gai.highquestevents.com
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Submitted URL: https://www.apply.gai-eu.com/
Effective URL: https://gai.highquestevents.com/esurvey/index.php?surveyid=72952
Submission Tags: @phishunt_io
Submission: On March 24 via api from DE — Scanned from DE
Effective URL: https://gai.highquestevents.com/esurvey/index.php?surveyid=72952
Submission Tags: @phishunt_io
Submission: On March 24 via api from DE — Scanned from DE
Form analysis 1 forms found in the DOM
POST index.php
<form action="index.php" method="post"><input type="hidden" name="action" value="submit"><input type="hidden" name="surtoken" value="rjfu1tfhq35mst0ga0icrjmsdi"><input type="hidden" name="csrf"
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<div>
<div id="qt_9272357">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;margin-bottom:10px;">
<tbody>
<tr>
<td><label id="labelfor_9272357">Thank you so much for your interest in the 10th annual Global AgInvesting Europe event! <br><br> Please complete this application to submit a request for special pricing. After submitting your request, the
Global AgInvesting team will review your request and you will receive an email notification with your approval status and instructions for registering within 1-2 business days. <script>
! function(f, e, a, t, h, r) {
if (!f[h]) {
r = f[h] = function() {
r.invoke ? r.invoke.apply(r, arguments) : r.queue.push(arguments)
},
r.queue = [], r.loaded = 1 * new Date, r.version = "1.0.0",
f.FeathrBoomerang = r;
var g = e.createElement(a),
h = e.getElementsByTagName("head")[0] || e.getElementsByTagName("script")[0].parentNode;
g.async = !0, g.src = t, h.appendChild(g)
}
}(window, document, "script", "https://cdn.feathr.co/js/boomerang.min.js", "feathr");
feathr("fly", "5d483cd13c09aa4b1056e13b");
feathr("sprinkle", "page_view");
</script></label></td>
</tr>
<tr>
<td></td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<div id="qt_9272358">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;margin-bottom:10px;">
<tbody>
<tr bgcolor="#FFFFFF">
<td valign="top" style="width:20%;"> <label id="labelfor_9272358">Full Name <font class="red">*</font></label></td>
<td valign="top"><input aria-labelledby="labelfor_9272358" type="text" name="input[9272358]" value="" size="50"></td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<div id="qt_9272362">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;margin-bottom:10px;">
<tbody>
<tr bgcolor="#FFFFFF">
<td valign="top" style="width:20%;"> <label id="labelfor_9272362">Position <font class="red">*</font></label></td>
<td valign="top"><input aria-labelledby="labelfor_9272362" type="text" name="input[9272362]" value="" size="50"></td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<div id="qt_9272375">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;margin-bottom:10px;">
<tbody>
<tr bgcolor="#FFFFFF">
<td valign="top" style="width:20%;"> <label id="labelfor_9272375">Company / Organization <font class="red">*</font></label></td>
<td valign="top"><input aria-labelledby="labelfor_9272375" type="text" name="input[9272375]" value="" size="50"></td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<div id="qt_9272377">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;margin-bottom:10px;">
<tbody>
<tr bgcolor="#FFFFFF">
<td valign="top" style="width:20%;"> <label id="labelfor_9272377">Email Address <font class="red">*</font></label></td>
<td valign="top"><input aria-labelledby="labelfor_9272377" type="text" name="input[9272377]" value="" size="50"></td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<div id="qt_9272378">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;margin-bottom:10px;">
<tbody>
<tr bgcolor="#FFFFFF">
<td valign="top" style="width:20%;"> <label id="labelfor_9272378">Cc Email Address</label></td>
<td valign="top"><input aria-labelledby="labelfor_9272378" type="text" name="input[9272378]" value="" size="50"></td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<div id="qt_9272379">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;margin-bottom:10px;">
<tbody>
<tr>
<td><label id="labelfor_9272379">I agree that HighQuest may use my email address to provide me with logistical information related to my registration for the event and process my data in the manner described in
<a href="https://www.highquestgroup.com/new-terms-and-conditions" target="_blank" style="color: #79909d;">HighQuest's Terms of Use & Privacy Policy</a>. <font class="red">*</font></label></td>
</tr>
<tr>
<td>
<div role="group" aria-labelledby="labelfor_9272379">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;">
<tbody>
<tr>
<td valign="top">
<table role="presentation" cellspacing="0" cellpadding="2" style="">
<tbody>
<tr>
<td valign="top"><input type="hidden" name="input[9272380]" value=""><input type="checkbox" id="q_9272380" name="input[9272380]" value="Checked" onclick="conditional_js();"></td>
<td valign="top" style="width:98%;"> <label id="labelfor_9272380"><label for="q_9272380">I agree to the Terms of Use & Privacy Policy </label></label></td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<div id="qt_9272381">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;margin-bottom:10px;">
