www.databreachtoday.com Open in urlscan Pro
50.56.167.254  Public Scan

Submitted URL: https://links.ismgcorp.com/dc/zw7oNi_TweRxxDXp2CfOIzMiCpAT_ET8oveX5SQ83P36JGRSePl0JjlEVaFDcYzfRobm_XslVilNPNN9yUbDzNje64t3s...
Effective URL: https://www.databreachtoday.com/updateNewsPreferences.php?email=deepak.indorkar@icicibank.com&utm_campaign=Infosec_Europe_2024_C...
Submission: On November 12 via api from IN — Scanned from DE

Form analysis 16 forms found in the DOM

Name: browser_notifications

<form name="browser_notifications" id="bnotifications_form">
  <input type="hidden" name="form_token" value="f1f283176c7e077bec21012de80060b776c71569d862c69a31ff45a2ee9d5c62">
</form>

/search.php

<form action="/search.php">
  <input type="hidden" name="form_token" value="f1f283176c7e077bec21012de80060b776c71569d862c69a31ff45a2ee9d5c62">
  <input type="search" name="keywords" placeholder="Search">
  <input type="hidden" name="reset" value="1">
  <div id="search-icon-over-input">
    <i class="fa fa-search"></i>
  </div>
</form>

/search.php

<form action="/search.php">
  <input type="hidden" name="form_token" value="f1f283176c7e077bec21012de80060b776c71569d862c69a31ff45a2ee9d5c62">
  <input type="search" name="keywords" placeholder="Search">
  <input type="hidden" name="reset" value="1">
</form>

Name: regform_update_news_preferencesPOST

<form action="" method="post" name="regform_update_news_preferences" id="edit_subscriptions_modal" class="register-form validate">
  <input type="hidden" name="form_token" value="f1f283176c7e077bec21012de80060b776c71569d862c69a31ff45a2ee9d5c62">
  <input type="hidden" name="action" value="unsubscribe_acq">
  <div class="col-md-12 col-sm-12">
    <div class="panel panel-default">
      <div class="panel-body">
        <h4>Unsubscribe <a href="javascript:void(0)"><strong>deepak.indorkar@icicibank.com</strong></a>.</h4>
      </div>
    </div>
    <!-- matrix_subscription -->
    <div class="row">
      <div class="col-md-12">
        <input type="submit" value="Submit" class="submit btn btn-success btn-lg top-margin-30" id="submitUpdateNewsPreferences">
      </div>
    </div>
  </div>
  <!--end col-md-12-->
</form>

<form action="" class="">
  <input type="hidden" name="form_token" value="f1f283176c7e077bec21012de80060b776c71569d862c69a31ff45a2ee9d5c62">
  <h4 class="title" style="padding-left: 0;">Newsletter</h4>
  <div class="form-group  input-group">
    <label for="email_footer" class="sr-only">Email address</label>
    <input type="email" id="email_footer" class="form-control" placeholder="Email">
    <span class="input-group-btn">
      <button class="btn btn-primary pull-right" type="button" onclick="$('#newsletter-register-modal-txt-email').val($('#email_footer').val());$('#modalNewsletterRegister').modal('show');">Sign up</button>
    </span>
  </div>
  <small>By submitting this form you agree to our <a href="/tos" target="_blank">Privacy &amp; GDPR Statement</a></small>
</form>

