stus24-registration.personatech.com
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Submitted URL: https://hello.shoptalk.com/e3t/Ctc/2M+113/d120Wp04/VX823S3QQDMtW8y5m1x84_h5LVhPn1w59jhj1N3pwdFv9k468W8wM-gK6lZ3nlW7P9M4b43M...
Effective URL: https://stus24-registration.personatech.com/form/initiate?fId=OGQ4NDFmMzYtNmQ3Yy00MjI4LWJmYjEtNDZkZTkzODQ3YWI1&OTID=084aecfe-97f2-4d78-a783-...
Submission: On February 13 via api from ES — Scanned from ES
Effective URL: https://stus24-registration.personatech.com/form/initiate?fId=OGQ4NDFmMzYtNmQ3Yy00MjI4LWJmYjEtNDZkZTkzODQ3YWI1&OTID=084aecfe-97f2-4d78-a783-...
Submission: On February 13 via api from ES — Scanned from ES
Form analysis 1 forms found in the DOM
#
<form action="#" class="form--flex" data-hs-cf-bound="true">
<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="d5fc0cbb-f0da-4f89-a83f-f5aa0de6fd7c" 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="d5fc0cbb-f0da-4f89-a83f-f5aa0de6fd7c" 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="d5fc0cbb-f0da-4f89-a83f-f5aa0de6fd7c" 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="d5fc0cbb-f0da-4f89-a83f-f5aa0de6fd7c" 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="da0c4d9e-73dc-4f77-b254-76e49320f36a" data-testid="da0c4d9e-73dc-4f77-b254-76e49320f36a" 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="c50182c5-3536-4664-a8d0-cacd50276ab8" data-testid="c50182c5-3536-4664-a8d0-cacd50276ab8" 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="b4b31f57-1e6e-4db8-aa9c-73521a0e08ac" data-testid="b4b31f57-1e6e-4db8-aa9c-73521a0e08ac" 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="27cf2508-6ba4-42ce-b251-a58e08da34c1" data-testid="27cf2508-6ba4-42ce-b251-a58e08da34c1" 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><span title=""
class="form_label_additionalNote"><i><p><span data-sheets-value="{"1":2,"2":"(will be copied on all emails)"}" data-sheets-userformat="{"2":12715,"3":{"1":0},"4":{"1":2,"2":16777215},"6":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"8":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"10":0,"11":4,"15":"Calibri","16":9}">(will be copied on all emails)</span></p></i></span></label></label></label>
<div class="transformToLowerCase inputBox"><input type="text" name="24ba9884-b327-4a99-9941-15f41dbf3cfc" data-testid="24ba9884-b327-4a99-9941-15f41dbf3cfc" 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="2cb1d1ac-5d03-4a89-95c9-98c23c0e655b" data-testid="2cb1d1ac-5d03-4a89-95c9-98c23c0e655b" value=""></div>
</div>
<div class="form_item form_item--fullWidth">
<div class="checkbox checkbox--lg"><label><input class="checkbox_input" type="checkbox" name="ce6d8562-58f0-4224-9ce2-c57a2112de35"><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="f2f4a59f-ff2b-4f01-86bb-61d73dc07a80" 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="f2f4a59f-ff2b-4f01-86bb-61d73dc07a80" 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="8547afa6-4232-4032-8a39-e74fb9877fe7" 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="8547afa6-4232-4032-8a39-e74fb9877fe7" 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><span data-sheets-value="{"1":2,"2":"Address"}"
data-sheets-userformat="{"2":12715,"3":{"1":0},"4":{"1":2,"2":16777215},"6":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"8":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"10":0,"11":4,"15":"Calibri","16":9}">Address</span>
</p>
</span></label></label></label>
<div class="inputBox"><input type="text" name="f85ec50d-acce-40c0-8200-50ab45cfd121" data-testid="f85ec50d-acce-40c0-8200-50ab45cfd121" value=""></div>
</div>
<div class="form_item"><label for="" class="form_label" title=""><label class="dynamicLabel"><label><span title="" class="dynamicLabel_primaryLabel">
<p><span data-sheets-value="{"1":2,"2":"Suite, Apt, etc. "}"
data-sheets-userformat="{"2":12715,"3":{"1":0},"4":{"1":2,"2":16777215},"6":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"8":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"10":0,"11":4,"15":"Calibri","16":9}">Suite,
Apt, etc. </span></p>
</span></label></label></label>
<div class="inputBox"><input type="text" name="d9f717ba-2d5c-4f2c-a49d-1fa64d56fd7d" data-testid="d9f717ba-2d5c-4f2c-a49d-1fa64d56fd7d" value=""></div>
</div>
<div class="form_item"><label for="" class="form_label" title=""><label class="dynamicLabel"><label><span title="" class="dynamicLabel_primaryLabel">
<p><span data-sheets-value="{"1":2,"2":"City/Locality"}"
