saftehnika.com Open in urlscan Pro
195.13.202.71  Public Scan

Submitted URL: https://saftehnika21679.lt.acemlnb.com/Prod/link-tracker?redirectUrl=aHR0cHMlM0ElMkYlMkZzYWZ0ZWhuaWthLmNvbSUyRmVuJTJGcHJpY2VsaXN0cyUzRn...
Effective URL: https://saftehnika.com/en/login
Submission: On February 08 via manual from ES — Scanned from ES

Form analysis 6 forms found in the DOM

GET /en/search

<form action="/en/search" method="GET">
  <input type="text" name="search" class="search_text">
  <input type="submit" class="search_button" value="">
</form>

POST

<form class="login_form" method="post">
  <span>E-Mail</span><input name="mail" type="text" class="login_form_input" value="">
  <span>Password</span><input name="pasw" type="password" autocomplete="off" class="login_form_input">
  <input type="hidden" value="" name="page_before">
  <input type="hidden" value="" name="roadshow_before">
  <input type="hidden" value="" name="getLink">
  <input type="submit" value="Submit" class="login_form_button">
</form>

<form class="form">
  <div style="background-image:url('/images/popup_close.png'); width:23px; height:22px; position: absolute;top:10px;right:10px;cursor:pointer;" onclick="closeSubFrm()"></div>
  <input name="sub_name" placeholder="name" maxlength="100" type="text" class="form_input">
  <input name="sub_surname" placeholder="surname" maxlength="100" type="text" class="form_input"><br>
  <input name="sub_email" placeholder="e-mail" maxlength="100" type="text" class="form_input email">
  <input type="hidden" name="sub_form" value="1">
  <input type="hidden" name="sub_reason" value="">
  <div class="sub_button" onclick="ajaxFormS()">subscribe</div>
</form>

POST

<form method="post" class="form quote_form" style="margin:auto; padding-top:150px" id="contact_us">
  <input type="hidden" name="form" value="1">
  <input style="display: none" type="text" id="q_form_type" name="form_type" value="1">
  <input style="display: none" type="text" id="q_from_page" class="q_from_page" name="from_page" value="">
  <input style="display: none" type="text" id="q_from_button" name="from_button" value="global_inquiry">
  <table class="wideLabels" style="margin:auto;">
    <tbody>
      <tr>
        <td class="labels"><span style="color:red">* </span>Name</td>
        <td>
          <input name="name" maxlength="100" type="text" required="" class="form_input smallInput">
          <span class="labels smallLabel" style="float:left"><span style="color:red">* </span>Surname</span>
          <input name="surname" maxlength="100" type="text" required="" class="form_input smallInput">
        </td>
      </tr>
      <tr class="form_input_req">
        <td class="labels"></td>
        <td><input name="saf_gender" maxlength="10" type="text" class="form_input" value=""></td>
      </tr>
      <tr>
        <td class="labels"><span style="color:red">* </span>E-mail</td>
        <td><input maxlength="255" name="mail" type="email" required="" class="form_input"></td>
      </tr>
      <tr>
        <td class="labels">Company</td>
        <td><input name="company" maxlength="100" type="text" required="" class="form_input"></td>
      </tr>
      <tr>
        <td class="labels"><span style="color:red">* </span>Country</td>
        <td>
          <select name="country_id" onchange="CheckForStates(this);" class="selectBox countrySel hasCustomSelect" style="appearance: menulist-button; width: 375px; position: absolute; opacity: 0; height: 30px; font-size: 14px;">
            <option value="0">-- Select --</option>
            <option value="1">Afghanistan</option>
            <option value="233">Åland Islands</option>
            <option value="168">Albania</option>
            <option value="2">Algeria</option>
            <option value="3">American Samoa</option>
            <option value="169">Andorra</option>
            <option value="4">Angola</option>
            <option value="5">Anguilla</option>
            <option value="234">Antarctica</option>
            <option value="6">Antigua and Barbuda</option>
            <option value="7">Argentina</option>
            <option value="8">Armenia</option>
            <option value="9">Aruba</option>
            <option value="10">Australia</option>
            <option value="170">Austria</option>
            <option value="11">Azerbaijan</option>
            <option value="12">Bahamas</option>
            <option value="13">Bahrain</option>
            <option value="14">Bangladesh</option>
            <option value="15">Barbados</option>
            <option value="171">Belarus</option>
            <option value="172">Belgium</option>
            <option value="16">Belize</option>
            <option value="17">Benin</option>
            <option value="18">Bermuda</option>
            <option value="19">Bhutan</option>
            <option value="20">Bolivia, Plurinational State of</option>
            <option value="112">Bonaire, Sint Eustatius and Saba</option>
            <option value="173">Bosnia and Herzegovina</option>
            <option value="21">Botswana</option>
            <option value="236">Bouvet Island</option>
            <option value="22">Brazil</option>
            <option value="237">British Indian Ocean Territory</option>
            <option value="24">Brunei Darussalam</option>
            <option value="174">Bulgaria</option>
            <option value="25">Burkina Faso</option>
            <option value="26">Burundi</option>
            <option value="30">Cabo Verde</option>
            <option value="27">Cambodia</option>
            <option value="28">Cameroon</option>
            <option value="29" class="hasStates">Canada</option>
            <option value="31">Cayman Islands</option>
            <option value="32">Central African Republic</option>
            <option value="33">Chad</option>
            <option value="34">Chile</option>
            <option value="35">China</option>
            <option value="240">Christmas Island</option>
            <option value="241">Cocos (Keeling) Islands</option>
            <option value="36">Colombia</option>
            <option value="229">Comoros</option>
            <option value="37">Congo</option>
            <option value="40">Congo, Democratic Republic of the</option>
            <option value="38">Cook Islands</option>
            <option value="39">Costa Rica</option>
            <option value="175">Croatia</option>
            <option value="232">Cuba</option>
            <option value="243">Curaçao</option>
            <option value="176">Cyprus</option>
            <option value="265">Czech Republic</option>
            <option value="177">Czechia</option>
            <option value="178">Denmark</option>
            <option value="41">Djibouti</option>
            <option value="42">Dominica</option>
            <option value="43">Dominican Republic</option>
            <option value="45">Ecuador</option>
            <option value="46">Egypt</option>
            <option value="47">El Salvador</option>
            <option value="48">Equatorial Guinea</option>
            <option value="49">Eritrea</option>
            <option value="179">Estonia</option>
            <option value="142">Eswatini</option>
            <option value="50">Ethiopia</option>
            <option value="244">Falkland Islands (Malvinas)</option>
            <option value="180">Faroe Islands</option>
            <option value="51">Fiji</option>
            <option value="181">Finland</option>
            <option value="182">France</option>
            <option value="52">French Guiana</option>
            <option value="53">French Polynesia</option>
            <option value="245">French Southern Territories</option>
            <option value="54">Gabon</option>
            <option value="55">Gambia</option>
            <option value="56">Georgia</option>
            <option value="183">Germany</option>
            <option value="57">Ghana</option>
            <option value="184">Gibraltar</option>
            <option value="185">Greece</option>
            <option value="186">Greenland</option>
            <option value="58">Grenada</option>
            <option value="59">Guadeloupe</option>
            <option value="60">Guam</option>
            <option value="61">Guatemala</option>
            <option value="219">Guernsey</option>
            <option value="62">Guinea</option>
            <option value="63">Guinea-Bissau</option>
            <option value="64">Guyana</option>
            <option value="65">Haiti</option>
            <option value="246">Heard Island and McDonald Islands</option>
            <option value="215">Holy See</option>
            <option value="66">Honduras</option>
            <option value="67">Hong Kong</option>
            <option value="187">Hungary</option>
            <option value="188">Iceland</option>
            <option value="68">India</option>
            <option value="69">Indonesia</option>
            <option value="223">Iran, Islamic Republic of</option>
            <option value="70">Iraq</option>
            <option value="189">Ireland</option>
            <option value="247">Isle of Man</option>
            <option value="71">Israel</option>
            <option value="190">Italy</option>
            <option value="72">Ivory Coast</option>
            <option value="73">Jamaica</option>
            <option value="74">Japan</option>
            <option value="220">Jersey</option>
            <option value="75">Jordan</option>
            <option value="76">Kazakhstan</option>
            <option value="77">Kenya</option>
            <option value="78">Kiribati</option>
            <option value="248">Korea, Democratic People's Republic of</option>
            <option value="135">Korea, Republic of</option>
            <option value="225">Kosovo</option>
            <option value="79">Kuwait</option>
            <option value="80">Kyrgyzstan</option>
            <option value="81">Lao People's Democratic Republic</option>
            <option value="191">Latvia</option>
            <option value="82">Lebanon</option>
            <option value="83">Lesotho</option>
            <option value="84">Liberia</option>