<form id="newsletter-register-modal-form" role="form" novalidate="novalidate">
  <input type="hidden" name="form_token" value="f1f283176c7e077bec21012de80060b776c71569d862c69a31ff45a2ee9d5c62">
  <input type="hidden" name="source" value="register_newsletter">
  <div class="form-group col-md-12 text-col">
    <h6>Please fill out the following fields<br> (All fields required):</h6>
    <input type="email" class="form-control form-text tb-email" id="newsletter-register-modal-txt-email" name="email" placeholder="Email" title="Email">
  </div>
  <div class="form-group col-md-12 txt-col">
    <input type="text" class="form-control form-text tb-company" id="newsletter-register-modal-txt-company" name="inst_name" placeholder="Company" title="Company">
  </div>
  <div class="form-group ">
    <div class="col-md-6 txt-col ">
      <input type="text" class="form-control form-text tb-phone" id="newsletter-register-modal-txt-phone" name="phone" placeholder="Phone" title="Phone">
    </div>
  </div>
  <div class="form-group ">
    <div class="col-md-6 select-col ">
      <select class="form-control form-select select-country" id="newsletter-register-modal-select-country" name="country">
        <option value="">Country</option>
        <option value="US">United States</option>
        <option value="CA">Canada</option>
        <option value="IN">India</option>
        <option value="AF">Afghanistan</option>
        <option value="AL">Albania</option>
        <option value="DZ">Algeria</option>
        <option value="AS">American Samoa</option>
        <option value="AD">Andorra</option>
        <option value="AO">Angola</option>
        <option value="AI">Anguilla</option>
        <option value="AG">Antigua &amp; Barbuda</option>
        <option value="AR">Argentina</option>
        <option value="AM">Armenia</option>
        <option value="AW">Aruba</option>
        <option value="AU">Australia</option>
        <option value="AT">Austria</option>
        <option value="AZ">Azerbaijan</option>
        <option value="BS">Bahamas</option>
        <option value="BH">Bahrain</option>
        <option value="BD">Bangladesh</option>
        <option value="BB">Barbados</option>
        <option value="BY">Belarus</option>
        <option value="BE">Belgium</option>
        <option value="BZ">Belize</option>
        <option value="BJ">Benin</option>
        <option value="BM">Bermuda</option>
        <option value="BT">Bhutan</option>
        <option value="BO">Bolivia</option>
        <option value="BA">Bosnia &amp; Herzegovina</option>
        <option value="BW">Botswana</option>
        <option value="BR">Brazil</option>
        <option value="VG">British Virgin Islands</option>
        <option value="BN">Brunei</option>
        <option value="BG">Bulgaria</option>
        <option value="BF">Burkina Faso</option>
        <option value="BI">Burundi</option>
        <option value="KH">Cambodia</option>
        <option value="CM">Cameroon</option>
        <option value="CV">Cape Verde</option>
        <option value="KY">Cayman Islands</option>
        <option value="CF">Central African Republic</option>
        <option value="TD">Chad</option>
        <option value="CL">Chile</option>
        <option value="CN">China</option>
        <option value="CO">Colombia</option>
        <option value="KM">Comoros</option>
        <option value="CK">Cook Islands</option>
        <option value="CR">Costa Rica</option>
        <option value="CI">Côte d’Ivoire</option>
        <option value="HR">Croatia</option>
        <option value="CU">Cuba</option>
        <option value="CY">Cyprus</option>
        <option value="CZ">Czechia</option>
        <option value="CG">Democratic Republic of the Congo</option>
        <option value="DK">Denmark</option>
        <option value="DJ">Djibouti</option>
        <option value="DM">Dominica</option>
        <option value="DO">Dominican Republic</option>
        <option value="EC">Ecuador</option>
        <option value="EG">Egypt</option>
        <option value="SV">El Salvador</option>
        <option value="GQ">Equatorial Guinea</option>
        <option value="ER">Eritrea</option>
        <option value="EE">Estonia</option>
        <option value="SZ">Eswatini</option>
        <option value="ET">Ethiopia</option>
        <option value="FO">Faroe Islands</option>
        <option value="FJ">Fiji</option>
        <option value="FI">Finland</option>
        <option value="FR">France</option>
        <option value="GF">French Guiana</option>
        <option value="PF">French Polynesia</option>
        <option value="GA">Gabon</option>
        <option value="GM">Gambia</option>
        <option value="GE">Georgia</option>
        <option value="DE">Germany</option>
        <option value="GH">Ghana</option>
        <option value="GI">Gibraltar</option>
        <option value="GR">Greece</option>
        <option value="GL">Greenland</option>
        <option value="GD">Grenada</option>
        <option value="GP">Guadeloupe</option>
        <option value="GU">Guam</option>
        <option value="GT">Guatemala</option>
        <option value="GN">Guinea</option>
        <option value="GW">Guinea-Bissau</option>
        <option value="GY">Guyana</option>
        <option value="HT">Haiti</option>
        <option value="HN">Honduras</option>
        <option value="HK">Hong Kong</option>
        <option value="HU">Hungary</option>
        <option value="IS">Iceland</option>
        <option value="ID">Indonesia</option>
        <option value="IR">Iran</option>
        <option value="IQ">Iraq</option>
        <option value="IE">Ireland</option>
        <option value="IL">Israel</option>
        <option value="IT">Italy</option>
        <option value="JM">Jamaica</option>
        <option value="JP">Japan</option>
        <option value="JO">Jordan</option>
        <option value="KZ">Kazakhstan</option>
        <option value="KE">Kenya</option>
        <option value="KI">Kiribati</option>
        <option value="XK">Kosovo</option>
        <option value="KW">Kuwait</option>
        <option value="KG">Kyrgyzstan</option>
        <option value="LA">Laos</option>
        <option value="LV">Latvia</option>
        <option value="LB">Lebanon</option>
        <option value="LS">Lesotho</option>
        <option value="LR">Liberia</option>
        <option value="LY">Libya</option>
        <option value="LI">Liechtenstein</option>
        <option value="LT">Lithuania</option>
        <option value="LU">Luxembourg</option>
        <option value="MO">Macao</option>
        <option value="MG">Madagascar</option>
        <option value="MW">Malawi</option>
        <option value="MY">Malaysia</option>
        <option value="MV">Maldives</option>
        <option value="ML">Mali</option>
        <option value="MT">Malta</option>
        <option value="MH">Marshall Islands</option>
        <option value="MQ">Martinique</option>
        <option value="MR">Mauritania</option>
        <option value="MU">Mauritius</option>
        <option value="YT">Mayotte</option>
        <option value="MX">Mexico</option>
        <option value="FM">Micronesia</option>
        <option value="MD">Moldova</option>
        <option value="MC">Monaco</option>
        <option value="MN">Mongolia</option>
        <option value="MS">Montserrat</option>
        <option value="MA">Morocco</option>
        <option value="MZ">Mozambique</option>
        <option value="MM">Myanmar (Burma)</option>
        <option value="NA">Namibia</option>
        <option value="NR">Nauru</option>
        <option value="NP">Nepal</option>
        <option value="NL">Netherlands</option>
        <option value="NC">New Caledonia</option>
        <option value="NZ">New Zealand</option>
        <option value="NI">Nicaragua</option>
        <option value="NE">Niger</option>
        <option value="NG">Nigeria</option>
        <option value="NU">Niue</option>
        <option value="MK">North Macedonia</option>
        <option value="MP">Northern Mariana Islands</option>
        <option value="NO">Norway</option>
        <option value="OM">Oman</option>
        <option value="PK">Pakistan</option>
        <option value="PW">Palau</option>
        <option value="PA">Panama</option>
        <option value="PG">Papua New Guinea</option>
        <option value="PY">Paraguay</option>
        <option value="PE">Peru</option>
        <option value="PH">Philippines</option>
        <option value="PL">Poland</option>
        <option value="PT">Portugal</option>
        <option value="PR">Puerto Rico</option>
        <option value="QA">Qatar</option>
        <option value="RO">Romania</option>
        <option value="RU">Russia</option>
        <option value="RW">Rwanda</option>
        <option value="WS">Samoa</option>
        <option value="SM">San Marino</option>
        <option value="ST">São Tomé &amp; Príncipe</option>
        <option value="SA">Saudi Arabia</option>
        <option value="SN">Senegal</option>
        <option value="RS">Serbia</option>
        <option value="SC">Seychelles</option>
        <option value="SL">Sierra Leone</option>
        <option value="SG">Singapore</option>
        <option value="SK">Slovakia</option>
        <option value="SI">Slovenia</option>
        <option value="SB">Solomon Islands</option>
        <option value="SO">Somalia</option>
        <option value="ZA">South Africa</option>
        <option value="KR">South Korea</option>
        <option value="ES">Spain</option>
        <option value="LK">Sri Lanka</option>
        <option value="KN">St. Kitts &amp; Nevis</option>
        <option value="LC">St. Lucia</option>
        <option value="VC">St. Vincent &amp; Grenadines</option>
        <option value="SD">Sudan</option>
        <option value="SR">Suriname</option>
        <option value="SJ">Svalbard &amp; Jan Mayen</option>
        <option value="SE">Sweden</option>
        <option value="CH">Switzerland</option>
        <option value="SY">Syria</option>
        <option value="TW">Taiwan</option>
        <option value="TJ">Tajikistan</option>
        <option value="TZ">Tanzania</option>
        <option value="TH">Thailand</option>
        <option value="TP">Timor-Leste</option>
        <option value="TG">Togo</option>
        <option value="TO">Tonga</option>
        <option value="TT">Trinidad &amp; Tobago</option>
        <option value="TN">Tunisia</option>
        <option value="TR">Turkey</option>
        <option value="TM">Turkmenistan</option>
        <option value="TC">Turks &amp; Caicos Islands</option>
        <option value="TV">Tuvalu</option>
        <option value="VI">U.S. Virgin Islands</option>
        <option value="UG">Uganda</option>
        <option value="UA">Ukraine</option>
        <option value="AE">United Arab Emirates</option>
        <option value="GB">United Kingdom</option>
        <option value="UY">Uruguay</option>
        <option value="UZ">Uzbekistan</option>
        <option value="VU">Vanuatu</option>
        <option value="VA">Vatican</option>
        <option value="VE">Venezuela</option>
        <option value="VN">Vietnam</option>
        <option value="EH">Western Sahara</option>
        <option value="YE">Yemen</option>
        <option value="ZM">Zambia</option>
        <option value="ZW">Zimbabwe</option>
      </select>
    </div>
  </div>
  <div class="form-group col-md-12 select-col top15">
    <select class="form-control form-select select-title-level " id="registration-select-title-level" name="title_level" placeholder="Title" title="Title Level">
      <option value="">Title Level</option>
      <option value="55">Analytics/Architecture/Engineering</option>
      <option value="47">Attorney / General Counsel / Counsel</option>
      <option value="25">AVP</option>
      <option value="50">Board of Director</option>
      <option value="58">C - level</option>
      <option value="22">C Level - Other</option>
      <option value="19">CCO</option>
      <option value="15">CEO / President</option>
      <option value="16">CFO</option>
      <option value="49">Chairperson</option>
      <option value="21">CIO</option>
      <option value="18">CISO / CSO</option>
      <option value="57">CISO/CSO/CIO</option>
      <option value="17">COO</option>
      <option value="20">CRO</option>
      <option value="34">CTO</option>
      <option value="26">Director</option>
      <option value="23">EVP / SVP / FVP</option>
      <option value="53">Head</option>
      <option value="54">Healthcare Professional</option>
      <option value="60">Manager</option>
      <option value="27">Manager / Supervisor</option>
      <option value="36">Partner</option>
      <option value="56">Specialist/Other</option>
      <option value="59">Staff</option>
      <option value="24">VP</option>
      <option>--Other Title Level--</option>
    </select>
  </div>
  <div class="form-group col-md-12 select-col" id="newsletter-pop-under-txt-other-title-level-col">
    <input type="text" class="form-control form-text tb-other-title-level" id="newsletter-pop-under-txt-other-title-level" name="title_other" placeholder="Other Title Level" title="Other Title Level">
  </div>
  <div class="form-group col-md-12 select-col">
    <select class="form-control form-select select-job-function" id="registration-select-job-function" name="job_function" placeholder="Job Function" title="Job Function">
      <option value="">Job Function</option>
      <option value="48">Anti-Money Laundering (AML)</option>
      <option value="21">Audit</option>
      <option value="71">BSA</option>
      <option value="52">Business Continuity/Disaster Recovery</option>
      <option value="45">Business Development</option>
      <option value="27">Cashier / Customer Service / Administrative</option>
      <option value="19">Clinical Healthcare Professional</option>
      <option value="74">Cloud - IT</option>
      <option value="73">Cloud - Security</option>
      <option value="70">Compliance</option>
      <option value="23">Compliance / BSA</option>
      <option value="39">Data Management</option>
      <option value="42">Debit/Credit Card/Electronic Banking</option>
      <option value="24">eCommerce / eBusiness</option>
      <option value="11">Executive Management</option>
      <option value="14">Finance / Accounting</option>
      <option value="12">Founder / Owner</option>
      <option value="20">Fraud</option>
      <option value="18">HR / Training</option>
      <option value="33">Information Security</option>
      <option value="16">Information Technology</option>
      <option value="26">Legal</option>
      <option value="37">Lending</option>
      <option value="41">Loss Prevention</option>
      <option value="15">Marketing</option>
      <option value="35">Network / Systems / Web</option>
      <option value="75">Operational Technology</option>
      <option value="13">Operations</option>
      <option value="69">Others</option>
      <option value="54">Policies / Procedures</option>
      <option value="43">Product Management</option>
      <option value="47">Project</option>
      <option value="65">Regulatory Affairs</option>
      <option value="22">Risk Management</option>
      <option value="25">Sales</option>
      <option value="17">Security / Privacy</option>
      <option value="57">Vendor Management</option>
      <option>--Other Job Function--</option>
    </select>
  </div>
  <div class="form-group col-md-12 select-col" id="newsletter-pop-under-txt-other-job-function-col">
    <input type="text" class="form-control form-text tb-other-job-function" id="newsletter-pop-under-txt-other-job-function" name="job_other" placeholder="Other Job Function" title="Other Job Function">
  </div>
  <div class="col-md-12">
    <h6>Subscription Preferences:</h6>
  </div>
  <div class="form-group row">
    <div class="col-md-4 chk-col">
      <div class="col-xs-4 col-sm-2 col-md-3">
        <label class="checkbox-inline text-nowrap" for="pop_DBT_enews1">
          <input type="checkbox" class="enews_option" name="DBT_enews" id="pop_DBT_enews1" checked="">DataBreachToday</label>
      </div>
    </div>
    <div class="col-md-8 chk-col">
      <div class="col-xs-7 col-sm-2 col-xs-offset-1 col-md-3">
        <label class="checkbox-inline text-nowrap" for="pop_IR_enews1">
          <input type="checkbox" class="enews_option" name="IR_enews" id="pop_IR_enews1" checked="">InfoRiskToday</label>
      </div>
    </div>
  </div>
  <div class="form-group row newletter-pop-under-prefs">
    <div class="col-md-4 chk-col">
      <div class="col-xs-4 col-sm-2 col-md-3 chk-col-lv2">
        <label class="checkbox-inline text-nowrap" for="pop_CAIS_enews1">
          <input type="checkbox" class="enews_option" name="CAIS_enews" id="pop_CAIS_enews1" checked="">CareersInfoSecurity</label>
      </div>
    </div>
  </div>
  <div class="text-center">
    <button type="submit" class="btn btn-primary" id="newsletter_popup_submit_btn">Subscribe</button>
  </div>
</form>

