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$("#state").focus(); return false; } }var state1=document.getElementById("state1").value;if(country=='Others' && state1==''){ alert("Please Select state!"); $("#state1").focus(); return false; } var pin = document.getElementById("pin").value; if(pin=='') { alert("Please enter Zip code"); $("#pin").focus(); return false; } var phone11 = trim($("#phone11").val()); var phone22 = trim($("#phone22").val()); var phone33 = trim($("#phone33").val()); var mob=phone11+phone22+phone33; if(phone11=='' && phone22=='' && phone33=='') { alert("Please enter phone number"); $("#phone11").focus(); return false; } if(phone11=='' || phone22=='' || phone33=='') { alert("Please enter a valid phone number"); $("#phone11").focus(); return false; } if( !isNormalInteger(phone11) || !isNormalInteger(phone22) || !isNormalInteger(phone33)) { alert("Please enter a valid phone number"); $("#phone").focus(); return false; } document.getElementById("mobno").value=mob; var email_new = $("#email_new").val(); if(trim(email_new)=='') { alert("Please enter email address"); $("#email_new").focus(); return false; } else if(trim(email_new)!='') { var filter=/^(([^<>()\[\]\\.,;:\s@']+(\.[^<>()\[\]\\.,;:\s@']+)*)|('.+'))@((\[[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\])|(([a-zA-Z\-0-9]+\.)+[a-zA-Z]{2,}))$/; if (!filter.test(trim(email_new))) { alert("Please enter a valid email address!"); $("#email_new").focus(); return false; } var emaillist = ["notexisttopreventanyerror.com","aol.com", "att.net", "comcast.net", "facebook.com", "gmail.com", "gmx.com", "googlemail.com", "google.com", "hotmail.com", "hotmail.co.uk", "mac.com", "me.com", "mail.com", "msn.com", "live.com", "sbcglobal.net", "verizon.net", "yahoo.com", "yahoo.co.uk", "email.com", "games.com" , "gmx.net", "hush.com", "hushmail.com", "icloud.com", "inbox.com", "lavabit.com", "love.com", "outlook.com", "pobox.com", "rocketmail.com", "safe-mail.net", "wow.com", "ygm.com", "ymail.com", "zoho.com", "fastmail.fm", "yandex.com","iname.com", "bellsouth.net", "charter.net", "cox.net", "earthlink.net", "juno.com", "btinternet.com", "virginmedia.com", "blueyonder.co.uk", "freeserve.co.uk", "live.co.uk", "ntlworld.com", "o2.co.uk", "orange.net", "sky.com", "talktalk.co.uk", "tiscali.co.uk", "virgin.net", "wanadoo.co.uk", "bt.com", "sina.com", "qq.com", "naver.com", "hanmail.net", "daum.net", "nate.com", "yahoo.co.jp", "yahoo.co.kr", "yahoo.co.id", "yahoo.co.in", "yahoo.com.sg", "yahoo.com.ph", "hotmail.fr", "live.fr", "laposte.net", "yahoo.fr", "wanadoo.fr", "orange.fr", "gmx.fr", "sfr.fr", "neuf.fr", "free.fr", "gmx.de", "hotmail.de", "live.de", "online.de", "t-online.de", "web.de", "yahoo.de", "mail.ru", "rambler.ru", "yandex.ru", "ya.ru", "list.ru", "hotmail.be", "live.be", "skynet.be", "voo.be", "tvcablenet.be", "telenet.be", "hotmail.com.ar", "live.com.ar", "yahoo.com.ar", "fibertel.com.ar", "speedy.com.ar", "arnet.com.ar", "yahoo.com.mx", "live.com.mx", "hotmail.es", "hotmail.com.mx", "prodigy.net.mx", "yahoo.com.br", "hotmail.com.br", "outlook.com.br", "uol.com.br", "bol.com.br", "terra.com.br", "ig.com.br", "itelefonica.com.br", "r7.com", "zipmail.com.br", "globo.com", "globomail.com", "oi.com.br"]; domain = email_new.replace(/.*@/, "");domain = domain.toLowerCase(); if (emaillist.indexOf(domain) >= 0) { alert("Please enter only Business email address !!"); $("#email_new").focus(); return false; } }var jobfunction = $('#jobfunc').val(); if(trim(jobfunction)=='') { alert('Please enter primary job function'); $("#jobfunc").focus(); return false; }var jobfunction_other=document.getElementById("jobfunction_other").value; if(jobfunction=='other' && jobfunction_other=='') { alert('Please enter primary job function'); $("#jobfunction_other").focus(); return false; } var products_val=document.getElementById("products").value; if(products_val=='') { alert("Please Specify Your company's main activity"); $("#products").focus(); return false; } var otherproduct=document.getElementById("otherproduct").value; if(products_val=='other' && otherproduct=='') { alert("Please Specify Your company's main activity"); $("#otherproduct").focus(); return false; }var employee_val=document.getElementById("EMPLOYEES").value; 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*/text-align: left;float: left;" class="form-group col-md-6 col-xs-12"> <label for="exampleInputName2">Country</label><span style="color: #d21114;font-size: 16px;">*</span> <select class="form-control" name="Country" id="Country" style="width: 100% !important;" onchange="enter_country(this.value);"> <option value="United States" selected="selected">United States</option> <option value="Others">Others</option> </select> </div> <div id="countrybox" style="display: none;" class="form-group col-md-6 col-xs-12"> <label for="exampleInputEmail2">Enter the Country Name</label> <input style="width: 100% !important;" type="text" class="form-control" id="Country1" name="Country1" placeholder=""> </div> <div style="/*! float:left; */" class="form-group col-md-6 col-xs-12"> <label for="exampleInputName2">City/Town</label><span style="color: #d21114;font-size: 16px;">*</span> <input style="width: 100% !important;" type="text" class="form-control" id="city" name="city" placeholder="Enter the City/Town"> </div> <div id="st1" style="float:left;" class="form-group col-md-6 col-xs-12"> <label for="exampleInputEmail2">State/ Province</label><span style="color: #d21114;font-size: 16px;">*</span> <div class="form-txt" id="state_drop" style=" display: block;width: 100%;"> <select class="form-control" id="state" name="state" style="width:100% !important;" onchange="enter_state(this.value);"> <option value="" selected="selected">Select...