            <option value="85">Libya</option>
            <option value="192">Liechtenstein</option>
            <option value="193">Lithuania</option>
            <option value="194">Luxembourg</option>
            <option value="86">Macao</option>
            <option value="87">Madagascar</option>
            <option value="88">Malawi</option>
            <option value="89">Malaysia</option>
            <option value="90">Maldives</option>
            <option value="91">Mali</option>
            <option value="196">Malta</option>
            <option value="92">Marshall Islands</option>
            <option value="93">Martinique</option>
            <option value="94">Mauritania</option>
            <option value="95">Mauritius</option>
            <option value="249">Mayotte</option>
            <option value="96">Mexico</option>
            <option value="97">Micronesia, Federated States of</option>
            <option value="197">Moldova, Republic of</option>
            <option value="198">Monaco</option>
            <option value="98">Mongolia</option>
            <option value="199">Montenegro</option>
            <option value="99">Montserrat</option>
            <option value="100">Morocco</option>
            <option value="101">Mozambique</option>
            <option value="102">Myanmar</option>
            <option value="103">Namibia</option>
            <option value="104">Nauru</option>
            <option value="105">Nepal</option>
            <option value="200">Netherlands</option>
            <option value="106">New Caledonia</option>
            <option value="107">New Zealand</option>
            <option value="108">Nicaragua</option>
            <option value="109">Niger</option>
            <option value="110">Nigeria</option>
            <option value="111">Niue</option>
            <option value="250">Norfolk Island</option>
            <option value="195">North Macedonia</option>
            <option value="125">Northern Mariana Islands</option>
            <option value="201">Norway</option>
            <option value="113">Oman</option>
            <option value="114">Pakistan</option>
            <option value="115">Palau</option>
            <option value="116">Palestine, State of</option>
            <option value="117">Panama</option>
            <option value="118">Papua New Guinea</option>
            <option value="119">Paraguay</option>
            <option value="120">Peru</option>
            <option value="121">Philippines</option>
            <option value="252">Pitcairn</option>
            <option value="202">Poland</option>
            <option value="203">Portugal</option>
            <option value="253">Puerto Rico</option>
            <option value="122">Qatar</option>
            <option value="123">Réunion</option>
            <option value="204">Romania</option>
            <option value="205">Russian Federation</option>
            <option value="124">Rwanda</option>
            <option value="254">Saint Barthélemy</option>
            <option value="255">Saint Helena, Ascension and Tristan da Cunha</option>
            <option value="137">Saint Kitts and Nevis</option>
            <option value="138">Saint Lucia</option>
            <option value="257">Saint Martin, (French part)</option>
            <option value="256">Saint Pierre and Miquelon</option>
            <option value="139">Saint Vincent and the Grenadines</option>
            <option value="126">Samoa</option>
            <option value="221">San Marino</option>
            <option value="230">Sao Tome and Principe</option>
            <option value="127">Saudi Arabia</option>
            <option value="128">Senegal</option>
            <option value="206">Serbia</option>
            <option value="129">Seychelles</option>
            <option value="130">Sierra Leone</option>
            <option value="131">Singapore</option>
            <option value="258">Sint Maarten, (Dutch part)</option>
            <option value="208">Slovakia</option>
            <option value="209">Slovenia</option>
            <option value="132">Solomon Islands</option>
            <option value="133">Somalia</option>
            <option value="134">South Africa</option>
            <option value="259">South Georgia and the South Sandwich Islands</option>
            <option value="228">South Sudan</option>
            <option value="210">Spain</option>
            <option value="136">Sri Lanka</option>
            <option value="140">Sudan</option>
            <option value="141">Suriname</option>
            <option value="261">Svalbard and Jan Mayen</option>
            <option value="211">Sweden</option>
            <option value="212">Switzerland</option>
            <option value="143">Syria</option>
            <option value="144">Taiwan, Province of China</option>
            <option value="227">Tajikistan</option>
            <option value="145">Tanzania, United Republic of</option>
            <option value="146">Thailand</option>
            <option value="44">Timor-Leste</option>
            <option value="147">Togo</option>
            <option value="262">Tokelau</option>
            <option value="148">Tonga</option>
            <option value="149">Trinidad and Tobago</option>
            <option value="150">Tunisia</option>
            <option value="213">Turkey</option>
            <option value="151">Turkmenistan</option>
            <option value="152">Turks and Caicos Islands</option>
            <option value="153">Tuvalu</option>
            <option value="156">Uganda</option>
            <option value="214">Ukraine</option>
            <option value="154">United Arab Emirates</option>
            <option value="216">United Kingdom of Great Britain and Northern Ireland</option>
            <option value="263">United States Minor Outlying Islands</option>
            <option value="155" class="hasStates">United States of America</option>
            <option value="157">Uruguay</option>
            <option value="158">Uzbekistan</option>
            <option value="159">Vanuatu</option>
            <option value="160">Venezuela, Bolivarian Republic of</option>
            <option value="161">Viet Nam</option>
            <option value="23">Virgin Islands, British</option>
            <option value="162">Virgin Islands, U.S.</option>
            <option value="163">Wallis and Futuna</option>
            <option value="264">Western Sahara</option>
            <option value="164">Yemen</option>
            <option value="166">Zambia</option>
            <option value="167">Zimbabwe</option>
          </select><span class="customSelect selectBox countrySel" style="display: inline-block;"><span class="customSelectInner" style="width: 331px; display: inline-block;">-- Select --</span></span>
        </td>
      </tr>
      <tr class="state_selector" style="display:none;">
        <td class="labels">State</td>
        <td>
          <select name="state_id" class="selectBox stateSel hasCustomSelect" value="0" style="appearance: menulist-button; width: 375px; position: absolute; opacity: 0; height: 30px; font-size: 14px;">
            <option value="0" class="emptyState">-- Select --</option>
            <option value="116" class="countryState_29">Alberta</option>
            <option value="117" class="countryState_29">British Columbia</option>
            <option value="118" class="countryState_29">Manitoba</option>
            <option value="119" class="countryState_29">New Brunswick</option>
            <option value="120" class="countryState_29">Newfoundland and Labrador</option>
            <option value="122" class="countryState_29">Northwest Territories</option>
            <option value="121" class="countryState_29">Nova Scotia</option>
            <option value="123" class="countryState_29">Nunavut</option>
            <option value="124" class="countryState_29">Ontario</option>
            <option value="125" class="countryState_29">Prince Edward Island</option>
            <option value="126" class="countryState_29">Quebec</option>
            <option value="127" class="countryState_29">Saskatchewan</option>
            <option value="128" class="countryState_29">Yukon</option>
            <option value="98" class="countryState_155">Alabama</option>
            <option value="105" class="countryState_155">Alaska</option>
            <option value="113" class="countryState_155">Arizona</option>
            <option value="93" class="countryState_155">Arkansas</option>
            <option value="109" class="countryState_155">California</option>
            <option value="112" class="countryState_155">Colorado</option>
            <option value="66" class="countryState_155">Connecticut</option>
            <option value="70" class="countryState_155">Delaware</option>
            <option value="115" class="countryState_155">District of Columbia</option>
            <option value="101" class="countryState_155">Florida</option>
            <option value="99" class="countryState_155">Georgia</option>
            <option value="104" class="countryState_155">Hawaii</option>
            <option value="108" class="countryState_155">Idaho</option>
            <option value="96" class="countryState_155">Illinois</option>
            <option value="78" class="countryState_155">Indiana</option>
            <option value="91" class="countryState_155">Iowa</option>
            <option value="87" class="countryState_155">Kansas</option>
            <option value="80" class="countryState_155">Kentucky</option>
            <option value="94" class="countryState_155">Louisiana</option>
            <option value="62" class="countryState_155">Maine</option>
            <option value="73" class="countryState_155">Maryland</option>
            <option value="65" class="countryState_155">Massachusetts</option>
            <option value="77" class="countryState_155">Michigan</option>
            <option value="90" class="countryState_155">Minnesota</option>
            <option value="97" class="countryState_155">Mississippi</option>
            <option value="92" class="countryState_155">Missouri</option>
            <option value="82" class="countryState_155">Montana</option>