<form id="registration-modal">
  <input type="hidden" name="form_token" value="f1f283176c7e077bec21012de80060b776c71569d862c69a31ff45a2ee9d5c62">
  <div class="col-sm-8">
    <h4>Register with an ISMG account</h4>
    <div class="row">
      <div class="col-xs-6">
        <div class="form-group">
          <input type="text" class="form-control " id="registration-txt-first-name" name="name_first" placeholder="First name" title="First name">
        </div>
      </div>
      <div class="col-xs-6">
        <div class="form-group">
          <input type="text" class="form-control " id="registration-txt-last-name" name="name_last" placeholder="Last name" title="Last name">
        </div>
      </div>
    </div>
    <div class="form-group">
      <input type="text" class="form-control " id="registration-txt-company" name="inst_name" placeholder="Company" title="Company">
    </div>
    <div class="form-group">
      <input type="text" class="form-control" id="registration-text-phone" name="phone" placeholder="Phone" title="Phone">
    </div>
    <div class="form-group">
      <input type="email" class="form-control  " id="registration-txt-email" name="email" placeholder="Email" title="Email">
    </div>
    <div class="form-group">
      <input type="password" class="form-control  " id="registration-txt-password" name="password1" placeholder="Password" title="Password">
      <small>Password must have a minimum of 6 characters</small>
    </div>
    <!-- Multiple Checkboxes (inline) -->
    <div class="form-group row bot5">
      <label class="col-xs-12 control-label" for="chk_stp1">Email Newsletters</label>
    </div>
    <div class="col-xs-6">
      <div class="row">
        <label class="checkbox-inline" for="chk_stp1-1"><input type="checkbox" name="DBT_enews" id="chk_stp1-1" value="1">DataBreachToday</label>
      </div>
      <div class="row">
        <label class="checkbox-inline" for="chk_stp1-1"><input type="checkbox" name="IR_enews" id="chk_stp1-2" value="2">InfoRiskToday</label>
      </div>
      <div class="row">
        <label class="checkbox-inline" for="chk_stp1-1"><input type="checkbox" name="CAIS_enews" id="chk_stp1-3" value="3">CareersInfoSecurity</label>
      </div>
    </div>
    <div class="col-xs-6">
      <div class="row">
        <label class="checkbox-inline" for="chk_stp1-1"><input type="checkbox" name="BIS_enews" id="chk_stp1-1" value="1">BankInfoSecurity</label>
      </div>
      <div class="row">
        <label class="checkbox-inline" for="chk_stp1-1"><input type="checkbox" name="CUIS_enews" id="chk_stp1-2" value="2">CUInfoSecurity</label>
      </div>
      <div class="row">
        <label class="checkbox-inline" for="chk_stp1-1"><input type="checkbox" name="GIS_enews" id="chk_stp1-3" value="3">GovInfoSecurity</label>
      </div>
      <div class="row">
        <label class="checkbox-inline" for="chk_stp1-1"><input type="checkbox" name="HIS_enews" id="chk_stp1-4" value="4">HealthcareInfoSecurity</label>
      </div>
    </div>
    <div style="clear:both;"></div>
    <hr class="top10 bot10">
    <div class="form-group pull-right" style="display:inline-block">
      <button type="submit" id="registration-btn-submit" class="btn btn-primary">Register</button>
    </div>
    <small>By submitting this form you agree to our <a href="/tos" target="_blank">Privacy &amp; GDPR Statement</a></small>
  </div>
  <div class="col-sm-4">
    <hr class="visible-xs-block">
    <h4>Already have an<br>ISMG account?</h4>
    <p><a href="javascript:void(0)" onclick="$('#modalRegister').modal('hide');$('#modalSigninISMG').modal('show');">Sign in now <i class="fa fa-angle-right"></i></a></p>
    <hr>
    <p>Need help registering?<br>
      <a href="javascript:void(0)" onclick="$('#modalContactSupport').modal('show');">Contact support <i class="fa fa-angle-right"></i></a>
    </p>
  </div>
</form>

