man">Isle of Man</option>
        <option value="Italy">Italy</option>
        <option value="Jamaica">Jamaica</option>
        <option value="Japan">Japan</option>
        <option value="Jordan">Jordan</option>
        <option value="Kazakhstan">Kazakhstan</option>
        <option value="Korea (North)">Korea (North)</option>
        <option value="Korea (South)">Korea (South)</option>
        <option value="Kuwait">Kuwait</option>
        <option value="Latvia">Latvia</option>
        <option value="Lebanon">Lebanon</option>
        <option value="Liechtenstein">Liechtenstein</option>
        <option value="Lithuania">Lithuania</option>
        <option value="Luxemburg">Luxemburg</option>
        <option value="Macao">Macao</option>
        <option value="Macedonia, Republic of">Macedonia, Republic of</option>
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        <option value="Malaysia">Malaysia</option>
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        <option value="Mexico">Mexico</option>
        <option value="Morocco">Morocco</option>
        <option value="Monaco">Monaco</option>
        <option value="Moldova">Moldova</option>
        <option value="Montenegro">Montenegro</option>
        <option value="Myanmar">Myanmar</option>
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        <option value="Oman">Oman</option>
        <option value="Pakistan">Pakistan</option>
        <option value="Palestinian Territory">Palestinian Territory</option>
        <option value="Panama">Panama</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="Romania">Romania</option>
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        <option value="Russian Federation">Russian Federation</option>
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        <option value="Singapore">Singapore</option>
        <option value="Slovenia">Slovenia</option>
        <option value="Slovakia">Slovakia</option>
        <option value="South Africa">South Africa</option>
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        <option value="Sudan">Sudan</option>
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        <option value="Switzerland">Switzerland</option>
        <option value="Syrian Arab Republic (Syria)">Syrian Arab Republic (Syria)</option>
        <option value="Taiwan, Republic of China">Taiwan, Republic of China</option>
        <option value="Thailand">Thailand</option>
        <option value="Tunisia">Tunisia</option>
        <option value="Turkey">Turkey</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>
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        <option value="Venezuela (Bolivarian Republic)">Venezuela (Bolivarian Republic)</option>
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  <div data-id="countiesgroup" data-orig_data_id="countiesgroup" data-class="wpcf7cf_group" style="height: auto;" class="wpcf7cf-hidden">
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    <p>
      <span class="wpcf7-form-control-wrap" data-name="state"><select name="state" class="wpcf7-form-control wpcf7-select wpcf7-validates-as-required" aria-required="true" aria-invalid="false">
          <option value="">---</option>
          <option value="Alabama">Alabama</option>
          <option value="Alaska">Alaska</option>
          <option value="Arizona">Arizona</option>
          <option value="Arkansas">Arkansas</option>
          <option value="California">California</option>
          <option value="Colorado">Colorado</option>
          <option value="Connecticut">Connecticut</option>
          <option value="Delaware">Delaware</option>
          <option value="District of Columbia">District of Columbia</option>
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          <option value="Georgia">Georgia</option>
          <option value="Hawaii">Hawaii</option>
          <option value="Idaho">Idaho</option>
          <option value="Illinois">Illinois</option>
          <option value="Indiana">Indiana</option>
          <option value="Iowa">Iowa</option>
          <option value="Kansas">Kansas</option>
          <option value="Kentucky">Kentucky</option>
          <option value="Louisiana">Louisiana</option>
          <option value="Maine">Maine</option>
          <option value="Maryland">Maryland</option>
          <option value="Massachusetts">Massachusetts</option>
          <option value="Michigan">Michigan</option>
          <option value="Minnesota">Minnesota</option>
          <option value="Mississippi">Mississippi</option>
          <option value="Missouri">Missouri</option>
          <option value="Montana">Montana</option>
          <option value="Nebraska">Nebraska</option>
          <option value="Nevada">Nevada</option>
          <option value="New Hampshire">New Hampshire</option>
          <option value="New Jersey">New Jersey</option>
          <option value="New Mexico">New Mexico</option>
          <option value="New York">New York</option>
          <option value="North Carolina">North Carolina</option>
          <option value="North Dakota">North Dakota</option>
          <option value="Ohio">Ohio</option>
          <option value="Oklahoma">Oklahoma</option>
          <option value="Oregon">Oregon</option>
          <option value="Pennsylvania">Pennsylvania</option>
          <option value="Puerto Rico">Puerto Rico</option>
          <option value="Rhode Island">Rhode Island</option>
          <option value="South Carolina">South Carolina</option>
          <option value="South Dakota">South Dakota</option>
          <option value="Tennessee">Tennessee</option>