data-sheets-userformat="{"2":12715,"3":{"1":0},"4":{"1":2,"2":16777215},"6":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"8":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"10":0,"11":4,"15":"Calibri","16":9}">City/Locality</span>
</p>
</span></label></label></label>
<div class="inputBox"><input type="text" name="d4187ba1-7785-4041-aa6b-fefac4de39b0" data-testid="d4187ba1-7785-4041-aa6b-fefac4de39b0" value=""></div>
</div>
<div class="form_item"><label for="" class="form_label" title=""><label class="dynamicLabel"><label><span title="" class="dynamicLabel_primaryLabel">
<p><span data-sheets-value="{"1":2,"2":"State/Region"}"
data-sheets-userformat="{"2":12715,"3":{"1":0},"4":{"1":2,"2":16777215},"6":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"8":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"10":0,"11":4,"15":"Calibri","16":9}">State/Region</span>
</p>
</span></label></label></label>
<div class="inputBox"><input type="text" name="b43e821e-daa5-477a-bd19-d7918dff0cc3" data-testid="b43e821e-daa5-477a-bd19-d7918dff0cc3" value=""></div>
</div>
<div class="form_item"><label for="" class="form_label" title=""><label class="dynamicLabel"><label><span title="" class="dynamicLabel_primaryLabel">
<p><span data-sheets-value="{"1":2,"2":"Zip/Postal Code"}"
data-sheets-userformat="{"2":12715,"3":{"1":0},"4":{"1":2,"2":16777215},"6":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"8":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"10":0,"11":4,"15":"Calibri","16":9}">Zip/Postal
Code</span></p>
</span></label></label></label>
<div class="inputBox"><input type="text" name="593e321a-4e3e-42f8-b907-138284486c15" data-testid="593e321a-4e3e-42f8-b907-138284486c15" 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><span data-sheets-value="{"1":2,"2":"Your Organization"}" data-sheets-userformat="{"2":29099,"3":{"1":0},"4":{"1":2,"2":16777215},"6":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"8":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"10":0,"11":4,"15":"Calibri","16":9,"17":1}">Your Organization</span></b>
</p>
</span></label></label></label></div>
<div class="form_item"><label for="a28f096a-94d0-496b-b950-5140312a65e3" 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="9797babd-93ac-4271-9174-d865d5ba75e4" data-testid="9797babd-93ac-4271-9174-d865d5ba75e4" 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="01a89b5d-dcc4-4197-8d66-69d4062d693b" 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="01a89b5d-dcc4-4197-8d66-69d4062d693b" type="hidden" value="">
</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><span data-sheets-value="{"1":2,"2":"Retailer/Brand Vertical"}"
data-sheets-userformat="{"2":12715,"3":{"1":0},"4":{"1":2,"2":16777215},"6":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"8":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"10":0,"11":4,"15":"Calibri","16":9}">Retailer/Brand
Vertical</span></p>
</span><span class="dynamicLabel_asterisk"></span><span title=""
class="form_label_additionalNote"><i><p><span data-sheets-value="{"1":2,"2":"(select up to 3)"}" data-sheets-userformat="{"2":12715,"3":{"1":0},"4":{"1":2,"2":16777215},"6":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"8":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"10":0,"11":4,"15":"Calibri","16":9}">(select up to 3)</span></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="2297cafe-0efc-4fff-9b56-f53bea85cbcc"><b></b><span class="checkbox_text">Apparel & Accessories </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="80285445-566a-476a-b877-a887f0da1401"><b></b><span class="checkbox_text">Automotive </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="58f0b194-7d66-4c04-9f75-5df99d1075ac"><b></b><span class="checkbox_text">Beauty & Cosmetics </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="6ad28d60-ba5a-43a8-af18-55ce9ac224c6"><b></b><span class="checkbox_text">Beverage Alcohol </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="1a30472f-426a-41cd-bcfc-9468a3605dca"><b></b><span class="checkbox_text">Consumer Electronics & Technology </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="13f22602-42fe-432d-9c0a-592ef17f8e4b"><b></b><span class="checkbox_text">CPG </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="8389c47e-6880-45c3-b5b2-b7f4fd255492"><b></b><span class="checkbox_text">Department Stores & Super Stores </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="5ad71360-37ee-4047-a93e-d0ce3807e256"><b></b><span class="checkbox_text">Discount Stores </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="765df635-c8c1-4137-bb22-cd54ff9d3f98"><b></b><span