<form id="registration-additional-info">
  <input type="hidden" name="form_token" value="f1f283176c7e077bec21012de80060b776c71569d862c69a31ff45a2ee9d5c62">
  <h3>Thank you for registering with ISMG</h3>
  <p>Complete your profile and stay up to date</p>
  <div class="form-group">
    <select class="form-control" id="registration-select-title-level" name="title_level" placeholder="Title Level" title="Title Level">
      <option value="">Title Level</option>
      <option value="55">Analytics/Architecture/Engineering</option>
      <option value="47">Attorney / General Counsel / Counsel</option>
      <option value="25">AVP</option>
      <option value="50">Board of Director</option>
      <option value="58">C - level</option>
      <option value="22">C Level - Other</option>
      <option value="19">CCO</option>
      <option value="15">CEO / President</option>
      <option value="16">CFO</option>
      <option value="49">Chairperson</option>
      <option value="21">CIO</option>
      <option value="18">CISO / CSO</option>
      <option value="57">CISO/CSO/CIO</option>
      <option value="17">COO</option>
      <option value="20">CRO</option>
      <option value="34">CTO</option>
      <option value="26">Director</option>
      <option value="23">EVP / SVP / FVP</option>
      <option value="53">Head</option>
      <option value="54">Healthcare Professional</option>
      <option value="60">Manager</option>
      <option value="27">Manager / Supervisor</option>
      <option value="36">Partner</option>
      <option value="56">Specialist/Other</option>
      <option value="59">Staff</option>
      <option value="24">VP</option>
      <option>--Other Title Level--</option>
    </select>
  </div>
  <div class="form-group">
    <input type="text" class="form-control" style="display: none;" id="registration-txt-title-level-other" name="title_other" placeholder="Title Level (other)" title="Title Level (other)">
  </div>
  <div class="form-group">
    <select class="form-control " id="registration-select-job-function" name="job_function" title="Job Function">
      <option value="">Job Function</option>
      <option value="48">Anti-Money Laundering (AML)</option>
      <option value="21">Audit</option>
      <option value="71">BSA</option>
      <option value="52">Business Continuity/Disaster Recovery</option>
      <option value="45">Business Development</option>
      <option value="27">Cashier / Customer Service / Administrative</option>
      <option value="19">Clinical Healthcare Professional</option>
      <option value="74">Cloud - IT</option>
      <option value="73">Cloud - Security</option>
      <option value="70">Compliance</option>
      <option value="23">Compliance / BSA</option>
      <option value="39">Data Management</option>
      <option value="42">Debit/Credit Card/Electronic Banking</option>
      <option value="24">eCommerce / eBusiness</option>
      <option value="11">Executive Management</option>
      <option value="14">Finance / Accounting</option>
      <option value="12">Founder / Owner</option>
      <option value="20">Fraud</option>
      <option value="18">HR / Training</option>
      <option value="33">Information Security</option>
      <option value="16">Information Technology</option>
      <option value="26">Legal</option>
      <option value="37">Lending</option>
      <option value="41">Loss Prevention</option>
      <option value="15">Marketing</option>
      <option value="35">Network / Systems / Web</option>
      <option value="75">Operational Technology</option>
      <option value="13">Operations</option>
      <option value="69">Others</option>
      <option value="54">Policies / Procedures</option>
      <option value="43">Product Management</option>
      <option value="47">Project</option>
      <option value="65">Regulatory Affairs</option>
      <option value="22">Risk Management</option>
      <option value="25">Sales</option>
      <option value="17">Security / Privacy</option>
      <option value="57">Vendor Management</option>
      <option>--Other Job Function--</option>
    </select>
  </div>
  <div class="form-group">
    <input type="text" class="form-control" style="display: none;" id="registration-txt-job-function-other" name="job_other" placeholder="Job function (other)" title="Job function (other)">
  </div>
  <div class="form-group">
    <select class="form-control" id="registration-select-country" name="country" title="Country">
      <option value="">Country</option>
      <option value="US">United States</option>
      <option value="CA">Canada</option>
      <option value="IN">India</option>
      <option value="AF">Afghanistan</option>
      <option value="AL">Albania</option>
      <option value="DZ">Algeria</option>
      <option value="AS">American Samoa</option>
      <option value="AD">Andorra</option>
      <option value="AO">Angola</option>
      <option value="AI">Anguilla</option>
      <option value="AG">Antigua &amp; Barbuda</option>
      <option value="AR">Argentina</option>
      <option value="AM">Armenia</option>
      <option value="AW">Aruba</option>
      <option value="AU">Australia</option>
      <option value="AT">Austria</option>
      <option value="AZ">Azerbaijan</option>
      <option value="BS">Bahamas</option>
      <option value="BH">Bahrain</option>
      <option value="BD">Bangladesh</option>
      <option value="BB">Barbados</option>
      <option value="BY">Belarus</option>
      <option value="BE">Belgium</option>
      <option value="BZ">Belize</option>
      <option value="BJ">Benin</option>
      <option value="BM">Bermuda</option>
      <option value="BT">Bhutan</option>
      <option value="BO">Bolivia</option>
      <option value="BA">Bosnia &amp; Herzegovina</option>
      <option value="BW">Botswana</option>
      <option value="BR">Brazil</option>
      <option value="VG">British Virgin Islands</option>
      <option value="BN">Brunei</option>
      <option value="BG">Bulgaria</option>
      <option value="BF">Burkina Faso</option>
      <option value="BI">Burundi</option>
      <option value="KH">Cambodia</option>
      <option value="CM">Cameroon</option>
      <option value="CV">Cape Verde</option>
      <option value="KY">Cayman Islands</option>
      <option value="CF">Central African Republic</option>
      <option value="TD">Chad</option>
      <option value="CL">Chile</option>
      <option value="CN">China</option>
      <option value="CO">Colombia</option>
      <option value="KM">Comoros</option>
      <option value="CK">Cook Islands</option>
      <option value="CR">Costa Rica</option>
      <option value="CI">Côte d’Ivoire</option>
      <option value="HR">Croatia</option>
      <option value="CU">Cuba</option>
      <option value="CY">Cyprus</option>
      <option value="CZ">Czechia</option>
      <option value="CG">Democratic Republic of the Congo</option>
      <option value="DK">Denmark</option>
      <option value="DJ">Djibouti</option>
      <option value="DM">Dominica</option>
      <option value="DO">Dominican Republic</option>
      <option value="EC">Ecuador</option>
      <option value="EG">Egypt</option>
      <option value="SV">El Salvador</option>
      <option value="GQ">Equatorial Guinea</option>
      <option value="ER">Eritrea</option>
      <option value="EE">Estonia</option>
      <option value="SZ">Eswatini</option>
      <option value="ET">Ethiopia</option>
      <option value="FO">Faroe Islands</option>
      <option value="FJ">Fiji</option>
      <option value="FI">Finland</option>
      <option value="FR">France</option>
      <option value="GF">French Guiana</option>
      <option value="PF">French Polynesia</option>
      <option value="GA">Gabon</option>
      <option value="GM">Gambia</option>
      <option value="GE">Georgia</option>
      <option value="DE">Germany</option>
      <option value="GH">Ghana</option>
      <option value="GI">Gibraltar</option>
      <option value="GR">Greece</option>
      <option value="GL">Greenland</option>
      <option value="GD">Grenada</option>
      <option value="GP">Guadeloupe</option>
      <option value="GU">Guam</option>
      <option value="GT">Guatemala</option>
      <option value="GN">Guinea</option>
      <option value="GW">Guinea-Bissau</option>
      <option value="GY">Guyana</option>
      <option value="HT">Haiti</option>
      <option value="HN">Honduras</option>
      <option value="HK">Hong Kong</option>
      <option value="HU">Hungary</option>
      <option value="IS">Iceland</option>
      <option value="ID">Indonesia</option>
      <option value="IR">Iran</option>
      <option value="IQ">Iraq</option>
      <option value="IE">Ireland</option>
      <option value="IL">Israel</option>
      <option value="IT">Italy</option>
      <option value="JM">Jamaica</option>
      <option value="JP">Japan</option>
      <option value="JO">Jordan</option>
      <option value="KZ">Kazakhstan</option>
      <option value="KE">Kenya</option>
      <option value="KI">Kiribati</option>
      <option value="XK">Kosovo</option>
      <option value="KW">Kuwait</option>
      <option value="KG">Kyrgyzstan</option>
      <option value="LA">Laos</option>
      <option value="LV">Latvia</option>
      <option value="LB">Lebanon</option>
      <option value="LS">Lesotho</option>
      <option value="LR">Liberia</option>
      <option value="LY">Libya</option>
      <option value="LI">Liechtenstein</option>
      <option value="LT">Lithuania</option>
      <option value="LU">Luxembourg</option>
      <option value="MO">Macao</option>
      <option value="MG">Madagascar</option>
      <option value="MW">Malawi</option>
      <option value="MY">Malaysia</option>
      <option value="MV">Maldives</option>
      <option value="ML">Mali</option>
      <option value="MT">Malta</option>
      <option value="MH">Marshall Islands</option>
      <option value="MQ">Martinique</option>
      <option value="MR">Mauritania</option>
      <option value="MU">Mauritius</option>
      <option value="YT">Mayotte</option>
      <option value="MX">Mexico</option>
      <option value="FM">Micronesia</option>
      <option value="MD">Moldova</option>
      <option value="MC">Monaco</option>
      <option value="MN">Mongolia</option>
      <option value="MS">Montserrat</option>
      <option value="MA">Morocco</option>
      <option value="MZ">Mozambique</option>
      <option value="MM">Myanmar (Burma)</option>
      <option value="NA">Namibia</option>
      <option value="NR">Nauru</option>
      <option value="NP">Nepal</option>
      <option value="NL">Netherlands</option>
      <option value="NC">New Caledonia</option>
      <option value="NZ">New Zealand</option>
      <option value="NI">Nicaragua</option>
      <option value="NE">Niger</option>
      <option value="NG">Nigeria</option>
      <option value="NU">Niue</option>
      <option value="MK">North Macedonia</option>
      <option value="MP">Northern Mariana Islands</option>
      <option value="NO">Norway</option>
      <option value="OM">Oman</option>
      <option value="PK">Pakistan</option>
      <option value="PW">Palau</option>
      <option value="PA">Panama</option>
      <option value="PG">Papua New Guinea</option>
      <option value="PY">Paraguay</option>
      <option value="PE">Peru</option>
      <option value="PH">Philippines</option>
      <option value="PL">Poland</option>
      <option value="PT">Portugal</option>
      <option value="PR">Puerto Rico</option>
      <option value="QA">Qatar</option>
      <option value="RO">Romania</option>
      <option value="RU">Russia</option>
      <option value="RW">Rwanda</option>
      <option value="WS">Samoa</option>
      <option value="SM">San Marino</option>
      <option value="ST">São Tomé &amp; Príncipe</option>
      <option value="SA">Saudi Arabia</option>
      <option value="SN">Senegal</option>
      <option value="RS">Serbia</option>
      <option value="SC">Seychelles</option>
      <option value="SL">Sierra Leone</option>
      <option value="SG">Singapore</option>
      <option value="SK">Slovakia</option>
      <option value="SI">Slovenia</option>
      <option value="SB">Solomon Islands</option>
      <option value="SO">Somalia</option>
      <option value="ZA">South Africa</option>
      <option value="KR">South Korea</option>
      <option value="ES">Spain</option>
      <option value="LK">Sri Lanka</option>
      <option value="KN">St. Kitts &amp; Nevis</option>
      <option value="LC">St. Lucia</option>
      <option value="VC">St. Vincent &amp; Grenadines</option>
      <option value="SD">Sudan</option>
      <option value="SR">Suriname</option>
      <option value="SJ">Svalbard &amp; Jan Mayen</option>
      <option value="SE">Sweden</option>
      <option value="CH">Switzerland</option>
      <option value="SY">Syria</option>
      <option value="TW">Taiwan</option>
      <option value="TJ">Tajikistan</option>
      <option value="TZ">Tanzania</option>
      <option value="TH">Thailand</option>
      <option value="TP">Timor-Leste</option>
      <option value="TG">Togo</option>
      <option value="TO">Tonga</option>
      <option value="TT">Trinidad &amp; Tobago</option>
      <option value="TN">Tunisia</option>
      <option value="TR">Turkey</option>
      <option value="TM">Turkmenistan</option>
      <option value="TC">Turks &amp; Caicos Islands</option>
      <option value="TV">Tuvalu</option>
      <option value="VI">U.S. Virgin Islands</option>
      <option value="UG">Uganda</option>
      <option value="UA">Ukraine</option>
      <option value="AE">United Arab Emirates</option>
      <option value="GB">United Kingdom</option>
      <option value="UY">Uruguay</option>
      <option value="UZ">Uzbekistan</option>
      <option value="VU">Vanuatu</option>
      <option value="VA">Vatican</option>
      <option value="VE">Venezuela</option>
      <option value="VN">Vietnam</option>
      <option value="EH">Western Sahara</option>
      <option value="YE">Yemen</option>
      <option value="ZM">Zambia</option>
      <option value="ZW">Zimbabwe</option>
    </select>
  </div>
  <div class="form-group">
    <select class="form-control" id="registration-select-state" name="state" placeholder="State/Province" title="State/Province" style="display: none">
      <option value="">State/Province</option>
      <option value="AK">ALASKA</option>
      <option value="AL">ALABAMA</option>
      <option value="AR">ARKANSAS</option>
      <option value="AZ">ARIZONA</option>
      <option value="CA">CALIFORNIA</option>
      <option value="CO">COLORADO</option>
      <option value="CT">CONNECTICUT</option>
      <option value="DC">DISTRICT OF COLUMBIA</option>
      <option value="DE">DELAWARE</option>
      <option value="FL">FLORIDA</option>
      <option value="GA">GEORGIA</option>
      <option value="HI">HAWAII</option>
      <option value="IA">IOWA</option>
      <option value="ID">IDAHO</option>
      <option value="IL">ILLINOIS</option>
      <option value="IN">INDIANA</option>
      <option value="KS">KANSAS</option>
      <option value="KY">KENTUCKY</option>
      <option value="LA">LOUISIANA</option>
      <option value="MA">MASSACHUSETTS</option>
      <option value="MD">MARYLAND</option>
      <option value="ME">MAINE</option>
      <option value="MI">MICHIGAN</option>
      <option value="MN">MINNESOTA</option>
      <option value="MO">MISSOURI</option>
      <option value="MS">MISSISSIPPI</option>
      <option value="MT">MONTANA</option>
      <option value="NC">NORTH CAROLINA</option>
      <option value="ND">NORTH DAKOTA</option>
      <option value="NE">NEBRASKA</option>
      <option value="NH">NEW HAMPSHIRE</option>
      <option value="NJ">NEW JERSEY</option>
      <option value="NM">NEW MEXICO</option>
      <option value="NV">NEVADA</option>
      <option value="NY">NEW YORK</option>
      <option value="OH">OHIO</option>
      <option value="OK">OKLAHOMA</option>
      <option value="OR">OREGON</option>
      <option value="PA">PENNSYLVANIA</option>
      <option value="RI">RHODE ISLAND</option>
      <option value="SC">SOUTH CAROLINA</option>
      <option value="SD">SOUTH DAKOTA</option>
      <option value="TN">TENNESSEE</option>
      <option value="TX">TEXAS</option>
      <option value="UT">UTAH</option>
      <option value="VA">VIRGINIA</option>
      <option value="VT">VERMONT</option>
      <option value="WA">WASHINGTON</option>
      <option value="WI">WISCONSIN</option>
      <option value="WV">WEST VIRGINIA</option>
      <option value="WY">WYOMING</option>
    </select>
  </div>
  <div class="form-group">
    <input type="text" class="form-control" id="registration-text-address-1" name="address" placeholder="Address" title="Address">
  </div>
  <div class="form-group">
    <input type="text" class="form-control" id="registration-text-address-2" name="subaddress" placeholder="Address 2" title="Address 2">
  </div>
  <div class="row" style="">
    <div class="col-sm-6">
      <div class="form-group">
        <input type="text" class="form-control" id="registration-text-city" name="city" placeholder="City" title="City">
      </div>
    </div>
    <div class="col-sm-6">
      <div class="form-group">
        <input type="text" class="form-control" id="registration-text-zip" name="zip" placeholder="ZIP" title="ZIP">
      </div>
    </div>
  </div>
  <div class="form-group">
    <input type="text" class="form-control" id="registration-text-phone" name="phone" placeholder="Phone" title="Phone">
  </div>
  <div class="row">
    <div class="col-xs-12">
      <button type="submit" class="btn btn-primary pull-right" id="registration2-btn-submit">I'm Done</button>
    </div>
  </div>
</form>