            <option value="86" class="countryState_155">Nebraska</option>
            <option value="110" class="countryState_155">Nevada</option>
            <option value="64" class="countryState_155">New Hampshire</option>
            <option value="69" class="countryState_155">New Jersey</option>
            <option value="114" class="countryState_155">New Mexico</option>
            <option value="71" class="countryState_155">New York</option>
            <option value="75" class="countryState_155">North Carolina</option>
            <option value="84" class="countryState_155">North Dakota</option>
            <option value="79" class="countryState_155">Ohio</option>
            <option value="88" class="countryState_155">Oklahoma</option>
            <option value="107" class="countryState_155">Oregon</option>
            <option value="72" class="countryState_155">Pennsylvania</option>
            <option value="102" class="countryState_155">Puerto Rico</option>
            <option value="67" class="countryState_155">Rhode Island</option>
            <option value="100" class="countryState_155">South Carolina</option>
            <option value="85" class="countryState_155">South Dakota</option>
            <option value="81" class="countryState_155">Tennessee</option>
            <option value="89" class="countryState_155">Texas</option>
            <option value="103" class="countryState_155">U.S. Virgin Islands</option>
            <option value="111" class="countryState_155">Utah</option>
            <option value="63" class="countryState_155">Vermont</option>
            <option value="74" class="countryState_155">Virginia</option>
            <option value="106" class="countryState_155">Washington</option>
            <option value="76" class="countryState_155">West Virginia</option>
            <option value="95" class="countryState_155">Wisconsin</option>
            <option value="83" class="countryState_155">Wyoming</option>
          </select><span class="customSelect selectBox stateSel" style="display: inline-block;"><span class="customSelectInner" style="width: 331px; display: inline-block;">-- Select --</span></span>
        </td>
      </tr>
      <!-- <tr>
                    <td class="labels">Company profile</td>
                    <td><input maxlength="255" name="company_profile" type="text" required  class="form_input"></td>
				</tr>-->
      <tr>
        <td class="labels"><span style="color:red">* </span>Phone</td>
        <td><input maxlength="100" name="phone" type="text" class="form_input"></td>
      </tr>
      <tr>
        <td class="labels"><span style="color:red">* </span>Message</td>
        <td><textarea name="message" id="message" class="form_input" style="resize: none;"></textarea></td>
      </tr>
      <!--<tr id ="not_for_supp">
	                <td class="labels"> </font></td>
	                <td style="vertical-align: middle;">
	                    <select name="inq_exp_with_saf" class="selectBox"  >
	                        <option value = -1></option>
	                        <option </option>
	                        <option </option>
	                    </select>
	                </td>
            	</tr>-->
      <!--<tr class="form_input_req">
					<td class="labels"></td>
					<td><input name="verification_code" type="text" class="form_input" value=""></td>
				</tr>
                <tr>
                    <td class="labels"></td>
                    <td class="captchaBlock">
						<div style="float:left;margin-right:60px;">
												</div>
						<input name="captpop" id="captcha" type="text" class="form_input" style="float:right;width:200px;">
                    </td>
                </tr>
               <tr>
					<td class="labels">I ACCEPT WEBSITE'S <a style="text-decoration: underline" href="/en/terms">TERMS & CONDITONS</a></td>
					<td><input id="accept_terms" name="accept_terms" type="checkbox" style="width: 25px; margin-left: 0px" class="form_input"></td>
				</tr>
                <tr>
                    <td class="labels"></td>
                    <td><input type="button" onclick="ajaxFormQ();" value="Submit" class="form_button" style="margin-left:324px;"></td>
                </tr>-->
      <tr class="form_input_req">
        <td class="labels"></td>
        <td><input name="verification_code" type="text" class="form_input" value="6YyKru"></td>
      </tr>
      <!--<tr>
					<td class="labels"><a style="text-decoration: underline" href="/en/terms"></a></td>
					<td><input id="accept_terms" name="accept_terms" type="checkbox" style="width: 25px; margin-left: 0px" class="form_input"></td>
				</tr>-->
      <tr id="not_for_supp">
        <td class="labels"></td>
        <td>
          <table style="width: 385px; margin-top:20px">
            <tbody>
              <tr>
                <td><input id="accept_subs" name="accept_subs" type="checkbox" style="width: 25px; margin-left: 0px" class="form_input"></td>
                <td style="font-size: 12px; color: #3c69a8;font-family: 'robotobold', sans-serif;line-height: 1.2;vertical-align: top;padding-top: 6px; padding-right:8px;text-align:left;">I agree to receive e-mails from SAF Tehnika about products and
                  activities. You will be able to unsubscribe any time by following respective link in the email.</td>
              </tr>
            </tbody>
          </table>
        </td>
      </tr>
      <tr>
        <!--<td class="labels"></td>
                    <td><input type="button" onclick="ajaxFormQ();" value="Submit" class="form_button" style="margin-left:324px;"></td>-->
        <!--<td colspan="2" style="font-size: 12px; color: #3c69a8;font-family: 'robotobold', sans-serif;line-height: 1.2;vertical-align: top;padding-top: 6px;text-align:left;padding-left: 96px;">
					By submitting  this form, you accept our  <a style="text-decoration: underline" href="/en/terms">TERMS & CONDITONS</a><input type="button" onclick="ajaxFormQ();" value="Submit" class="form_button" style="margin-left:143px;">
					</td>-->
        <td colspan="2" style="font-size: 12px; color: #3c69a8;font-family: 'robotobold', sans-serif;line-height: 1.2;vertical-align: top;padding-top: 40px;text-align:right;"> By submitting this form, you accept our
          <a style="text-decoration: underline" href="/en/terms">TERMS &amp; CONDITONS</a><input type="button" onclick="ajaxFormQ(1);" value="Submit" class="form_button" style="margin-left:40px;">
        </td>
      </tr>
    </tbody>
  </table>
</form>

POST

<form method="post" class="form quote_form" style="margin:auto; padding-top:150px" id="get_quote">
  <input type="hidden" name="form" value="1">
  <input style="display: none" type="text" id="q_form_type" name="form_type" value="0">
  <input style="display: none" type="text" id="q_from_page" class="q_from_page" name="from_page" value="">
  <input style="display: none" type="text" id="q_from_button" name="from_button" value="global_quote">
  <table class="wideLabels" style="margin:auto;">
    <tbody>
      <tr>
        <td class="labels"><span style="color:red">* </span>Product</td>
        <td>
          <select id="prod_id_sel" name="product_id" onchange="setProductName();" class="selectBox hasCustomSelect" style="appearance: menulist-button; width: 375px; position: absolute; opacity: 0; height: 30px; font-size: 14px;">
            <option value="0">-- Select --</option>
            <option value="88">Integra-X Series</option>
            <option value="87">Integra-E Series</option>
            <option value="79">Integra-G</option>
            <option value="77">Integra-W</option>
            <option value="91">Integra FIDU</option>
            <option value="86">PhoeniX G2 Series</option>
            <option value="89">Marathon III</option>
            <option value="31">CFIP Marathon II</option>
          </select><span class="customSelect selectBox" style="display: inline-block;"><span class="customSelectInner" style="width: 331px; display: inline-block;">-- Select --</span></span>
          <input id="prod_name_inp" name="product_name" value="" disabled="disabled" type="hidden" required="" class="form_input">
          <select id="prod_id_sel_old" style="display: none;" disabled="disabled">
            <option value="13">CFIP Lumina</option>
            <option value="14">CFIP-106/108</option>
            <option value="11">CFIP PhoeniX M</option>
            <option value="23">FreeMile 5 GE</option>
            <option value="21">FreeMile 17/24</option>
            <option value="30">Spectrum Compact</option>
            <option value="82">V-band and E-band Spectrum Compact</option>
            <option value="52">SG Compact</option>
          </select>
        </td>
      </tr>
      <tr id="service_row">
        <td class="labels">Service</td>
        <td>
          <div class="multiSelectBox">
            <div class="multiSelectBox__dropdown">
              <label class="multiSelectBox__item">
                <input type="checkbox" name="service_id[]" value="1" onchange="setServiceName();">
                <span class="multiSelectBox__label">Product Training</span>
              </label>
              <label class="multiSelectBox__item">
                <input type="checkbox" name="service_id[]" value="2" onchange="setServiceName();">
                <span class="multiSelectBox__label">Site Acceptance</span>
              </label>
              <label class="multiSelectBox__item">
                <input type="checkbox" name="service_id[]" value="3" onchange="setServiceName();">
                <span class="multiSelectBox__label">Staging And Configuration</span>
              </label>
              <label class="multiSelectBox__item">
                <input type="checkbox" name="service_id[]" value="4" onchange="setServiceName();">
                <span class="multiSelectBox__label">24/7 Technical Support</span>
              </label>
              <label class="multiSelectBox__item">
                <input type="checkbox" name="service_id[]" value="5" onchange="setServiceName();">
                <span class="multiSelectBox__label">Next Day Replacement</span>
              </label>