          <option value="Texas">Texas</option>
          <option value="Utah">Utah</option>
          <option value="Vermont">Vermont</option>
          <option value="Virginia">Virginia</option>
          <option value="Washington">Washington</option>
          <option value="West Virginia">West Virginia</option>
          <option value="Wisconsin">Wisconsin</option>
          <option value="Wyoming">Wyoming</option>
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  <p style="margin-bottom: 10px;font-size: 11px;"><span class="wpcf7-form-control-wrap" data-name="gdpr-consent"><span class="wpcf7-form-control wpcf7-acceptance"><span class="wpcf7-list-item"><label><input type="checkbox" name="gdpr-consent"
              value="1" aria-invalid="false"><span class="wpcf7-list-item-label">Please tick this box to agree to our <a href="https://www.pharmalex.com/data-protection/" target="_blank">Privacy Policy</a></span></label></span></span></span></p>
  <p style="margin-bottom: 10px;font-size: 11px;"><span class="wpcf7-form-control-wrap" data-name="marketing-materials"><span class="wpcf7-form-control wpcf7-checkbox"><span class="wpcf7-list-item first last"><label><input type="checkbox"
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              PharmaLex</span></label></span></span></span>. <br>If you do not wish to receive any communication from us, you may unsubscribe at any time.</p>
  <p><span id="wpcf7-62f10ea2c890d-wrapper" class="wpcf7-form-control-wrap county-wrap"><label for="wpcf7-62f10ea2c890d-field" class="hp-message">Please leave this field empty.</label><input id="wpcf7-62f10ea2c890d-field"
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</form>

POST /contact-us/#wpcf7-f8642-o2

<form action="/contact-us/#wpcf7-f8642-o2" method="post" class="wpcf7-form init wpcf7-acceptance-as-validation" novalidate="novalidate" data-status="init">
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  <p><span class="wpcf7-form-control-wrap" data-name="first-name"><input type="text" name="first-name" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required input_field" id="your-name" aria-required="true"
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  <p><span class="wpcf7-form-control-wrap" data-name="country"><select name="country" class="wpcf7-form-control wpcf7-select wpcf7-validates-as-required" aria-required="true" aria-invalid="false">
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        <option value="Albania">Albania</option>
        <option value="Algeria">Algeria</option>
        <option value="Armenia">Armenia</option>
        <option value="Argentina">Argentina</option>
        <option value="Austria">Austria</option>
        <option value="Australia">Australia</option>
        <option value="Azerbaijan">Azerbaijan</option>
        <option value="Bangladesh">Bangladesh</option>
        <option value="Belarus">Belarus</option>
        <option value="Belgium">Belgium</option>
        <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
        <option value="Bolivia">Bolivia</option>
        <option value="Brazil">Brazil</option>
        <option value="British Virgin Islands">British Virgin Islands</option>
        <option value="Bulgaria">Bulgaria</option>
        <option value="Canada">Canada</option>
        <option value="Chile">Chile</option>
        <option value="China">China</option>
        <option value="Colombia">Colombia</option>
        <option value="Costa Rica">Costa Rica</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="Dominican Republic">Dominican Republic</option>
        <option value="Ecuador">Ecuador</option>
        <option value="El Salvador">El Salvador</option>
        <option value="Estonia">Estonia</option>
        <option value="Egypt">Egypt</option>
        <option value="Spain">Spain</option>
        <option value="Finland">Finland</option>
        <option value="France">France</option>
        <option value="Georgia">Georgia</option>
        <option value="Germany">Germany</option>
        <option value="Ghana">Ghana</option>
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        <option value="India">India</option>
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        <option value="Jordan">Jordan</option>
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        <option value="Korea (North)">Korea (North)</option>
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        <option value="Kuwait">Kuwait</option>
        <option value="Latvia">Latvia</option>
        <option value="Lebanon">Lebanon</option>
        <option value="Liechtenstein">Liechtenstein</option>
        <option value="Lithuania">Lithuania</option>
        <option value="Luxemburg">Luxemburg</option>
        <option value="Macao">Macao</option>
        <option value="Macedonia, Republic of">Macedonia, Republic of</option>
        <option value="Malta">Malta</option>
        <option value="Malaysia">Malaysia</option>
        <option value="Marshall Islands">Marshall Islands</option>
        <option value="Mexico">Mexico</option>
        <option value="Morocco">Morocco</option>
        <option value="Monaco">Monaco</option>
        <option value="Moldova">Moldova</option>
        <option value="Montenegro">Montenegro</option>
        <option value="Myanmar">Myanmar</option>
        <option value="Namibia">Namibia</option>
        <option value="Netherlands">Netherlands</option>
        <option value="New Zealand">New Zealand</option>
        <option value="Norway">Norway</option>
        <option value="Oman">Oman</option>