<form id="signin-ismg-modal">
  <input type="hidden" name="form_token" value="f1f283176c7e077bec21012de80060b776c71569d862c69a31ff45a2ee9d5c62">
  <input type="hidden" id="additional_action" name="additional_action" value="">
  <h4>Sign in with your ISMG account</h4>
  <div class="form-group">
    <input type="email" required="" class="form-control required email" id="sign-in-ismg-txt-email" name="username" placeholder="Email" title="Email">
  </div>
  <div class="form-group">
    <input type="password" required="" class="form-control required" id="sign-in-ismg-txt-password" name="password" placeholder="Password" title="Password">
  </div>
  <div class="row bot10">
    <div class="col-xs-7"><input type="checkbox" class="pull-left" name="remember" value="1"> &nbsp;Keep me signed in </div>
    <div class="col-xs-5 pull-right hidden-xs">
      <a hre="#" class="" onclick="$('#modalForgotPassword').modal('show')">Forgot Password?</a>
    </div>
  </div>
  <div class="row">
    <div class="col-xs-9 visible-xs">
      <a hre="#" class="" onclick="$('#modalForgotPassword').modal('show')">Forgot Password?</a>
    </div>
    <div class="col-xs-3 col-sm-12">
      <button type="submit" class="btn btn-primary btn-lg pull-right" id="sign-in-ismg-submit">Sign in</button>
    </div>
  </div>
</form>

<form id="forgot-password-modal">
  <input type="hidden" name="form_token" value="f1f283176c7e077bec21012de80060b776c71569d862c69a31ff45a2ee9d5c62">
  <div class="row">
    <div class="col-md-12">
      <h4>Enter your email address to reset your password</h4>
      <div class="form-group">
        <input type="email" required="" class="form-control required" id="forgot-password-txt-email" name="email" placeholder="Email" title="Email">
      </div>
    </div>
  </div>
  <button type="submit" class="btn btn-primary pull-right" id="forgot-password-submit">Submit</button>
</form>