              <label class="multiSelectBox__item">
                <input type="checkbox" name="service_id[]" value="6" onchange="setServiceName();">
                <span class="multiSelectBox__label">FCC Frequency Coordination</span>
              </label>
              <label class="multiSelectBox__item">
                <input type="checkbox" name="service_id[]" value="7" onchange="setServiceName();">
                <span class="multiSelectBox__label">Zabbix NMS</span>
              </label>
            </div>
            <div class="multiSelectBox__select ">
              <span class="default">-- Select --</span><span class="selected"></span>
            </div>
          </div>
          <input id="prod_serv_name_inp" name="service_name" value="" disabled="disabled" type="hidden" class="form_input">
        </td>
      </tr>
      <tr>
        <td class="labels"><span style="color:red">* </span>Name</td>
        <td>
          <input name="name" maxlength="100" type="text" required="" class="form_input smallInput">
          <span class="labels smallLabel" style="float:left"><span style="color:red">* </span>Surname</span>
          <input name="surname" maxlength="100" type="text" required="" class="form_input smallInput">
        </td>
      </tr>
      <tr>
        <td class="labels"><span style="color:red">* </span>E-mail</td>
        <td><input maxlength="255" name="mail" type="email" required="" class="form_input"></td>
      </tr>
      <tr class="form_input_req">
        <td class="labels"></td>
        <td><input name="saf_gender" maxlength="10" type="text" class="form_input" value=""></td>
      </tr>
      <tr>
        <td class="labels">Company</td>
        <td><input name="company" maxlength="100" type="text" required="" class="form_input"></td>
      </tr>
      <tr>
        <td class="labels"><span style="color:red">* </span>Country</td>
        <td>
          <select name="country_id" onchange="CheckForStates(this);" class="selectBox countrySel hasCustomSelect" style="appearance: menulist-button; width: 375px; position: absolute; opacity: 0; height: 30px; font-size: 14px;">
            <option value="0">-- Select --</option>
            <option value="1">Afghanistan</option>
            <option value="233">Åland Islands</option>
            <option value="168">Albania</option>
            <option value="2">Algeria</option>
            <option value="3">American Samoa</option>
            <option value="169">Andorra</option>
            <option value="4">Angola</option>
            <option value="5">Anguilla</option>
            <option value="234">Antarctica</option>
            <option value="6">Antigua and Barbuda</option>
            <option value="7">Argentina</option>
            <option value="8">Armenia</option>
            <option value="9">Aruba</option>
            <option value="10">Australia</option>
            <option value="170">Austria</option>
            <option value="11">Azerbaijan</option>
            <option value="12">Bahamas</option>
            <option value="13">Bahrain</option>
            <option value="14">Bangladesh</option>
            <option value="15">Barbados</option>
            <option value="171">Belarus</option>
            <option value="172">Belgium</option>
            <option value="16">Belize</option>
            <option value="17">Benin</option>
            <option value="18">Bermuda</option>
            <option value="19">Bhutan</option>
            <option value="20">Bolivia, Plurinational State of</option>
            <option value="112">Bonaire, Sint Eustatius and Saba</option>
            <option value="173">Bosnia and Herzegovina</option>
            <option value="21">Botswana</option>
            <option value="236">Bouvet Island</option>
            <option value="22">Brazil</option>
            <option value="237">British Indian Ocean Territory</option>
            <option value="24">Brunei Darussalam</option>
            <option value="174">Bulgaria</option>
            <option value="25">Burkina Faso</option>
            <option value="26">Burundi</option>
            <option value="30">Cabo Verde</option>
            <option value="27">Cambodia</option>
            <option value="28">Cameroon</option>
            <option value="29" class="hasStates">Canada</option>
            <option value="31">Cayman Islands</option>
            <option value="32">Central African Republic</option>
            <option value="33">Chad</option>
            <option value="34">Chile</option>
            <option value="35">China</option>
            <option value="240">Christmas Island</option>
            <option value="241">Cocos (Keeling) Islands</option>
            <option value="36">Colombia</option>
            <option value="229">Comoros</option>
            <option value="37">Congo</option>
            <option value="40">Congo, Democratic Republic of the</option>
            <option value="38">Cook Islands</option>
            <option value="39">Costa Rica</option>
            <option value="175">Croatia</option>
            <option value="232">Cuba</option>
            <option value="243">Curaçao</option>
            <option value="176">Cyprus</option>
            <option value="265">Czech Republic</option>
            <option value="177">Czechia</option>
            <option value="178">Denmark</option>
            <option value="41">Djibouti</option>
            <option value="42">Dominica</option>
            <option value="43">Dominican Republic</option>
            <option value="45">Ecuador</option>
            <option value="46">Egypt</option>
            <option value="47">El Salvador</option>
            <option value="48">Equatorial Guinea</option>
            <option value="49">Eritrea</option>
            <option value="179">Estonia</option>
            <option value="142">Eswatini</option>
            <option value="50">Ethiopia</option>
            <option value="244">Falkland Islands (Malvinas)</option>
            <option value="180">Faroe Islands</option>
            <option value="51">Fiji</option>
            <option value="181">Finland</option>
            <option value="182">France</option>
            <option value="52">French Guiana</option>
            <option value="53">French Polynesia</option>
            <option value="245">French Southern Territories</option>
            <option value="54">Gabon</option>
            <option value="55">Gambia</option>
            <option value="56">Georgia</option>
            <option value="183">Germany</option>
            <option value="57">Ghana</option>
            <option value="184">Gibraltar</option>
            <option value="185">Greece</option>
            <option value="186">Greenland</option>
            <option value="58">Grenada</option>
            <option value="59">Guadeloupe</option>
            <option value="60">Guam</option>
            <option value="61">Guatemala</option>
            <option value="219">Guernsey</option>
            <option value="62">Guinea</option>
            <option value="63">Guinea-Bissau</option>
            <option value="64">Guyana</option>
            <option value="65">Haiti</option>
            <option value="246">Heard Island and McDonald Islands</option>
            <option value="215">Holy See</option>
            <option value="66">Honduras</option>
            <option value="67">Hong Kong</option>
            <option value="187">Hungary</option>
            <option value="188">Iceland</option>
            <option value="68">India</option>
            <option value="69">Indonesia</option>
            <option value="223">Iran, Islamic Republic of</option>
            <option value="70">Iraq</option>
            <option value="189">Ireland</option>
            <option value="247">Isle of Man</option>
            <option value="71">Israel</option>
            <option value="190">Italy</option>
            <option value="72">Ivory Coast</option>
            <option value="73">Jamaica</option>
            <option value="74">Japan</option>
            <option value="220">Jersey</option>
            <option value="75">Jordan</option>
            <option value="76">Kazakhstan</option>
            <option value="77">Kenya</option>
            <option value="78">Kiribati</option>
            <option value="248">Korea, Democratic People's Republic of</option>
            <option value="135">Korea, Republic of</option>
            <option value="225">Kosovo</option>
            <option value="79">Kuwait</option>
            <option value="80">Kyrgyzstan</option>
            <option value="81">Lao People's Democratic Republic</option>
            <option value="191">Latvia</option>
            <option value="82">Lebanon</option>
            <option value="83">Lesotho</option>
            <option value="84">Liberia</option>
            <option value="85">Libya</option>
            <option value="192">Liechtenstein</option>
            <option value="193">Lithuania</option>
            <option value="194">Luxembourg</option>
            <option value="86">Macao</option>
            <option value="87">Madagascar</option>
            <option value="88">Malawi</option>
            <option value="89">Malaysia</option>
            <option value="90">Maldives</option>
            <option value="91">Mali</option>
            <option value="196">Malta</option>
            <option value="92">Marshall Islands</option>
            <option value="93">Martinique</option>
            <option value="94">Mauritania</option>
            <option value="95">Mauritius</option>
            <option value="249">Mayotte</option>
            <option value="96">Mexico</option>
            <option value="97">Micronesia, Federated States of</option>
            <option value="197">Moldova, Republic of</option>
            <option value="198">Monaco</option>
            <option value="98">Mongolia</option>
            <option value="199">Montenegro</option>
            <option value="99">Montserrat</option>
            <option value="100">Morocco</option>
            <option value="101">Mozambique</option>
            <option value="102">Myanmar</option>