<tbody>
<tr>
<td><label id="labelfor_9272381">I would like to apply for special pricing as a(n): <font class="red">*</font></label></td>
</tr>
<tr>
<td>
<div role="radiogroup" aria-labelledby="labelfor_9272381">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;">
<tbody>
<tr>
<td valign="top">
<table role="presentation" cellspacing="0" cellpadding="2" style="">
<tbody>
<tr>
<td valign="top"><input type="radio" id="q_9272382" name="input[9272381]" value="9272382" onclick="conditional_js();"></td>
<td valign="top" style="width:98%;"> <label id="labelfor_9272382"><label for="q_9272382">Early Stage Company </label></label></td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td valign="top">
<table role="presentation" cellspacing="0" cellpadding="2" style="">
<tbody>
<tr>
<td valign="top"><input type="radio" id="q_9272383" name="input[9272381]" value="9272383" onclick="conditional_js();"></td>
<td valign="top" style="width:98%;"> <label id="labelfor_9272383"><label for="q_9272383">Primary Producer </label></label></td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td valign="top">
<table role="presentation" cellspacing="0" cellpadding="2" style="">
<tbody>
<tr>
<td valign="top"><input type="radio" id="q_9272384" name="input[9272381]" value="9272384" onclick="conditional_js();"></td>
<td valign="top" style="width:98%;"> <label id="labelfor_9272384"><label for="q_9272384">LP Investor </label></label></td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td valign="top">
<table role="presentation" cellspacing="0" cellpadding="2" style="">
<tbody>
<tr>
<td valign="top"><input type="radio" id="q_9272385" name="input[9272381]" value="9272385" onclick="conditional_js();"></td>
<td valign="top" style="width:98%;"> <label id="labelfor_9272385"><label for="q_9272385">Academic or Student </label></label></td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td valign="top">
<table role="presentation" cellspacing="0" cellpadding="2" style="">
<tbody>
<tr>
<td valign="top"><input type="radio" id="q_9272386" name="input[9272381]" value="9272386" onclick="conditional_js();"></td>
<td valign="top" style="width:98%;"> <label id="labelfor_9272386"><label for="q_9272386">Government or Not-for-Profit </label></label></td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<script>
document.write('<div id="qt_9272387" style="display:none;">');
</script>
<div id="qt_9272387" style="display:none;">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;margin-bottom:10px;">
<tbody>
<tr>
<td><label id="labelfor_9272387">I am a: <font class="red">*</font></label></td>
</tr>
<tr>
<td>
<div role="radiogroup" aria-labelledby="labelfor_9272387">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;">
<tbody>
<tr>
<td valign="top">
<table role="presentation" cellspacing="0" cellpadding="2" style="">
<tbody>
<tr>
<td valign="top"><input type="radio" id="q_9272388" name="input[9272387]" value="9272388" onclick="conditional_js();"></td>
<td valign="top" style="width:98%;"> <label id="labelfor_9272388"><label for="q_9272388">Teacher / Professor </label></label></td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td valign="top">
<table role="presentation" cellspacing="0" cellpadding="2" style="">
<tbody>
<tr>
<td valign="top"><input type="radio" id="q_9272389" name="input[9272387]" value="9272389" onclick="conditional_js();"></td>
<td valign="top" style="width:98%;"> <label id="labelfor_9272389"><label for="q_9272389">Student </label></label></td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<script>
document.write('<div id="qt_9272390" style="display:none;">');
</script>
<div id="qt_9272390" style="display:none;">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;margin-bottom:10px;">
<tbody>
<tr>
<td><label id="labelfor_9272390">Are you employed elsewhere in the agribusiness or agriculture investment industry? <font class="red">*</font></label></td>
</tr>
<tr>
<td>
<div role="radiogroup" aria-labelledby="labelfor_9272390">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;">
<tbody>
<tr>
<td valign="top">
<table role="presentation" cellspacing="0" cellpadding="2" style="">
<tbody>
<tr>
<td valign="top"><input type="radio" id="q_9272391" name="input[9272390]" value="9272391" onclick="conditional_js();"></td>
<td valign="top" style="width:98%;"> <label id="labelfor_9272391"><label for="q_9272391">Yes </label></label></td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td valign="top">
<table role="presentation" cellspacing="0" cellpadding="2" style="">
<tbody>
<tr>
<td valign="top"><input type="radio" id="q_9272392" name="input[9272390]" value="9272392" onclick="conditional_js();"></td>
<td valign="top" style="width:98%;"> <label id="labelfor_9272392"><label for="q_9272392">No </label></label></td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<script>
document.write('<div id="qt_9272393" style="display:none;">');
</script>
<div id="qt_9272393" style="display:none;">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;margin-bottom:10px;">
<tbody>
<tr>
<td><label id="labelfor_9272393">What is your position and firm name? <font class="red">*</font></label></td>