class="checkbox_text">Entertainment, Media & Publishing </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="fcfb6b1c-1fab-412a-8a36-430d6f7f496c"><b></b><span class="checkbox_text">Flowers, Gifts & Specialty </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="6be5ba63-a393-4174-9f9b-5877b2ceb87e"><b></b><span class="checkbox_text">Food CPG </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="c1096900-569d-4223-a93c-b18df4816e7a"><b></b><span class="checkbox_text">Gas Station & Convenience Stores </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="c4c2450e-240e-47fb-89fb-1cbc998c3438"><b></b><span class="checkbox_text">Grocery </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="938bdd66-37c0-4a44-80dc-d97e27028c33"><b></b><span class="checkbox_text">Health & Healthcare </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="4e8ce7d3-05fd-40f5-821f-cc21fc981554"><b></b><span class="checkbox_text">Home & Furniture </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="6c529838-a701-44a8-878f-77cc2d860c63"><b></b><span class="checkbox_text">Home Improvement </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="792e2114-8c3f-4eff-9980-60f04f1e5aee"><b></b><span class="checkbox_text">Luxury </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="bb0746df-3daf-4ea3-8839-79cba606fbe4"><b></b><span class="checkbox_text">Marketplace </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="c8518c13-5f62-46fa-8c8f-f421f8413626"><b></b><span class="checkbox_text">Pet Products </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="94b11fbb-8f3f-48d4-8e6c-965d8670360e"><b></b><span class="checkbox_text">Pharmacy & Drug Stores </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="5d0eac85-b130-4406-bbc8-2d38f4f639c3"><b></b><span class="checkbox_text">Restaurants & QSR (Quick Service Restaurants) </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="0ca5408d-0ef4-453e-a7ac-a276bfa8264b"><b></b><span class="checkbox_text">Sporting & Recreational Equipment </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="95056c01-0601-49f8-a737-7840bb3915dd"><b></b><span class="checkbox_text">Travel, Hotels & Hospitality </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="6e7c7bce-93c1-4ccc-bd42-227749b26d3e"><b></b><span class="checkbox_text">Toys, Books & Games </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="af4c7014-a4fe-4f44-b544-e62fe092494c"><b></b><span class="checkbox_text">Other </span></label></div>
</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><span data-sheets-value="{"1":2,"2":"What is the stage of your organization?"}"
data-sheets-userformat="{"2":12715,"3":{"1":0},"4":{"1":2,"2":16777215},"6":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"8":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"10":0,"11":4,"15":"Calibri","16":9}">What
is the stage of your organization?</span></p>
</span><span class="dynamicLabel_asterisk"></span></label><span class="tooltipIconWrapper tooltipIconWrapper--withDefaultIcon"><span class="toolTip_icon toolTip_icon--default toolTip_icon--sm"><svg stroke="currentColor" fill="currentColor"
stroke-width="0" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 16 16" width="1em" height="1em">
<path d="M8.93 6.588l-2.29.287-.082.38.45.083c.294.07.352.176.288.469l-.738 3.468c-.194.897.105 1.319.808 1.319.545 0 1.178-.252 1.465-.598l.088-.416c-.2.176-.492.246-.686.246-.275 0-.375-.193-.304-.533L8.93 6.588z"></path>
<circle cx="8" cy="4.5" r="1"></circle>
</svg></span></span></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="53864d68-61cf-48c9-b561-3d3aa648fb4e" 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="53864d68-61cf-48c9-b561-3d3aa648fb4e" 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><span data-sheets-value="{"1":2,"2":"Your Role"}" data-sheets-userformat="{"2":29099,"3":{"1":0},"4":{"1":2,"2":16777215},"6":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"8":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"10":0,"11":4,"15":"Calibri","16":9,"17":1}">Your Role</span></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="e4189f1e-e603-4eec-aaf9-b0b653e3eae5" data-testid="e4189f1e-e603-4eec-aaf9-b0b653e3eae5" 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-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="f1e6a67d-14ae-4a7a-b208-d6ab778fe849" 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="f1e6a67d-14ae-4a7a-b208-d6ab778fe849" type="hidden" value="">
</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>Job Function</p>