            <option value="103">Namibia</option>
            <option value="104">Nauru</option>
            <option value="105">Nepal</option>
            <option value="200">Netherlands</option>
            <option value="106">New Caledonia</option>
            <option value="107">New Zealand</option>
            <option value="108">Nicaragua</option>
            <option value="109">Niger</option>
            <option value="110">Nigeria</option>
            <option value="111">Niue</option>
            <option value="250">Norfolk Island</option>
            <option value="195">North Macedonia</option>
            <option value="125">Northern Mariana Islands</option>
            <option value="201">Norway</option>
            <option value="113">Oman</option>
            <option value="114">Pakistan</option>
            <option value="115">Palau</option>
            <option value="116">Palestine, State of</option>
            <option value="117">Panama</option>
            <option value="118">Papua New Guinea</option>
            <option value="119">Paraguay</option>
            <option value="120">Peru</option>
            <option value="121">Philippines</option>
            <option value="252">Pitcairn</option>
            <option value="202">Poland</option>
            <option value="203">Portugal</option>
            <option value="253">Puerto Rico</option>
            <option value="122">Qatar</option>
            <option value="123">Réunion</option>
            <option value="204">Romania</option>
            <option value="205">Russian Federation</option>
            <option value="124">Rwanda</option>
            <option value="254">Saint Barthélemy</option>
            <option value="255">Saint Helena, Ascension and Tristan da Cunha</option>
            <option value="137">Saint Kitts and Nevis</option>
            <option value="138">Saint Lucia</option>
            <option value="257">Saint Martin, (French part)</option>
            <option value="256">Saint Pierre and Miquelon</option>
            <option value="139">Saint Vincent and the Grenadines</option>
            <option value="126">Samoa</option>
            <option value="221">San Marino</option>
            <option value="230">Sao Tome and Principe</option>
            <option value="127">Saudi Arabia</option>
            <option value="128">Senegal</option>
            <option value="206">Serbia</option>
            <option value="129">Seychelles</option>
            <option value="130">Sierra Leone</option>
            <option value="131">Singapore</option>
            <option value="258">Sint Maarten, (Dutch part)</option>
            <option value="208">Slovakia</option>
            <option value="209">Slovenia</option>
            <option value="132">Solomon Islands</option>
            <option value="133">Somalia</option>
            <option value="134">South Africa</option>
            <option value="259">South Georgia and the South Sandwich Islands</option>
            <option value="228">South Sudan</option>
            <option value="210">Spain</option>
            <option value="136">Sri Lanka</option>
            <option value="140">Sudan</option>
            <option value="141">Suriname</option>
            <option value="261">Svalbard and Jan Mayen</option>
            <option value="211">Sweden</option>
            <option value="212">Switzerland</option>
            <option value="143">Syria</option>
            <option value="144">Taiwan, Province of China</option>
            <option value="227">Tajikistan</option>
            <option value="145">Tanzania, United Republic of</option>
            <option value="146">Thailand</option>
            <option value="44">Timor-Leste</option>
            <option value="147">Togo</option>
            <option value="262">Tokelau</option>
            <option value="148">Tonga</option>
            <option value="149">Trinidad and Tobago</option>
            <option value="150">Tunisia</option>
            <option value="213">Turkey</option>
            <option value="151">Turkmenistan</option>
            <option value="152">Turks and Caicos Islands</option>
            <option value="153">Tuvalu</option>
            <option value="156">Uganda</option>
            <option value="214">Ukraine</option>
            <option value="154">United Arab Emirates</option>
            <option value="216">United Kingdom of Great Britain and Northern Ireland</option>
            <option value="263">United States Minor Outlying Islands</option>
            <option value="155" class="hasStates">United States of America</option>
            <option value="157">Uruguay</option>
            <option value="158">Uzbekistan</option>
            <option value="159">Vanuatu</option>
            <option value="160">Venezuela, Bolivarian Republic of</option>
            <option value="161">Viet Nam</option>
            <option value="23">Virgin Islands, British</option>
            <option value="162">Virgin Islands, U.S.</option>
            <option value="163">Wallis and Futuna</option>
            <option value="264">Western Sahara</option>
            <option value="164">Yemen</option>
            <option value="166">Zambia</option>
            <option value="167">Zimbabwe</option>
          </select><span class="customSelect selectBox countrySel" style="display: inline-block;"><span class="customSelectInner" style="width: 331px; display: inline-block;">-- Select --</span></span>
        </td>
      </tr>
      <tr class="state_selector" style="display:none;">
        <td class="labels">State</td>
        <td>
          <select name="state_id" class="selectBox stateSel hasCustomSelect" value="0" style="appearance: menulist-button; width: 375px; position: absolute; opacity: 0; height: 30px; font-size: 14px;">
            <option value="0" class="emptyState">-- Select --</option>
            <option value="116" class="countryState_29">Alberta</option>
            <option value="117" class="countryState_29">British Columbia</option>
            <option value="118" class="countryState_29">Manitoba</option>
            <option value="119" class="countryState_29">New Brunswick</option>
            <option value="120" class="countryState_29">Newfoundland and Labrador</option>
            <option value="122" class="countryState_29">Northwest Territories</option>
            <option value="121" class="countryState_29">Nova Scotia</option>
            <option value="123" class="countryState_29">Nunavut</option>
            <option value="124" class="countryState_29">Ontario</option>
            <option value="125" class="countryState_29">Prince Edward Island</option>
            <option value="126" class="countryState_29">Quebec</option>
            <option value="127" class="countryState_29">Saskatchewan</option>
            <option value="128" class="countryState_29">Yukon</option>
            <option value="98" class="countryState_155">Alabama</option>
            <option value="105" class="countryState_155">Alaska</option>
            <option value="113" class="countryState_155">Arizona</option>
            <option value="93" class="countryState_155">Arkansas</option>
            <option value="109" class="countryState_155">California</option>
            <option value="112" class="countryState_155">Colorado</option>
            <option value="66" class="countryState_155">Connecticut</option>
            <option value="70" class="countryState_155">Delaware</option>
            <option value="115" class="countryState_155">District of Columbia</option>
            <option value="101" class="countryState_155">Florida</option>
            <option value="99" class="countryState_155">Georgia</option>
            <option value="104" class="countryState_155">Hawaii</option>
            <option value="108" class="countryState_155">Idaho</option>
            <option value="96" class="countryState_155">Illinois</option>
            <option value="78" class="countryState_155">Indiana</option>
            <option value="91" class="countryState_155">Iowa</option>
            <option value="87" class="countryState_155">Kansas</option>
            <option value="80" class="countryState_155">Kentucky</option>
            <option value="94" class="countryState_155">Louisiana</option>
            <option value="62" class="countryState_155">Maine</option>
            <option value="73" class="countryState_155">Maryland</option>
            <option value="65" class="countryState_155">Massachusetts</option>
            <option value="77" class="countryState_155">Michigan</option>
            <option value="90" class="countryState_155">Minnesota</option>
            <option value="97" class="countryState_155">Mississippi</option>
            <option value="92" class="countryState_155">Missouri</option>
            <option value="82" class="countryState_155">Montana</option>
            <option value="86" class="countryState_155">Nebraska</option>
            <option value="110" class="countryState_155">Nevada</option>
            <option value="64" class="countryState_155">New Hampshire</option>
            <option value="69" class="countryState_155">New Jersey</option>
            <option value="114" class="countryState_155">New Mexico</option>
            <option value="71" class="countryState_155">New York</option>
            <option value="75" class="countryState_155">North Carolina</option>
            <option value="84" class="countryState_155">North Dakota</option>
            <option value="79" class="countryState_155">Ohio</option>
            <option value="88" class="countryState_155">Oklahoma</option>
            <option value="107" class="countryState_155">Oregon</option>
            <option value="72" class="countryState_155">Pennsylvania</option>
            <option value="102" class="countryState_155">Puerto Rico</option>
            <option value="67" class="countryState_155">Rhode Island</option>
            <option value="100" class="countryState_155">South Carolina</option>
            <option value="85" class="countryState_155">South Dakota</option>
            <option value="81" class="countryState_155">Tennessee</option>