Name: contact-us-modalPOST

<form id="contact-us-modal" name="contact-us-modal" method="POST">
  <input type="hidden" name="form_token" value="f1f283176c7e077bec21012de80060b776c71569d862c69a31ff45a2ee9d5c62">
  <input type="hidden" name="register_contact" value="1">
  <div class="form-group spacer top15">
  </div>
  <div class="form-group">
    <input type="text" class="form-control" id="contact-txt-name" name="name" placeholder="Your Name" title="Your Name">
  </div>
  <div class="form-group">
    <input type="email" class="form-control" id="contact-txt-email" name="email" placeholder="Email" title="Email">
  </div>
  <div class="form-group">
    <input type="text" class="form-control" id="contact-txt-subject" name="subject" placeholder="Subject" title="Subject">
  </div>
  <div class="form-group">
    <textarea class="form-control" id="contact-txt-message" name="comment" placeholder="Message" title="Message"></textarea>
  </div>
  <button type="submit" class="btn btn-primary pull-right">Send</button>
</form>

<form id="registration-modal">
  <input type="hidden" name="form_token" value="f1f283176c7e077bec21012de80060b776c71569d862c69a31ff45a2ee9d5c62">
  <div class="col-sm-8">
    <h4>Register with an ISMG account</h4>
    <div class="row">
      <div class="col-xs-6">
        <div class="form-group">
          <input type="text" class="form-control " id="registration-txt-first-name" name="name_first" placeholder="First name" title="First name">
        </div>
      </div>
      <div class="col-xs-6">
        <div class="form-group">
          <input type="text" class="form-control " id="registration-txt-last-name" name="name_last" placeholder="Last name" title="Last name">
        </div>
      </div>
    </div>
    <div class="form-group">
      <input type="text" class="form-control " id="registration-txt-company" name="inst_name" placeholder="Company" title="Company">
    </div>
    <div class="form-group">
      <input type="text" class="form-control" id="registration-text-phone" name="phone" placeholder="Phone" title="Phone">
    </div>
    <div class="form-group">
      <input type="email" class="form-control  " id="registration-txt-email" name="email" placeholder="Email" title="Email">
    </div>
    <div class="form-group">
      <input type="password" class="form-control  " id="registration-txt-password" name="password1" placeholder="Password" title="Password">
      <small>Password must have a minimum of 6 characters</small>
    </div>
    <!-- Multiple Checkboxes (inline) -->
    <div class="form-group row bot5">
      <label class="col-xs-12 control-label" for="chk_stp1">Email Newsletters</label>
    </div>
    <div class="col-xs-6">
      <div class="row">
        <label class="checkbox-inline" for="chk_stp1-1"><input type="checkbox" name="DBT_enews" id="chk_stp1-1" value="1">DataBreachToday</label>
      </div>
      <div class="row">
        <label class="checkbox-inline" for="chk_stp1-1"><input type="checkbox" name="IR_enews" id="chk_stp1-2" value="2">InfoRiskToday</label>
      </div>
      <div class="row">
        <label class="checkbox-inline" for="chk_stp1-1"><input type="checkbox" name="CAIS_enews" id="chk_stp1-3" value="3">CareersInfoSecurity</label>
      </div>
    </div>
    <div class="col-xs-6">
      <div class="row">
        <label class="checkbox-inline" for="chk_stp1-1"><input type="checkbox" name="BIS_enews" id="chk_stp1-1" value="1">BankInfoSecurity</label>
      </div>
      <div class="row">
        <label class="checkbox-inline" for="chk_stp1-1"><input type="checkbox" name="CUIS_enews" id="chk_stp1-2" value="2">CUInfoSecurity</label>
      </div>
      <div class="row">
        <label class="checkbox-inline" for="chk_stp1-1"><input type="checkbox" name="GIS_enews" id="chk_stp1-3" value="3">GovInfoSecurity</label>
      </div>
      <div class="row">
        <label class="checkbox-inline" for="chk_stp1-1"><input type="checkbox" name="HIS_enews" id="chk_stp1-4" value="4">HealthcareInfoSecurity</label>
      </div>
    </div>
    <div style="clear:both;"></div>
    <hr class="top10 bot10">
    <div class="form-group pull-right" style="display:inline-block">
      <button type="submit" id="registration-btn-submit" class="btn btn-primary">Register</button>
    </div>
    <small>By submitting this form you agree to our <a href="/tos" target="_blank">Privacy &amp; GDPR Statement</a></small>
  </div>
  <div class="col-sm-4">
    <hr class="visible-xs-block">
    <h4>Already have an<br>ISMG account?</h4>
    <p><a href="javascript:void(0)" onclick="$('#modalRegister').modal('hide');$('#modalSigninISMG').modal('show');">Sign in now <i class="fa fa-angle-right"></i></a></p>
    <hr>
    <p>Need help registering?<br>
      <a href="javascript:void(0)" onclick="$('#modalContactSupport').modal('show');">Contact support <i class="fa fa-angle-right"></i></a>
    </p>
  </div>
</form>