</span><span class="dynamicLabel_asterisk"></span><span title=""
class="form_label_additionalNote"><i><p><span data-sheets-value="{"1":2,"2":"(select up to 3)"}" data-sheets-userformat="{"2":12715,"3":{"1":0},"4":{"1":2,"2":16777215},"6":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"8":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"10":0,"11":4,"15":"Calibri","16":9}">(select up to 3)</span></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="4f1164c5-8a7a-49ff-8027-138572edcc02"><b></b><span class="checkbox_text">Consulting & Advisory </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="db99b7af-97b6-4a1f-b4a5-d022df3259c4"><b></b><span class="checkbox_text">Customer Experience </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="cd7a8e7a-b9ac-44e1-b10d-f352ff85316f"><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="1cf894ee-b37f-456b-9d8b-2e4dc01c3346"><b></b><span class="checkbox_text">Digital & Ecommerce </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="05ba522d-04f0-4106-888f-229de075d4e6"><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="d3a6ab75-179a-49a1-a1bf-526bff179cb1"><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="1c855dc1-1af7-4353-81d7-8dede01d627e"><b></b><span class="checkbox_text">Finance & Accounting </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="6ecc62c2-cc6a-41b6-8fa4-e4403af37410"><b></b><span class="checkbox_text">HR, Talent Acquisition & Workforce Management </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="f9dae8ae-7f72-483d-82c1-e34678e057f6"><b></b><span class="checkbox_text">Investing </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="86d770f0-4b80-4ddc-b80d-402c12cf2308"><b></b><span class="checkbox_text">Legal, Compliance & Risk </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="aaef4402-19e8-4654-b5bf-641c350b3043"><b></b><span class="checkbox_text">Logistics & Transportation (inc. Last-Mile) </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="de0ac9d4-fe95-474f-ab93-3994d28266d1"><b></b><span class="checkbox_text">Marketing, Advertising & Communications </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="aa21a746-819e-4e16-870d-b0059a266ea4"><b></b><span class="checkbox_text">Merchandising </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="9951f084-9846-45be-9691-2ed98d8b845e"><b></b><span class="checkbox_text">Partnerships </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="90f7358d-a32a-4434-9ba0-810e06ffbd3d"><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="f2d28617-1098-44bf-ad11-b08fc3402324"><b></b><span class="checkbox_text">Product Development & Management </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="2a4f37ad-9af4-4957-a90f-849b5a8d845f"><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="e326ae66-1f50-421c-8cbf-5062707b4d01"><b></b><span class="checkbox_text">Sales, BD & Account Management </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="214481a3-14ca-49e0-a0af-62bb8740df8e"><b></b><span class="checkbox_text">Store Operations </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="9ece0918-a784-47e3-87a1-42eee5628948"><b></b><span class="checkbox_text">Strategy, Innovation & Transformation </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="9d19734f-af2e-4164-a7de-30d64ae0a5c0"><b></b><span class="checkbox_text">Supply Chain, Operations & Fulfillment </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="65434423-c55a-4d68-a3b5-859b5a7e5c56"><b></b><span class="checkbox_text">Technology & IT </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="0eb37d2a-c66a-4512-bbf4-c1512822d79e"><b></b><span class="checkbox_text">Other </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><span data-sheets-value="{"1":2,"2":"The following questions are for us to help you make the most of your time onsite"}" data-sheets-userformat="{"2":29118,"4":{"1":2,"2":16777215},"5":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"6":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"7":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"8":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"10":0,"11":4,"15":"Calibri","16":9,"17":1}">The following questions are for us to help you make the most of your time onsite</span></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="6a35f8c5-fae4-4c4a-a1c9-4657937e0272"><b></b><span class="checkbox_text"><label class="dynamicLabel"><label><span title=""
class="dynamicLabel_primaryLabel">