            <option value="89" class="countryState_155">Texas</option>
            <option value="103" class="countryState_155">U.S. Virgin Islands</option>
            <option value="111" class="countryState_155">Utah</option>
            <option value="63" class="countryState_155">Vermont</option>
            <option value="74" class="countryState_155">Virginia</option>
            <option value="106" class="countryState_155">Washington</option>
            <option value="76" class="countryState_155">West Virginia</option>
            <option value="95" class="countryState_155">Wisconsin</option>
            <option value="83" class="countryState_155">Wyoming</option>
          </select><span class="customSelect selectBox stateSel" style="display: inline-block;"><span class="customSelectInner" style="width: 331px; display: inline-block;">-- Select --</span></span>
        </td>
      </tr>
      <!-- <tr>
                    <td class="labels">Company profile</td>
                    <td><input maxlength="255" name="company_profile" type="text" required  class="form_input"></td>
                </tr>-->
      <tr>
        <td class="labels"><span style="color:red">* </span>Phone</td>
        <td><input maxlength="100" name="phone" type="text" class="form_input"></td>
      </tr>
      <tr>
        <td class="labels"><span style="color:red">* </span>Message</td>
        <td><textarea name="message" id="message" class="form_input" style="resize: none;"></textarea></td>
      </tr>
      <!--<tr id ="not_for_supp">
	                <td class="labels"> </font></td>
	                <td style="vertical-align: middle;">
	                    <select name="inq_exp_with_saf" class="selectBox"  >
	                        <option value = -1></option>
	                        <option </option>
	                        <option </option>
	                    </select>
	                </td>
            	</tr>-->
      <!--<tr class="form_input_req">
					<td class="labels"></td>
					<td><input name="verification_code" type="text" class="form_input" value=""></td>
				</tr>
                <tr>
                    <td class="labels"></td>
                    <td class="captchaBlock">
						<div style="float:left;margin-right:60px;">
												</div>
						<input name="captpop" id="captcha" type="text" class="form_input" style="float:right;width:200px;">
                    </td>
                </tr>
               <tr>
					<td class="labels">I ACCEPT WEBSITE'S <a style="text-decoration: underline" href="/en/terms">TERMS & CONDITONS</a></td>
					<td><input id="accept_terms" name="accept_terms" type="checkbox" style="width: 25px; margin-left: 0px" class="form_input"></td>
				</tr>
                <tr>
                    <td class="labels"></td>
                    <td><input type="button" onclick="ajaxFormQ();" value="Submit" class="form_button" style="margin-left:324px;"></td>
                </tr>-->
      <tr class="form_input_req">
        <td class="labels"></td>
        <td><input name="verification_code" type="text" class="form_input" value="6YyKru"></td>
      </tr>
      <!--<tr>
					<td class="labels"><a style="text-decoration: underline" href="/en/terms"></a></td>
					<td><input id="accept_terms" name="accept_terms" type="checkbox" style="width: 25px; margin-left: 0px" class="form_input"></td>
				</tr>-->
      <tr id="not_for_supp">
        <td class="labels"></td>
        <td>
          <table style="width: 385px; margin-top:20px">
            <tbody>
              <tr>
                <td><input id="accept_subs" name="accept_subs" type="checkbox" style="width: 25px; margin-left: 0px" class="form_input"></td>
                <td style="font-size: 12px; color: #3c69a8;font-family: 'robotobold', sans-serif;line-height: 1.2;vertical-align: top;padding-top: 6px; padding-right:8px;text-align:left;">I agree to receive e-mails from SAF Tehnika about products and
                  activities. You will be able to unsubscribe any time by following respective link in the email.</td>
              </tr>
            </tbody>
          </table>
        </td>
      </tr>
      <tr>
        <!--<td class="labels"></td>
                    <td><input type="button" onclick="ajaxFormQ();" value="Submit" class="form_button" style="margin-left:324px;"></td>-->
        <!--<td colspan="2" style="font-size: 12px; color: #3c69a8;font-family: 'robotobold', sans-serif;line-height: 1.2;vertical-align: top;padding-top: 6px;text-align:left;padding-left: 96px;">
					By submitting  this form, you accept our  <a style="text-decoration: underline" href="/en/terms">TERMS & CONDITONS</a><input type="button" onclick="ajaxFormQ();" value="Submit" class="form_button" style="margin-left:143px;">
					</td>-->
        <td colspan="2" style="font-size: 12px; color: #3c69a8;font-family: 'robotobold', sans-serif;line-height: 1.2;vertical-align: top;padding-top: 40px;text-align:right;"> By submitting this form, you accept our
          <a style="text-decoration: underline" href="/en/terms">TERMS &amp; CONDITONS</a><input type="button" onclick="ajaxFormQ(0);" value="Submit" class="form_button" style="margin-left:40px;">
        </td>
      </tr>
    </tbody>
  </table>
</form>

POST

<form method="post" class="form quote_form" style="margin:auto; padding-top:150px" id="tech_support">
  <input type="hidden" name="form" value="1">
  <input style="display: none" type="text" id="q_form_type" name="form_type" value="2">
  <input style="display: none" type="text" id="q_from_page" class="q_from_page" name="from_page" value="">
  <input style="display: none" type="text" id="q_from_button" name="from_button" value="global_supp">
  <table class="wideLabels" style="margin:auto;">
    <tbody>
      <tr>
        <td class="labels"><span style="color:red">* </span>Product</td>
        <td>
          <select id="prod_id_sel" name="product_id" onchange="setProductName();" class="selectBox hasCustomSelect" style="appearance: menulist-button; width: 375px; position: absolute; opacity: 0; height: 30px; font-size: 14px;">
            <option value="0">-- Select --</option>
            <option value="88">Integra-X Series</option>
            <option value="87">Integra-E Series</option>
            <option value="79">Integra-G</option>
            <option value="77">Integra-W</option>
            <option value="91">Integra FIDU</option>
            <option value="86">PhoeniX G2 Series</option>
            <option value="17">SAF NMS</option>
            <option value="89">Marathon III</option>
            <option value="31">CFIP Marathon II</option>
          </select><span class="customSelect selectBox" style="display: inline-block;"><span class="customSelectInner" style="width: 331px; display: inline-block;">-- Select --</span></span>
          <input id="prod_name_inp" name="product_name" value="" disabled="disabled" type="hidden" required="" class="form_input">
          <select id="prod_id_sel_old" style="display: none;" disabled="disabled">
            <option value="13">CFIP Lumina</option>
            <option value="14">CFIP-106/108</option>
            <option value="11">CFIP PhoeniX M</option>
            <option value="23">FreeMile 5 GE</option>
            <option value="21">FreeMile 17/24</option>
            <option value="30">Spectrum Compact</option>
            <option value="82">V-band and E-band Spectrum Compact</option>
            <option value="52">SG Compact</option>
          </select>
        </td>
      </tr>
      <tr>
        <td class="labels"><span style="color:red">* </span>Name</td>
        <td>
          <input name="name" maxlength="100" type="text" required="" class="form_input smallInput">
          <span class="labels smallLabel" style="float:left"><span style="color:red">* </span>Surname</span>
          <input name="surname" maxlength="100" type="text" required="" class="form_input smallInput">
        </td>
      </tr>
      <tr>
        <td class="labels"><span style="color:red">* </span>E-mail</td>
        <td><input maxlength="255" name="mail" type="email" required="" class="form_input"></td>
      </tr>
      <tr class="form_input_req">
        <td class="labels"></td>
        <td><input name="saf_gender" maxlength="10" type="text" class="form_input" value=""></td>
      </tr>
      <tr>
        <td class="labels"><span style="color:red">* </span>Company</td>
        <td><input name="company" maxlength="100" type="text" required="" class="form_input"></td>
      </tr>
      <tr>
        <td class="labels"><span style="color:red">* </span>Country</td>
        <td>
          <select name="country_id" onchange="CheckForStates(this);" class="selectBox countrySel hasCustomSelect" style="appearance: menulist-button; width: 375px; position: absolute; opacity: 0; height: 30px; font-size: 14px;">
            <option value="0">-- Select --</option>
            <option value="1">Afghanistan</option>
            <option value="233">Åland Islands</option>
            <option value="168">Albania</option>
            <option value="2">Algeria</option>
            <option value="3">American Samoa</option>
            <option value="169">Andorra</option>
            <option value="4">Angola</option>
            <option value="5">Anguilla</option>
            <option value="234">Antarctica</option>
            <option value="6">Antigua and Barbuda</option>
            <option value="7">Argentina</option>
            <option value="8">Armenia</option>
            <option value="9">Aruba</option>
            <option value="10">Australia</option>
            <option value="170">Austria</option>
            <option value="11">Azerbaijan</option>
            <option value="12">Bahamas</option>
            <option value="13">Bahrain</option>
            <option value="14">Bangladesh</option>
            <option value="15">Barbados</option>
            <option value="171">Belarus</option>
            <option value="172">Belgium</option>
            <option value="16">Belize</option>
            <option value="17">Benin</option>
            <option value="18">Bermuda</option>
            <option value="19">Bhutan</option>
            <option value="20">Bolivia, Plurinational State of</option>