<form id="registration-additional-info">
  <input type="hidden" name="form_token" value="f1f283176c7e077bec21012de80060b776c71569d862c69a31ff45a2ee9d5c62">
  <h3>Thank you for registering with ISMG</h3>
  <p>Complete your profile and stay up to date</p>
  <div class="form-group">
    <select class="form-control" id="registration-select-title-level" name="title_level" placeholder="Title Level" title="Title Level">
      <option value="">Title Level</option>
      <option value="55">Analytics/Architecture/Engineering</option>
      <option value="47">Attorney / General Counsel / Counsel</option>
      <option value="25">AVP</option>
      <option value="50">Board of Director</option>
      <option value="58">C - level</option>
      <option value="22">C Level - Other</option>
      <option value="19">CCO</option>
      <option value="15">CEO / President</option>
      <option value="16">CFO</option>
      <option value="49">Chairperson</option>
      <option value="21">CIO</option>
      <option value="18">CISO / CSO</option>
      <option value="57">CISO/CSO/CIO</option>
      <option value="17">COO</option>
      <option value="20">CRO</option>
      <option value="34">CTO</option>
      <option value="26">Director</option>
      <option value="23">EVP / SVP / FVP</option>
      <option value="53">Head</option>
      <option value="54">Healthcare Professional</option>
      <option value="60">Manager</option>
      <option value="27">Manager / Supervisor</option>
      <option value="36">Partner</option>
      <option value="56">Specialist/Other</option>
      <option value="59">Staff</option>
      <option value="24">VP</option>
      <option>--Other Title Level--</option>
    </select>
  </div>
  <div class="form-group">
    <input type="text" class="form-control" style="display: none;" id="registration-txt-title-level-other" name="title_other" placeholder="Title Level (other)" title="Title Level (other)">
  </div>
  <div class="form-group">
    <select class="form-control " id="registration-select-job-function" name="job_function" title="Job Function">
      <option value="">Job Function</option>
      <option value="48">Anti-Money Laundering (AML)</option>
      <option value="21">Audit</option>
      <option value="71">BSA</option>
      <option value="52">Business Continuity/Disaster Recovery</option>
      <option value="45">Business Development</option>
      <option value="27">Cashier / Customer Service / Administrative</option>
      <option value="19">Clinical Healthcare Professional</option>
      <option value="74">Cloud - IT</option>
      <option value="73">Cloud - Security</option>
      <option value="70">Compliance</option>
      <option value="23">Compliance / BSA</option>
      <option value="39">Data Management</option>
      <option value="42">Debit/Credit Card/Electronic Banking</option>
      <option value="24">eCommerce / eBusiness</option>
      <option value="11">Executive Management</option>
      <option value="14">Finance / Accounting</option>
      <option value="12">Founder / Owner</option>
      <option value="20">Fraud</option>
      <option value="18">HR / Training</option>
      <option value="33">Information Security</option>
      <option value="16">Information Technology</option>
      <option value="26">Legal</option>
      <option value="37">Lending</option>
      <option value="41">Loss Prevention</option>
      <option value="15">Marketing</option>
      <option value="35">Network / Systems / Web</option>
      <option value="75">Operational Technology</option>
      <option value="13">Operations</option>
      <option value="69">Others</option>
      <option value="54">Policies / Procedures</option>
      <option value="43">Product Management</option>
      <option value="47">Project</option>
      <option value="65">Regulatory Affairs</option>
      <option value="22">Risk Management</option>
      <option value="25">Sales</option>
      <option value="17">Security / Privacy</option>
      <option value="57">Vendor Management</option>
      <option>--Other Job Function--</option>
    </select>
  </div>
  <div class="form-group">
    <input type="text" class="form-control" style="display: none;" id="registration-txt-job-function-other" name="job_other" placeholder="Job function (other)" title="Job function (other)">
  </div>
  <div class="form-group">
    <select class="form-control" id="registration-select-country" name="country" title="Country">
      <option value="">Country</option>
      <option value="US">United States</option>
      <option value="CA">Canada</option>
      <option value="IN">India</option>
      <option value="AF">Afghanistan</option>
      <option value="AL">Albania</option>
      <option value="DZ">Algeria</option>
      <option value="AS">American Samoa</option>
      <option value="AD">Andorra</option>
      <option value="AO">Angola</option>
      <option value="AI">Anguilla</option>
      <option value="AG">Antigua &amp; Barbuda</option>
      <option value="AR">Argentina</option>
      <option value="AM">Armenia</option>
      <option value="AW">Aruba</option>
      <option value="AU">Australia</option>
      <option value="AT">Austria</option>
      <option value="AZ">Azerbaijan</option>
      <option value="BS">Bahamas</option>
      <option value="BH">Bahrain</option>
      <option value="BD">Bangladesh</option>
      <option value="BB">Barbados</option>
      <option value="BY">Belarus</option>
      <option value="BE">Belgium</option>
      <option value="BZ">Belize</option>
      <option value="BJ">Benin</option>
      <option value="BM">Bermuda</option>
      <option value="BT">Bhutan</option>
      <option value="BO">Bolivia</option>
      <option value="BA">Bosnia &amp; Herzegovina</option>
      <option value="BW">Botswana</option>
      <option value="BR">Brazil</option>
      <option value="VG">British Virgin Islands</option>
      <option value="BN">Brunei</option>
      <option value="BG">Bulgaria</option>
      <option value="BF">Burkina Faso</option>
      <option value="BI">Burundi</option>
      <option value="KH">Cambodia</option>
      <option value="CM">Cameroon</option>
      <option value="CV">Cape Verde</option>
      <option value="KY">Cayman Islands</option>
      <option value="CF">Central African Republic</option>
      <option value="TD">Chad</option>
      <option value="CL">Chile</option>
      <option value="CN">China</option>
      <option value="CO">Colombia</option>
      <option value="KM">Comoros</option>
      <option value="CK">Cook Islands</option>
      <option value="CR">Costa Rica</option>
      <option value="CI">Côte d’Ivoire</option>
      <option value="HR">Croatia</option>
      <option value="CU">Cuba</option>
      <option value="CY">Cyprus</option>
      <option value="CZ">Czechia</option>
      <option value="CG">Democratic Republic of the Congo</option>
      <option value="DK">Denmark</option>
      <option value="DJ">Djibouti</option>
      <option value="DM">Dominica</option>
      <option value="DO">Dominican Republic</option>
      <option value="EC">Ecuador</option>
      <option value="EG">Egypt</option>
      <option value="SV">El Salvador</option>
      <option value="GQ">Equatorial Guinea</option>
      <option value="ER">Eritrea</option>
      <option value="EE">Estonia</option>
      <option value="SZ">Eswatini</option>
      <option value="ET">Ethiopia</option>
      <option value="FO">Faroe Islands</option>
      <option value="FJ">Fiji</option>
      <option value="FI">Finland</option>
      <option value="FR">France</option>
      <option value="GF">French Guiana</option>
      <option value="PF">French Polynesia</option>
      <option value="GA">Gabon</option>
      <option value="GM">Gambia</option>
      <option value="GE">Georgia</option>
      <option value="DE">Germany</option>
      <option value="GH">Ghana</option>
      <option value="GI">Gibraltar</option>
      <option value="GR">Greece</option>
      <option value="GL">Greenland</option>
      <option value="GD">Grenada</option>
      <option value="GP">Guadeloupe</option>
      <option value="GU">Guam</option>
      <option value="GT">Guatemala</option>
      <option value="GN">Guinea</option>
      <option value="GW">Guinea-Bissau</option>
      <option value="GY">Guyana</option>
      <option value="HT">Haiti</option>
      <option value="HN">Honduras</option>
      <option value="HK">Hong Kong</option>
      <option value="HU">Hungary</option>
      <option value="IS">Iceland</option>
      <option value="ID">Indonesia</option>
      <option value="IR">Iran</option>
      <option value="IQ">Iraq</option>
      <option value="IE">Ireland</option>
      <option value="IL">Israel</option>
      <option value="IT">Italy</option>
      <option value="JM">Jamaica</option>
      <option value="JP">Japan</option>
      <option value="JO">Jordan</option>
      <option value="KZ">Kazakhstan</option>
      <option value="KE">Kenya</option>
      <option value="KI">Kiribati</option>
      <option value="XK">Kosovo</option>
      <option value="KW">Kuwait</option>
      <option value="KG">Kyrgyzstan</option>
      <option value="LA">Laos</option>
      <option value="LV">Latvia</option>
      <option value="LB">Lebanon</option>
      <option value="LS">Lesotho</option>
      <option value="LR">Liberia</option>
      <option value="LY">Libya</option>
      <option value="LI">Liechtenstein</option>
      <option value="LT">Lithuania</option>
      <option value="LU">Luxembourg</option>
      <option value="MO">Macao</option>
      <option value="MG">Madagascar</option>
      <option value="MW">Malawi</option>
      <option value="MY">Malaysia</option>
      <option value="MV">Maldives</option>
      <option value="ML">Mali</option>
      <option value="MT">Malta</option>
      <option value="MH">Marshall Islands</option>
      <option value="MQ">Martinique</option>
      <option value="MR">Mauritania</option>
      <option value="MU">Mauritius</option>
      <option value="YT">Mayotte</option>
      <option value="MX">Mexico</option>
      <option value="FM">Micronesia</option>
      <option value="MD">Moldova</option>
      <option value="MC">Monaco</option>
      <option value="MN">Mongolia</option>
      <option value="MS">Montserrat</option>
      <option value="MA">Morocco</option>
      <option value="MZ">Mozambique</option>
      <option value="MM">Myanmar (Burma)</option>
      <option value="NA">Namibia</option>
      <option value="NR">Nauru</option>
      <option value="NP">Nepal</option>
      <option value="NL">Netherlands</option>
      <option value="NC">New Caledonia</option>
      <option value="NZ">New Zealand</option>
      <option value="NI">Nicaragua</option>
      <option value="NE">Niger</option>
      <option value="NG">Nigeria</option>
      <option value="NU">Niue</option>
      <option value="MK">North Macedonia</option>
      <option value="MP">Northern Mariana Islands</option>
      <option value="NO">Norway</option>
      <option value="OM">Oman</option>
      <option value="PK">Pakistan</option>
      <option value="PW">Palau</option>
      <option value="PA">Panama</option>
      <option value="PG">Papua New Guinea</option>
      <option value="PY">Paraguay</option>
      <option value="PE">Peru</option>
      <option value="PH">Philippines</option>
      <option value="PL">Poland</option>
      <option value="PT">Portugal</option>
      <option value="PR">Puerto Rico</option>
      <option value="QA">Qatar</option>
      <option value="RO">Romania</option>
      <option value="RU">Russia</option>
      <option value="RW">Rwanda</option>
      <option value="WS">Samoa</option>
      <option value="SM">San Marino</option>
      <option value="ST">São Tomé &amp; Príncipe</option>
      <option value="SA">Saudi Arabia</option>
      <option value="SN">Senegal</option>
      <option value="RS">Serbia</option>
      <option value="SC">Seychelles</option>
      <option value="SL">Sierra Leone</option>
      <option value="SG">Singapore</option>
      <option value="SK">Slovakia</option>
      <option value="SI">Slovenia</option>
      <option value="SB">Solomon Islands</option>
      <option value="SO">Somalia</option>
      <option value="ZA">South Africa</option>
      <option value="KR">South Korea</option>
      <option value="ES">Spain</option>
      <option value="LK">Sri Lanka</option>
      <option value="KN">St. Kitts &amp; Nevis</option>
      <option value="LC">St. Lucia</option>
      <option value="VC">St. Vincent &amp; Grenadines</option>
      <option value="SD">Sudan</option>
      <option value="SR">Suriname</option>
      <option value="SJ">Svalbard &amp; Jan Mayen</option>
      <option value="SE">Sweden</option>
      <option value="CH">Switzerland</option>
      <option value="SY">Syria</option>
      <option value="TW">Taiwan</option>
      <option value="TJ">Tajikistan</option>
      <option value="TZ">Tanzania</option>
      <option value="TH">Thailand</option>
      <option value="TP">Timor-Leste</option>
      <option value="TG">Togo</option>
      <option value="TO">Tonga</option>
      <option value="TT">Trinidad &amp; Tobago</option>
      <option value="TN">Tunisia</option>
      <option value="TR">Turkey</option>
      <option value="TM">Turkmenistan</option>
      <option value="TC">Turks &amp; Caicos Islands</option>
      <option value="TV">Tuvalu</option>
      <option value="VI">U.S. Virgin Islands</option>
      <option value="UG">Uganda</option>
      <option value="UA">Ukraine</option>
      <option value="AE">United Arab Emirates</option>
      <option value="GB">United Kingdom</option>
      <option value="UY">Uruguay</option>
      <option value="UZ">Uzbekistan</option>
      <option value="VU">Vanuatu</option>
      <option value="VA">Vatican</option>
      <option value="VE">Venezuela</option>
      <option value="VN">Vietnam</option>
      <option value="EH">Western Sahara</option>
      <option value="YE">Yemen</option>
      <option value="ZM">Zambia</option>
      <option value="ZW">Zimbabwe</option>
    </select>
  </div>
  <div class="form-group">
    <select class="form-control" id="registration-select-state" name="state" placeholder="State/Province" title="State/Province" style="display: none">
      <option value="">State/Province</option>
      <option value="AK">ALASKA</option>
      <option value="AL">ALABAMA</option>
      <option value="AR">ARKANSAS</option>
      <option value="AZ">ARIZONA</option>
      <option value="CA">CALIFORNIA</option>
      <option value="CO">COLORADO</option>
      <option value="CT">CONNECTICUT</option>
      <option value="DC">DISTRICT OF COLUMBIA</option>
      <option value="DE">DELAWARE</option>
      <option value="FL">FLORIDA</option>
      <option value="GA">GEORGIA</option>
      <option value="HI">HAWAII</option>
      <option value="IA">IOWA</option>
      <option value="ID">IDAHO</option>
      <option value="IL">ILLINOIS</option>
      <option value="IN">INDIANA</option>
      <option value="KS">KANSAS</option>
      <option value="KY">KENTUCKY</option>
      <option value="LA">LOUISIANA</option>
      <option value="MA">MASSACHUSETTS</option>
      <option value="MD">MARYLAND</option>
      <option value="ME">MAINE</option>
      <option value="MI">MICHIGAN</option>
      <option value="MN">MINNESOTA</option>
      <option value="MO">MISSOURI</option>
      <option value="MS">MISSISSIPPI</option>
      <option value="MT">MONTANA</option>
      <option value="NC">NORTH CAROLINA</option>
      <option value="ND">NORTH DAKOTA</option>
      <option value="NE">NEBRASKA</option>
      <option value="NH">NEW HAMPSHIRE</option>
      <option value="NJ">NEW JERSEY</option>
      <option value="NM">NEW MEXICO</option>
      <option value="NV">NEVADA</option>
      <option value="NY">NEW YORK</option>
      <option value="OH">OHIO</option>
      <option value="OK">OKLAHOMA</option>
      <option value="OR">OREGON</option>
      <option value="PA">PENNSYLVANIA</option>
      <option value="RI">RHODE ISLAND</option>
      <option value="SC">SOUTH CAROLINA</option>
      <option value="SD">SOUTH DAKOTA</option>
      <option value="TN">TENNESSEE</option>
      <option value="TX">TEXAS</option>
      <option value="UT">UTAH</option>
      <option value="VA">VIRGINIA</option>
      <option value="VT">VERMONT</option>
      <option value="WA">WASHINGTON</option>
      <option value="WI">WISCONSIN</option>
      <option value="WV">WEST VIRGINIA</option>
      <option value="WY">WYOMING</option>
    </select>
  </div>
  <div class="form-group">
    <input type="text" class="form-control" id="registration-text-address-1" name="address" placeholder="Address" title="Address">
  </div>
  <div class="form-group">
    <input type="text" class="form-control" id="registration-text-address-2" name="subaddress" placeholder="Address 2" title="Address 2">
  </div>
  <div class="row" style="">
    <div class="col-sm-6">
      <div class="form-group">
        <input type="text" class="form-control" id="registration-text-city" name="city" placeholder="City" title="City">
      </div>
    </div>
    <div class="col-sm-6">
      <div class="form-group">
        <input type="text" class="form-control" id="registration-text-zip" name="zip" placeholder="ZIP" title="ZIP">
      </div>
    </div>
  </div>
  <div class="form-group">
    <input type="text" class="form-control" id="registration-text-phone" name="phone" placeholder="Phone" title="Phone">
  </div>
  <div class="row">
    <div class="col-xs-12">
      <button type="submit" class="btn btn-primary pull-right" id="registration2-btn-submit">I'm Done</button>
    </div>
  </div>
</form>