<p><b>As a Retailer or Brand, you can join our Retailers & Brands Networking Dinner Series (held on Mon, Mar 18), which we've designed to become a key new part of the Shoptalk experience starting in 2024. </b></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 other retailers and brands for amazing dinner experiences at top Las Vegas 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><span data-sheets-value="{"1":2,"2":"Topics of interest"}"
data-sheets-userformat="{"2":12735,"3":{"1":0},"4":{"1":2,"2":16777215},"5":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"6":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"7":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"8":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"10":0,"11":4,"15":"Calibri","16":9}">Topics
of interest</span></p>
</span></label></label></label></div>
<div class="checkboxGroup_wrapper">
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="184c6976-0560-4364-ab24-932a810a1697"><b></b><span class="checkbox_text">Groundbreaking AI Applications in Retail </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="bfcadf70-eae3-4d2e-8e81-a554455e09ba"><b></b><span class="checkbox_text">Best-in-Class Unified Shopping Experiences </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="9c32f02f-d609-4ac2-bba9-2223d6dd89b4"><b></b><span class="checkbox_text">Navigating Changing Industry Relationships </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="42cd42af-c742-4bc2-8021-a94d9cb8cc24"><b></b><span class="checkbox_text">Future of Brands and Brand-Building </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="51047434-0fc3-4985-beb9-fed982da4398"><b></b><span class="checkbox_text">Next-Gen Customer Journeys: Marketing and Acquisition </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="3bac0d40-0896-49de-a982-2cf019e8bb26"><b></b><span class="checkbox_text">Next-Gen Customer Journeys: Loyalty, Engagement and Retention
</span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="fb04aac3-5121-4306-906f-e3007df35b94"><b></b><span class="checkbox_text">Exceptional Retail Experiences: Seamless Stores </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="6ee04ca2-9ac9-4759-bbeb-1064365b47f0"><b></b><span class="checkbox_text">Outstanding Ecommerce and Digital Shopping Experiences </span></label>
</div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="d851edd2-d278-4cda-9274-6c6450d48eaa"><b></b><span class="checkbox_text">Forward-Looking Merchandising and Assortment Strategies </span></label>
</div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="ab3acb59-071f-4e7c-b59a-e20cb4511982"><b></b><span class="checkbox_text">Operations and Supply Chain Advances </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="9dc66ae4-b370-406c-a777-fc247ef61514"><b></b><span class="checkbox_text">Cutting-Edge Retail Technologies </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="ebf335e0-5ba2-4f13-8d61-ec94d99f6c9e"><b></b><span class="checkbox_text">Organizational Agility and Resilience </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="8b5f01b0-aa95-4c35-93c2-1bbfcdb7aadf"><b></b><span class="checkbox_text">Inspiring Global Retail Experiences and Innovations </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="187819fc-3e0d-4065-b6c2-c265788a19ae"><b></b><span class="checkbox_text">Understanding the Changing Consumer </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="6712e7a3-20d0-4d13-9108-709436b2e9f3"><b></b><span class="checkbox_text">Actionable Research and Market Insights </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><span data-sheets-value="{"1":2,"2":"Your objectives for attending Shoptalk"}"
data-sheets-userformat="{"2":13247,"3":{"1":0},"4":{"1":2,"2":16777215},"5":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"6":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"7":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"8":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"10":0,"11":4,"12":0,"15":"Calibri","16":9}">Your
objectives for attending Shoptalk</span></p>
</span></label></label></label></div>
<div class="checkboxGroup_wrapper">
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="b6e584aa-626a-4156-a9fe-d4caa25f28f2"><b></b><span class="checkbox_text">Attend Sessions </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="4e07cb07-2cff-4516-b75e-b0fc31aad7f6"><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="1ec4b145-e893-4936-9a13-9e0871ea5a5d"><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="1a835807-e0ad-48c1-8834-f8cd99e61bfc"><b></b><span class="checkbox_text">Raise Capital </span></label></div>