            <option value="112">Bonaire, Sint Eustatius and Saba</option>
            <option value="173">Bosnia and Herzegovina</option>
            <option value="21">Botswana</option>
            <option value="236">Bouvet Island</option>
            <option value="22">Brazil</option>
            <option value="237">British Indian Ocean Territory</option>
            <option value="24">Brunei Darussalam</option>
            <option value="174">Bulgaria</option>
            <option value="25">Burkina Faso</option>
            <option value="26">Burundi</option>
            <option value="30">Cabo Verde</option>
            <option value="27">Cambodia</option>
            <option value="28">Cameroon</option>
            <option value="29" class="hasStates">Canada</option>
            <option value="31">Cayman Islands</option>
            <option value="32">Central African Republic</option>
            <option value="33">Chad</option>
            <option value="34">Chile</option>
            <option value="35">China</option>
            <option value="240">Christmas Island</option>
            <option value="241">Cocos (Keeling) Islands</option>
            <option value="36">Colombia</option>
            <option value="229">Comoros</option>
            <option value="37">Congo</option>
            <option value="40">Congo, Democratic Republic of the</option>
            <option value="38">Cook Islands</option>
            <option value="39">Costa Rica</option>
            <option value="175">Croatia</option>
            <option value="232">Cuba</option>
            <option value="243">Curaçao</option>
            <option value="176">Cyprus</option>
            <option value="265">Czech Republic</option>
            <option value="177">Czechia</option>
            <option value="178">Denmark</option>
            <option value="41">Djibouti</option>
            <option value="42">Dominica</option>
            <option value="43">Dominican Republic</option>
            <option value="45">Ecuador</option>
            <option value="46">Egypt</option>
            <option value="47">El Salvador</option>
            <option value="48">Equatorial Guinea</option>
            <option value="49">Eritrea</option>
            <option value="179">Estonia</option>
            <option value="142">Eswatini</option>
            <option value="50">Ethiopia</option>
            <option value="244">Falkland Islands (Malvinas)</option>
            <option value="180">Faroe Islands</option>
            <option value="51">Fiji</option>
            <option value="181">Finland</option>
            <option value="182">France</option>
            <option value="52">French Guiana</option>
            <option value="53">French Polynesia</option>
            <option value="245">French Southern Territories</option>
            <option value="54">Gabon</option>
            <option value="55">Gambia</option>
            <option value="56">Georgia</option>
            <option value="183">Germany</option>
            <option value="57">Ghana</option>
            <option value="184">Gibraltar</option>
            <option value="185">Greece</option>
            <option value="186">Greenland</option>
            <option value="58">Grenada</option>
            <option value="59">Guadeloupe</option>
            <option value="60">Guam</option>
            <option value="61">Guatemala</option>
            <option value="219">Guernsey</option>
            <option value="62">Guinea</option>
            <option value="63">Guinea-Bissau</option>
            <option value="64">Guyana</option>
            <option value="65">Haiti</option>
            <option value="246">Heard Island and McDonald Islands</option>
            <option value="215">Holy See</option>
            <option value="66">Honduras</option>
            <option value="67">Hong Kong</option>
            <option value="187">Hungary</option>
            <option value="188">Iceland</option>
            <option value="68">India</option>
            <option value="69">Indonesia</option>
            <option value="223">Iran, Islamic Republic of</option>
            <option value="70">Iraq</option>
            <option value="189">Ireland</option>
            <option value="247">Isle of Man</option>
            <option value="71">Israel</option>
            <option value="190">Italy</option>
            <option value="72">Ivory Coast</option>
            <option value="73">Jamaica</option>
            <option value="74">Japan</option>
            <option value="220">Jersey</option>
            <option value="75">Jordan</option>
            <option value="76">Kazakhstan</option>
            <option value="77">Kenya</option>
            <option value="78">Kiribati</option>
            <option value="248">Korea, Democratic People's Republic of</option>
            <option value="135">Korea, Republic of</option>
            <option value="225">Kosovo</option>
            <option value="79">Kuwait</option>
            <option value="80">Kyrgyzstan</option>
            <option value="81">Lao People's Democratic Republic</option>
            <option value="191">Latvia</option>
            <option value="82">Lebanon</option>
            <option value="83">Lesotho</option>
            <option value="84">Liberia</option>
            <option value="85">Libya</option>
            <option value="192">Liechtenstein</option>
            <option value="193">Lithuania</option>
            <option value="194">Luxembourg</option>
            <option value="86">Macao</option>
            <option value="87">Madagascar</option>
            <option value="88">Malawi</option>
            <option value="89">Malaysia</option>
            <option value="90">Maldives</option>
            <option value="91">Mali</option>
            <option value="196">Malta</option>
            <option value="92">Marshall Islands</option>
            <option value="93">Martinique</option>
            <option value="94">Mauritania</option>
            <option value="95">Mauritius</option>
            <option value="249">Mayotte</option>
            <option value="96">Mexico</option>
            <option value="97">Micronesia, Federated States of</option>
            <option value="197">Moldova, Republic of</option>
            <option value="198">Monaco</option>
            <option value="98">Mongolia</option>
            <option value="199">Montenegro</option>
            <option value="99">Montserrat</option>
            <option value="100">Morocco</option>
            <option value="101">Mozambique</option>
            <option value="102">Myanmar</option>
            <option value="103">Namibia</option>
            <option value="104">Nauru</option>
            <option value="105">Nepal</option>
            <option value="200">Netherlands</option>
            <option value="106">New Caledonia</option>
            <option value="107">New Zealand</option>
            <option value="108">Nicaragua</option>
            <option value="109">Niger</option>
            <option value="110">Nigeria</option>
            <option value="111">Niue</option>
            <option value="250">Norfolk Island</option>
            <option value="195">North Macedonia</option>
            <option value="125">Northern Mariana Islands</option>
            <option value="201">Norway</option>
            <option value="113">Oman</option>
            <option value="114">Pakistan</option>
            <option value="115">Palau</option>
            <option value="116">Palestine, State of</option>
            <option value="117">Panama</option>
            <option value="118">Papua New Guinea</option>
            <option value="119">Paraguay</option>
            <option value="120">Peru</option>
            <option value="121">Philippines</option>
            <option value="252">Pitcairn</option>
            <option value="202">Poland</option>
            <option value="203">Portugal</option>
            <option value="253">Puerto Rico</option>
            <option value="122">Qatar</option>
            <option value="123">Réunion</option>
            <option value="204">Romania</option>
            <option value="205">Russian Federation</option>
            <option value="124">Rwanda</option>
            <option value="254">Saint Barthélemy</option>
            <option value="255">Saint Helena, Ascension and Tristan da Cunha</option>
            <option value="137">Saint Kitts and Nevis</option>
            <option value="138">Saint Lucia</option>
            <option value="257">Saint Martin, (French part)</option>
            <option value="256">Saint Pierre and Miquelon</option>
            <option value="139">Saint Vincent and the Grenadines</option>
            <option value="126">Samoa</option>
            <option value="221">San Marino</option>
            <option value="230">Sao Tome and Principe</option>
            <option value="127">Saudi Arabia</option>
            <option value="128">Senegal</option>
            <option value="206">Serbia</option>
            <option value="129">Seychelles</option>
            <option value="130">Sierra Leone</option>
            <option value="131">Singapore</option>
            <option value="258">Sint Maarten, (Dutch part)</option>
            <option value="208">Slovakia</option>
            <option value="209">Slovenia</option>
            <option value="132">Solomon Islands</option>
            <option value="133">Somalia</option>
            <option value="134">South Africa</option>
            <option value="259">South Georgia and the South Sandwich Islands</option>
            <option value="228">South Sudan</option>
            <option value="210">Spain</option>
            <option value="136">Sri Lanka</option>
            <option value="140">Sudan</option>
            <option value="141">Suriname</option>
            <option value="261">Svalbard and Jan Mayen</option>
            <option value="211">Sweden</option>
            <option value="212">Switzerland</option>
            <option value="143">Syria</option>
            <option value="144">Taiwan, Province of China</option>