        <option value="Pakistan">Pakistan</option>
        <option value="Palestinian Territory">Palestinian Territory</option>
        <option value="Panama">Panama</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="Romania">Romania</option>
        <option value="Serbia">Serbia</option>
        <option value="Russian Federation">Russian Federation</option>
        <option value="Saudi Arabia">Saudi Arabia</option>
        <option value="Singapore">Singapore</option>
        <option value="Slovenia">Slovenia</option>
        <option value="Slovakia">Slovakia</option>
        <option value="South Africa">South Africa</option>
        <option value="Sri Lanka">Sri Lanka</option>
        <option value="Sudan">Sudan</option>
        <option value="Sweden">Sweden</option>
        <option value="Switzerland">Switzerland</option>
        <option value="Syrian Arab Republic (Syria)">Syrian Arab Republic (Syria)</option>
        <option value="Taiwan, Republic of China">Taiwan, Republic of China</option>
        <option value="Thailand">Thailand</option>
        <option value="Tunisia">Tunisia</option>
        <option value="Turkey">Turkey</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="Venezuela (Bolivarian Republic)">Venezuela (Bolivarian Republic)</option>
        <option value="Vietnam">Vietnam</option>
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  <div data-id="countiesgroup" data-orig_data_id="countiesgroup" data-class="wpcf7cf_group" style="height: auto;" class="wpcf7cf-hidden">
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    <p>
      <span class="wpcf7-form-control-wrap" data-name="state"><select name="state" class="wpcf7-form-control wpcf7-select wpcf7-validates-as-required" aria-required="true" aria-invalid="false">
          <option value="">---</option>
          <option value="Alabama">Alabama</option>
          <option value="Alaska">Alaska</option>
          <option value="Arizona">Arizona</option>
          <option value="Arkansas">Arkansas</option>
          <option value="California">California</option>
          <option value="Colorado">Colorado</option>
          <option value="Connecticut">Connecticut</option>
          <option value="Delaware">Delaware</option>
          <option value="District of Columbia">District of Columbia</option>
          <option value="Florida">Florida</option>
          <option value="Georgia">Georgia</option>
          <option value="Hawaii">Hawaii</option>
          <option value="Idaho">Idaho</option>
          <option value="Illinois">Illinois</option>
          <option value="Indiana">Indiana</option>
          <option value="Iowa">Iowa</option>
          <option value="Kansas">Kansas</option>
          <option value="Kentucky">Kentucky</option>
          <option value="Louisiana">Louisiana</option>
          <option value="Maine">Maine</option>
          <option value="Maryland">Maryland</option>
          <option value="Massachusetts">Massachusetts</option>
          <option value="Michigan">Michigan</option>
          <option value="Minnesota">Minnesota</option>
          <option value="Mississippi">Mississippi</option>
          <option value="Missouri">Missouri</option>
          <option value="Montana">Montana</option>
          <option value="Nebraska">Nebraska</option>
          <option value="Nevada">Nevada</option>
          <option value="New Hampshire">New Hampshire</option>
          <option value="New Jersey">New Jersey</option>
          <option value="New Mexico">New Mexico</option>
          <option value="New York">New York</option>
          <option value="North Carolina">North Carolina</option>
          <option value="North Dakota">North Dakota</option>
          <option value="Ohio">Ohio</option>
          <option value="Oklahoma">Oklahoma</option>
          <option value="Oregon">Oregon</option>
          <option value="Pennsylvania">Pennsylvania</option>
          <option value="Puerto Rico">Puerto Rico</option>
          <option value="Rhode Island">Rhode Island</option>
          <option value="South Carolina">South Carolina</option>
          <option value="South Dakota">South Dakota</option>
          <option value="Tennessee">Tennessee</option>
          <option value="Texas">Texas</option>
          <option value="Utah">Utah</option>
          <option value="Vermont">Vermont</option>
          <option value="Virginia">Virginia</option>
          <option value="Washington">Washington</option>
          <option value="West Virginia">West Virginia</option>
          <option value="Wisconsin">Wisconsin</option>
          <option value="Wyoming">Wyoming</option>
        </select></span>
    </p>
  </div>
  <p style="margin-bottom: 10px;font-size: 11px;"><span class="wpcf7-form-control-wrap" data-name="gdpr-consent"><span class="wpcf7-form-control wpcf7-acceptance"><span class="wpcf7-list-item"><label><input type="checkbox" name="gdpr-consent"
              value="1" aria-invalid="false"><span class="wpcf7-list-item-label">Please tick this box to agree to our Privacy Policy</span></label></span></span></span></p>
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              PharmaLex</span></label></span></span></span>. <br>You can unsubscribe at any time at <a href="mailto:data.protection@pharmalex.com">data.protection@pharmalex.com</a></p>
  <p><span id="wpcf7-62f10ea2cbd56-wrapper" class="wpcf7-form-control-wrap county-wrap"><label for="wpcf7-62f10ea2cbd56-field" class="hp-message">Please leave this field empty.</label><input id="wpcf7-62f10ea2cbd56-field"
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