<div class="checkbox checkbox--md"><label><input class="checkbox_input" type="checkbox" name="f8487990-bfa0-4090-9e80-ae96c3ba4c22"><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="24b94c8e-0d4e-40fb-a4ea-7c0fe7a6faf9"><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="92b9c665-94dd-4698-bc8f-8ac1e81fff48"><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="1e04df68-586c-43d7-8d83-35e150f1dc45"><b></b><span class="checkbox_text">Source Investment Opportunities and Acquisitions </span></label></div>
</div>
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<p>When's your birthday?</p>
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<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>
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<p>Do you have any access requirements?</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><span data-sheets-value="{"1":2,"2":"Your Privacy"}" data-sheets-userformat="{"2":29375,"3":{"1":0},"4":{"1":2,"2":16777215},"5":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"6":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"7":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"8":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"10":0,"12":0,"15":"Calibri","16":9,"17":1}">Your Privacy</span></b>
</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><a href="https://hyve.group/Home" target="_blank" rel="noopener">Hyve Group</a> (Shoptalk's parent company) takes your privacy seriously – you can read more about this in our
<a href="https://hyve.group/Privacy-notice" target="_blank" rel="noopener">Privacy Notice</a>. 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 <a href="mailto:data.privacy@hyve.group" target="_blank" rel="noopener">update your preferences here</a>.
<a href="https://hyve.group/Events" target="_blank" rel="noopener">View a list of the events organised by Hyve Group here</a>.</p>
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<div class="checkbox checkbox--lg"><label><input class="checkbox_input" type="checkbox" name="15c293c7-6af2-4e79-9fd3-61378e6bd2d5"><b></b><span class="checkbox_text"><label class="dynamicLabel dynamicLabel--required"><label><span title=""
class="dynamicLabel_primaryLabel">
<p><span data-sheets-value="{"1":2,"2":"I have read and agree to the Personatech Terms of Use [LINK] and acknowledge the Privacy Policy and Notice at Collection [LINK]."}"
data-sheets-userformat="{"2":15295,"3":{"1":0},"4":{"1":2,"2":16777215},"5":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"6":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"7":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"8":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"10":0,"11":4,"12":0,"14":{"1":2,"2":16711680},"15":"Calibri","16":9}">Shoptalk's
technology provider, <a href="https://personatech.com/">Personatech</a>, processes data on behalf of Shoptalk to deliver event technology services. I have read and agree to the
<a href="https://personatech.com/termsOfUse" target="_blank" rel="noopener">Personatech Terms of Use</a> and acknowledge the
<a href="https://personatech.com/privacyPolicy" target="_blank" rel="noopener">Privacy Policy and Notice at Collection.</a></span></p>
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</form>Text Content
You need to enable JavaScript to run this app. March 17-20, 2024 Mandalay Bay, Las Vegas RETAILERS & BRANDS (PAID) * Details * Payment 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 (will be copied on all emails) 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... Retailer/Brand Vertical (select up to 3) * Apparel & Accessories Automotive Beauty & Cosmetics Beverage Alcohol Consumer Electronics & Technology CPG Department Stores & Super Stores Discount Stores Entertainment, Media & Publishing Flowers, Gifts & Specialty Food CPG Gas Station & Convenience Stores Grocery Health & Healthcare Home & Furniture Home Improvement Luxury Marketplace Pet Products Pharmacy & Drug Stores Restaurants & QSR (Quick Service Restaurants) Sporting & Recreational Equipment Travel, Hotels & Hospitality Toys, Books & Games Other What is the stage of your organization? * Select... -------------------------------------------------------------------------------- Your Role Job Title * Job Title Level * Select... Job Function (select up to 3) * Consulting & Advisory Customer Experience Data, Analytics & Insights Digital & Ecommerce Environmental, Social & Corporate Governance (ESG) Executive Leadership & Board of Directors Finance & Accounting HR, Talent Acquisition & Workforce Management Investing Legal, Compliance & Risk Logistics & Transportation (inc. Last-Mile) Marketing, Advertising & Communications Merchandising Partnerships Procurement & Vendor Management Product Development & Management Research, Content & Journalism Sales, BD & Account Management Store Operations Strategy, Innovation & Transformation Supply Chain, Operations & Fulfillment Technology & IT Other -------------------------------------------------------------------------------- The following questions are for us to help you make the most of your time onsite As a Retailer or Brand, you can join our Retailers & Brands Networking Dinner Series (held on Mon, Mar 18), which we've designed to become a key new part of the Shoptalk 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 other retailers and brands for amazing dinner experiences at top Las Vegas restaurants. Topics of interest Groundbreaking AI Applications in Retail Best-in-Class Unified Shopping Experiences Navigating Changing Industry Relationships Future of Brands and Brand-Building Next-Gen Customer Journeys: Marketing and Acquisition Next-Gen Customer Journeys: Loyalty, Engagement and Retention Exceptional Retail Experiences: Seamless Stores Outstanding Ecommerce and Digital Shopping Experiences Forward-Looking Merchandising and Assortment Strategies Operations and Supply Chain Advances Cutting-Edge Retail Technologies Organizational Agility and Resilience Inspiring Global Retail Experiences and Innovations Understanding the Changing Consumer Actionable Research and Market Insights Your objectives for attending Shoptalk 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 When's your birthday? 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? -------------------------------------------------------------------------------- Your Privacy Hyve Group (Shoptalk'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. View a list of the events organised by Hyve Group here. Shoptalk's technology provider, Personatech, processes data on behalf of Shoptalk to deliver event technology services. I have read and agree to the Personatech Terms of Use and acknowledge the Privacy Policy and Notice at Collection. Save Powered By Cookies PRIVACY PREFERENCE CENTER When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. This information might be about you, your preferences or your device and is mostly used to make the site work as you expect it to. The information does not usually directly identify you, but it can give you a more personalized web experience. Because we respect your right to privacy, you can choose not to allow some types of cookies. Click on the different category headings to find out more and change our default settings. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer. More information Accept All MANAGE CONSENT PREFERENCES STRICTLY NECESSARY COOKIES Always Active These cookies are necessary for the website to function and cannot be switched off in our systems. They are usually only set in response to actions made by you which amount to a request for services, such as setting your privacy preferences, logging in or filling in forms. You can set your browser to block or alert you about these cookies, but some parts of the site will not then work. These cookies do not store any personally identifiable information. PERFORMANCE COOKIES Performance Cookies These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. They help us to know which pages are the most and least popular and see how visitors move around the site. All information these cookies collect is aggregated and therefore anonymous. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. FUNCTIONAL COOKIES Functional Cookies These cookies enable the website to provide enhanced functionality and personalisation. They may be set by us or by third party providers whose services we have added to our pages. If you do not allow these cookies then some or all of these services may not function properly. TARGETING COOKIES Targeting Cookies These cookies may be set through our site by our advertising partners. They may be used by those companies to build a profile of your interests and show you relevant adverts on other sites. They do not store directly personal information, but are based on uniquely identifying your browser and internet device. If you do not allow these cookies, you will experience less targeted advertising. 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