</tr>
<tr>
<td><input aria-labelledby="labelfor_9272393" type="text" name="input[9272393]" value="" size="50"></td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<script>
document.write('<div id="qt_9272394" style="display:none;">');
</script>
<div id="qt_9272394" style="display:none;">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;margin-bottom:10px;">
<tbody>
<tr>
<td><label id="labelfor_9272394">Do you also hold a position in private sector agriculture? <font class="red">*</font></label></td>
</tr>
<tr>
<td>
<div role="radiogroup" aria-labelledby="labelfor_9272394">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;">
<tbody>
<tr>
<td valign="top">
<table role="presentation" cellspacing="0" cellpadding="2" style="">
<tbody>
<tr>
<td valign="top"><input type="radio" id="q_9272395" name="input[9272394]" value="9272395" onclick="conditional_js();"></td>
<td valign="top" style="width:98%;"> <label id="labelfor_9272395"><label for="q_9272395">Yes </label></label></td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td valign="top">
<table role="presentation" cellspacing="0" cellpadding="2" style="">
<tbody>
<tr>
<td valign="top"><input type="radio" id="q_9272396" name="input[9272394]" value="9272396" onclick="conditional_js();"></td>
<td valign="top" style="width:98%;"> <label id="labelfor_9272396"><label for="q_9272396">No </label></label></td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<script>
document.write('<div id="qt_9272397" style="display:none;">');
</script>
<div id="qt_9272397" style="display:none;">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;margin-bottom:10px;">
<tbody>
<tr>
<td><label id="labelfor_9272397">What is your position and firm name? <font class="red">*</font></label></td>
</tr>
<tr>
<td><input aria-labelledby="labelfor_9272397" type="text" name="input[9272397]" value="" size="50"></td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<script>
document.write('<div id="qt_9272398" style="display:none;">');
</script>
<div id="qt_9272398" style="display:none;">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;margin-bottom:10px;">
<tbody>
<tr>
<td><label id="labelfor_9272398">Please briefly describe your business, including years in operation. <font class="red">*</font></label></td>
</tr>
<tr>
<td><textarea aria-labelledby="labelfor_9272398" name="input[9272398]" cols="50" rows="3"></textarea></td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<script>
document.write('<div id="qt_9272399" style="display:none;">');
</script>
<div id="qt_9272399" style="display:none;">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;margin-bottom:10px;">
<tbody>
<tr>
<td><label id="labelfor_9272399">How many employees do you have? <font class="red">*</font></label></td>
</tr>
<tr>
<td><input aria-labelledby="labelfor_9272399" type="text" name="input[9272399]" value="" size="50"></td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<script>
document.write('<div id="qt_9272400" style="display:none;">');
</script>
<div id="qt_9272400" style="display:none;">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;margin-bottom:10px;">
<tbody>
<tr>
<td><label id="labelfor_9272400">How much capital have you raised? <font class="red">*</font></label></td>
</tr>
<tr>
<td><input aria-labelledby="labelfor_9272400" type="text" name="input[9272400]" value="" size="50"></td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<script>
document.write('<div id="qt_9272401" style="display:none;">');
</script>
<div id="qt_9272401" style="display:none;">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;margin-bottom:10px;">
<tbody>
<tr>
<td><label id="labelfor_9272401">What capital are you currently raising? In what series? <font class="red">*</font></label></td>
</tr>
<tr>
<td><input aria-labelledby="labelfor_9272401" type="text" name="input[9272401]" value="" size="50"></td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<script>
document.write('<div id="qt_9272402" style="display:none;">');
</script>
<div id="qt_9272402" style="display:none;">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;margin-bottom:10px;">
<tbody>
<tr>
<td><label id="labelfor_9272402">Are you employed elsewhere in the agriculture or agribusiness industry? <font class="red">*</font></label></td>
</tr>
<tr>
<td>
<div role="radiogroup" aria-labelledby="labelfor_9272402">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;">
<tbody>
<tr>
<td valign="top">
<table role="presentation" cellspacing="0" cellpadding="2" style="">
<tbody>
<tr>
<td valign="top"><input type="radio" id="q_9272403" name="input[9272402]" value="9272403" onclick="conditional_js();"></td>
<td valign="top" style="width:98%;"> <label id="labelfor_9272403"><label for="q_9272403">Yes </label></label></td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td valign="top">
<table role="presentation" cellspacing="0" cellpadding="2" style="">
<tbody>
<tr>
<td valign="top"><input type="radio" id="q_9272404" name="input[9272402]" value="9272404" onclick="conditional_js();"></td>