<form id="signin-ismg-modal">
  <input type="hidden" name="form_token" value="f1f283176c7e077bec21012de80060b776c71569d862c69a31ff45a2ee9d5c62">
  <input type="hidden" id="additional_action" name="additional_action" value="">
  <h4>Sign in with your ISMG account</h4>
  <div class="form-group">
    <input type="email" required="" class="form-control required email" id="sign-in-ismg-txt-email" name="username" placeholder="Email" title="Email">
  </div>
  <div class="form-group">
    <input type="password" required="" class="form-control required" id="sign-in-ismg-txt-password" name="password" placeholder="Password" title="Password">
  </div>
  <div class="row bot10">
    <div class="col-xs-7"><input type="checkbox" class="pull-left" name="remember" value="1"> &nbsp;Keep me signed in </div>
    <div class="col-xs-5 pull-right hidden-xs">
      <a hre="#" class="" onclick="$('#modalForgotPassword').modal('show')">Forgot Password?</a>
    </div>
  </div>
  <div class="row">
    <div class="col-xs-9 visible-xs">
      <a hre="#" class="" onclick="$('#modalForgotPassword').modal('show')">Forgot Password?</a>
    </div>
    <div class="col-xs-3 col-sm-12">
      <button type="submit" class="btn btn-primary btn-lg pull-right" id="sign-in-ismg-submit">Sign in</button>
    </div>
  </div>
</form>

<form id="forgot-password-modal">
  <input type="hidden" name="form_token" value="f1f283176c7e077bec21012de80060b776c71569d862c69a31ff45a2ee9d5c62">
  <div class="row">
    <div class="col-md-12">
      <h4>Enter your email address to reset your password</h4>
      <div class="form-group">
        <input type="email" required="" class="form-control required" id="forgot-password-txt-email" name="email" placeholder="Email" title="Email">
      </div>
    </div>
  </div>
  <button type="submit" class="btn btn-primary pull-right" id="forgot-password-submit">Submit</button>
</form>

Name: contact-us-modalPOST

<form id="contact-us-modal" name="contact-us-modal" method="POST">
  <input type="hidden" name="form_token" value="f1f283176c7e077bec21012de80060b776c71569d862c69a31ff45a2ee9d5c62">
  <input type="hidden" name="register_contact" value="1">
  <div class="form-group spacer top15">
  </div>
  <div class="form-group">
    <input type="text" class="form-control" id="contact-txt-name" name="name" placeholder="Your Name" title="Your Name">
  </div>
  <div class="form-group">
    <input type="email" class="form-control" id="contact-txt-email" name="email" placeholder="Email" title="Email">
  </div>
  <div class="form-group">
    <input type="text" class="form-control" id="contact-txt-subject" name="subject" placeholder="Subject" title="Subject">
  </div>
  <div class="form-group">
    <textarea class="form-control" id="contact-txt-message" name="comment" placeholder="Message" title="Message"></textarea>
  </div>
  <button type="submit" class="btn btn-primary pull-right">Send</button>
</form>

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