            <option value="227">Tajikistan</option>
            <option value="145">Tanzania, United Republic of</option>
            <option value="146">Thailand</option>
            <option value="44">Timor-Leste</option>
            <option value="147">Togo</option>
            <option value="262">Tokelau</option>
            <option value="148">Tonga</option>
            <option value="149">Trinidad and Tobago</option>
            <option value="150">Tunisia</option>
            <option value="213">Turkey</option>
            <option value="151">Turkmenistan</option>
            <option value="152">Turks and Caicos Islands</option>
            <option value="153">Tuvalu</option>
            <option value="156">Uganda</option>
            <option value="214">Ukraine</option>
            <option value="154">United Arab Emirates</option>
            <option value="216">United Kingdom of Great Britain and Northern Ireland</option>
            <option value="263">United States Minor Outlying Islands</option>
            <option value="155" class="hasStates">United States of America</option>
            <option value="157">Uruguay</option>
            <option value="158">Uzbekistan</option>
            <option value="159">Vanuatu</option>
            <option value="160">Venezuela, Bolivarian Republic of</option>
            <option value="161">Viet Nam</option>
            <option value="23">Virgin Islands, British</option>
            <option value="162">Virgin Islands, U.S.</option>
            <option value="163">Wallis and Futuna</option>
            <option value="264">Western Sahara</option>
            <option value="164">Yemen</option>
            <option value="166">Zambia</option>
            <option value="167">Zimbabwe</option>
          </select><span class="customSelect selectBox countrySel" style="display: inline-block;"><span class="customSelectInner" style="width: 331px; display: inline-block;">-- Select --</span></span>
        </td>
      </tr>
      <tr class="state_selector" style="display:none;">
        <td class="labels">State</td>
        <td>
          <select name="state_id" class="selectBox stateSel hasCustomSelect" value="0" style="appearance: menulist-button; width: 375px; position: absolute; opacity: 0; height: 30px; font-size: 14px;">
            <option value="0" class="emptyState">-- Select --</option>
            <option value="116" class="countryState_29">Alberta</option>
            <option value="117" class="countryState_29">British Columbia</option>
            <option value="118" class="countryState_29">Manitoba</option>
            <option value="119" class="countryState_29">New Brunswick</option>
            <option value="120" class="countryState_29">Newfoundland and Labrador</option>
            <option value="122" class="countryState_29">Northwest Territories</option>
            <option value="121" class="countryState_29">Nova Scotia</option>
            <option value="123" class="countryState_29">Nunavut</option>
            <option value="124" class="countryState_29">Ontario</option>
            <option value="125" class="countryState_29">Prince Edward Island</option>
            <option value="126" class="countryState_29">Quebec</option>
            <option value="127" class="countryState_29">Saskatchewan</option>
            <option value="128" class="countryState_29">Yukon</option>
            <option value="98" class="countryState_155">Alabama</option>
            <option value="105" class="countryState_155">Alaska</option>
            <option value="113" class="countryState_155">Arizona</option>
            <option value="93" class="countryState_155">Arkansas</option>
            <option value="109" class="countryState_155">California</option>
            <option value="112" class="countryState_155">Colorado</option>
            <option value="66" class="countryState_155">Connecticut</option>
            <option value="70" class="countryState_155">Delaware</option>
            <option value="115" class="countryState_155">District of Columbia</option>
            <option value="101" class="countryState_155">Florida</option>
            <option value="99" class="countryState_155">Georgia</option>
            <option value="104" class="countryState_155">Hawaii</option>
            <option value="108" class="countryState_155">Idaho</option>
            <option value="96" class="countryState_155">Illinois</option>
            <option value="78" class="countryState_155">Indiana</option>
            <option value="91" class="countryState_155">Iowa</option>
            <option value="87" class="countryState_155">Kansas</option>
            <option value="80" class="countryState_155">Kentucky</option>
            <option value="94" class="countryState_155">Louisiana</option>
            <option value="62" class="countryState_155">Maine</option>
            <option value="73" class="countryState_155">Maryland</option>
            <option value="65" class="countryState_155">Massachusetts</option>
            <option value="77" class="countryState_155">Michigan</option>
            <option value="90" class="countryState_155">Minnesota</option>
            <option value="97" class="countryState_155">Mississippi</option>
            <option value="92" class="countryState_155">Missouri</option>
            <option value="82" class="countryState_155">Montana</option>
            <option value="86" class="countryState_155">Nebraska</option>
            <option value="110" class="countryState_155">Nevada</option>
            <option value="64" class="countryState_155">New Hampshire</option>
            <option value="69" class="countryState_155">New Jersey</option>
            <option value="114" class="countryState_155">New Mexico</option>
            <option value="71" class="countryState_155">New York</option>
            <option value="75" class="countryState_155">North Carolina</option>
            <option value="84" class="countryState_155">North Dakota</option>
            <option value="79" class="countryState_155">Ohio</option>
            <option value="88" class="countryState_155">Oklahoma</option>
            <option value="107" class="countryState_155">Oregon</option>
            <option value="72" class="countryState_155">Pennsylvania</option>
            <option value="102" class="countryState_155">Puerto Rico</option>
            <option value="67" class="countryState_155">Rhode Island</option>
            <option value="100" class="countryState_155">South Carolina</option>
            <option value="85" class="countryState_155">South Dakota</option>
            <option value="81" class="countryState_155">Tennessee</option>
            <option value="89" class="countryState_155">Texas</option>
            <option value="103" class="countryState_155">U.S. Virgin Islands</option>
            <option value="111" class="countryState_155">Utah</option>
            <option value="63" class="countryState_155">Vermont</option>
            <option value="74" class="countryState_155">Virginia</option>
            <option value="106" class="countryState_155">Washington</option>
            <option value="76" class="countryState_155">West Virginia</option>
            <option value="95" class="countryState_155">Wisconsin</option>
            <option value="83" class="countryState_155">Wyoming</option>
          </select><span class="customSelect selectBox stateSel" style="display: inline-block;"><span class="customSelectInner" style="width: 331px; display: inline-block;">-- Select --</span></span>
        </td>
      </tr>
      <!-- <tr>
                    <td class="labels">Company profile</td>
                    <td><input maxlength="255" name="company_profile" type="text" required  class="form_input"></td>
                </tr>-->
      <tr>
        <td class="labels"><span style="color:red">* </span>Phone</td>
        <td><input maxlength="100" name="phone" type="text" class="form_input"></td>
      </tr>
      <tr>
        <td class="labels"><span style="color:red">* </span>Message</td>
        <td><textarea name="message" id="message" class="form_input" style="resize: none;"></textarea></td>
      </tr>
      <!--<tr id ="not_for_supp">
	                <td class="labels"> </font></td>
	                <td style="vertical-align: middle;">
	                    <select name="inq_exp_with_saf" class="selectBox"  >
	                        <option value = -1></option>
	                        <option </option>
	                        <option </option>
	                    </select>
	                </td>
            	</tr>-->
      <script>
        function checkIfOtherSel(el) {
          if ($(el).val() == "-1") {
            $(el).parent().find('input').css('visibility', 'visible');
          } else {
            $(el).parent().find('input').css('visibility', 'hidden');
            $(el).parent().find('input').val('');
          }
        }
      </script>
      <!--<tr class="form_input_req">
					<td class="labels"></td>
					<td><input name="verification_code" type="text" class="form_input" value=""></td>
				</tr>
                <tr>
                    <td class="labels"></td>
                    <td class="captchaBlock">
						<div style="float:left;margin-right:60px;">
												</div>
						<input name="captpop" id="captcha" type="text" class="form_input" style="float:right;width:200px;">
                    </td>
                </tr>
               <tr>
					<td class="labels">I ACCEPT WEBSITE'S <a style="text-decoration: underline" href="/en/terms">TERMS & CONDITONS</a></td>
					<td><input id="accept_terms" name="accept_terms" type="checkbox" style="width: 25px; margin-left: 0px" class="form_input"></td>
				</tr>
                <tr>
                    <td class="labels"></td>
                    <td><input type="button" onclick="ajaxFormQ();" value="Submit" class="form_button" style="margin-left:324px;"></td>
                </tr>-->
      <tr class="form_input_req">
        <td class="labels"></td>
        <td><input name="verification_code" type="text" class="form_input" value="6YyKru"></td>
      </tr>
      <!--<tr>
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