<td valign="top" style="width:98%;"> <label id="labelfor_9272404"><label for="q_9272404">No </label></label></td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<script>
document.write('<div id="qt_9272405" style="display:none;">');
</script>
<div id="qt_9272405" style="display:none;">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;margin-bottom:10px;">
<tbody>
<tr>
<td><label id="labelfor_9272405">What is your position and firm name?</label></td>
</tr>
<tr>
<td><input aria-labelledby="labelfor_9272405" type="text" name="input[9272405]" value="" size="50"></td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<script>
document.write('<div id="qt_9272406" style="display:none;">');
</script>
<div id="qt_9272406" style="display:none;">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;margin-bottom:10px;">
<tbody>
<tr>
<td><label id="labelfor_9272406">How many acres do you farm, and where? <font class="red">*</font></label></td>
</tr>
<tr>
<td><input aria-labelledby="labelfor_9272406" type="text" name="input[9272406]" value="" size="50"></td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<script>
document.write('<div id="qt_9272407" style="display:none;">');
</script>
<div id="qt_9272407" style="display:none;">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;margin-bottom:10px;">
<tbody>
<tr>
<td><label id="labelfor_9272407">What crops or livestock do you produce? <font class="red">*</font></label></td>
</tr>
<tr>
<td><input aria-labelledby="labelfor_9272407" type="text" name="input[9272407]" value="" size="50"></td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<script>
document.write('<div id="qt_9272408" style="display:none;">');
</script>
<div id="qt_9272408" style="display:none;">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;margin-bottom:10px;">
<tbody>
<tr>
<td><label id="labelfor_9272408">How many employees do you have? <font class="red">*</font></label></td>
</tr>
<tr>
<td><input aria-labelledby="labelfor_9272408" type="text" name="input[9272408]" value="" size="50"></td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<script>
document.write('<div id="qt_9272409" style="display:none;">');
</script>
<div id="qt_9272409" style="display:none;">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;margin-bottom:10px;">
<tbody>
<tr>
<td><label id="labelfor_9272409">Are you employed elsewhere in the agriculture or agribusiness industry?</label></td>
</tr>
<tr>
<td>
<div role="radiogroup" aria-labelledby="labelfor_9272409">
<table role="presentation" cellspacing="0" cellpadding="2" style="width:100%;">
<tbody>
<tr>
<td valign="top">
<table role="presentation" cellspacing="0" cellpadding="2" style="">
<tbody>
<tr>
<td valign="top"><input type="radio" id="q_9272410" name="input[9272409]" value="9272410" onclick="conditional_js();"></td>
<td valign="top" style="width:98%;"> <label id="labelfor_9272410"><label for="q_9272410">Yes </label></label></td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td valign="top">
<table role="presentation" cellspacing="0" cellpadding="2" style="">
<tbody>
<tr>
<td valign="top"><input type="radio" id="q_9272411" name="input[9272409]" value="9272411" onclick="conditional_js();"></td>
<td valign="top" style="width:98%;"> <label id="labelfor_9272411"><label for="q_9272411">No </label></label></td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
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Global AgInvesting Europe 2019 Special Pricing Application Thank you so much for your interest in the 10th annual Global AgInvesting Europe event! Please complete this application to submit a request for special pricing. After submitting your request, the Global AgInvesting team will review your request and you will receive an email notification with your approval status and instructions for registering within 1-2 business days. Full Name * Position * Company / Organization * Email Address * Cc Email Address I agree that HighQuest may use my email address to provide me with logistical information related to my registration for the event and process my data in the manner described in HighQuest's Terms of Use & Privacy Policy. * I agree to the Terms of Use & Privacy Policy I would like to apply for special pricing as a(n): * Early Stage Company Primary Producer LP Investor Academic or Student Government or Not-for-Profit I am a: * Teacher / Professor Student Are you employed elsewhere in the agribusiness or agriculture investment industry? * Yes No What is your position and firm name? * Do you also hold a position in private sector agriculture? * Yes No What is your position and firm name? * Please briefly describe your business, including years in operation. * How many employees do you have? * How much capital have you raised? * What capital are you currently raising? In what series? * Are you employed elsewhere in the agriculture or agribusiness industry? * Yes No What is your position and firm name? How many acres do you farm, and where? * What crops or livestock do you produce? * How many employees do you have? * Are you employed elsewhere in the agriculture or agribusiness industry? Yes No What is your position and firm name? * For administrative purposes only - no response required.