</option> <option value="Alabama">Alabama</option> <option value="Alaska">Alaska</option> <option value="American Samoa">American Samoa</option> <option value="Arizona">Arizona</option> <option value="Arkansas">Arkansas</option> <option value="California">California</option> <option value="Colorado">Colorado</option> <option value="Connecticut">Connecticut</option> <option value="Delaware">Delaware</option> <option value="District of Columbia">District of Columbia</option> <option value="Florida">Florida</option> <option value="Georgia">Georgia</option> <option value="Guam">Guam</option> <option value="Hawaii">Hawaii</option> <option value="Idaho">Idaho</option> <option value="Illinois">Illinois</option> <option value="Indiana">Indiana</option> <option value="Iowa">Iowa</option> <option value="Kansas">Kansas</option> <option value="Kentucky">Kentucky</option> <option value="Louisiana">Louisiana</option> <option value="Maine">Maine</option> <option value="Maryland">Maryland</option> <option value="Massachusetts">Massachusetts</option> <option value="Michigan">Michigan</option> <option value="Minnesota">Minnesota</option> <option value="Mississippi">Mississippi</option> <option value="Missouri">Missouri</option> <option value="Montana">Montana</option> <option value="Nebraska">Nebraska</option> <option value="Nevada">Nevada</option> <option value="New Hampshire">New Hampshire</option> <option value="New Jersey">New Jersey</option> <option value="New Mexico">New Mexico</option> <option value="New York">New York</option> <option value="North Carolina">North Carolina</option> <option value="North Dakota">North Dakota</option> <option value="Ohio">Ohio</option> <option value="Oklahoma">Oklahoma</option> <option value="Oregon">Oregon</option> <option value="Pennsylvania">Pennsylvania</option> <option value="Puerto Rico">Puerto Rico</option> <option value="Rhode Island">Rhode Island</option> <option value="South Carolina">South Carolina</option> <option value="South Dakota">South Dakota</option> <option value="Tennessee">Tennessee</option> <option value="Texas">Texas</option> <option value="Utah">Utah</option> <option value="Vermont">Vermont</option> <option value="Virginia">Virginia</option> <option value="Washington">Washington</option> <option value="West Virginia">West Virginia</option> <option value="Wisconsin">Wisconsin</option> <option value="Wyoming">Wyoming</option> <option value="Others">Others</option> </select> </div> <div class="form-txt" id="state_text" style="width: 94%; display: none;"><input type="text" id="state1" name="state1" class="form-control" style="width:100% !important;"></div> </div> <div class="form-group col-md-6 col-xs-12"> <label for="exampleInputEmail2">Zip code</label><span style="color: #d21114;font-size: 16px;">*</span> <input style="width: 100% !important;" type="text" class="form-control" id="pin" name="pin" placeholder="56884"> </div> <div class="form-group col-md-6 col-xs-12"> <label for="exampleInputEmail2">Phone Number</label><span style="color: #d21114;font-size: 16px;">*</span> <div> <input name="phone11" id="phone11" class="form-control input-txt" maxlength="3" style="width:92px !important;margin-right: 2px !important;text-align: center;display: inline-block;" type="text"> - <input name="phone22" id="phone22" class="form-control input-txt" maxlength="3" style="width:92px !important;margin-right: 2px !important;text-align: center;display: inline-block;" type="text"> - <input name="phone33" id="phone33" class="form-control input-txt" maxlength="4" style="width:87px !important;text-align: center;display: inline-block;" type="text"> <input name="mobno" id="mobno" value="" type="hidden"> </div> </div> <div class="form-group col-md-6 col-xs-12"> <label for="exampleInputEmail2">Business Email</label><span style="color: #d21114;font-size: 16px;">*</span> <input style="width: 100% !important;" type="text" class="form-control" id="email_new" name="email_new" placeholder="Enter the Business Email"> </div> </div> </div> </div> </div> <div class="form-col" id="subs-form" style="margin-top: 0px;margin-bottom: 30px;width: 100%;border-top: 3px solid #94999e;"> <h3 style="font-weight: 300 !important;padding-bottom: 20px;">Qualification</h3> <div class="form-inline row"> <div class="form-inline row"> <div class="col-md-12"> <div class="row"> <div class="col-md-12"> <div class="row"> <div class="col-md-12"> <div class="form-group col-md-12"> <label for="exampleInputName2">Primary job function</label><span style="color: #d21114;font-size: 16px;">*</span> <select class="form-control" style="width: 100% !important;" id="jobfunc" name="jobfunction" onchange="check_jobfunc(this.value);"> <option value="" selected="selected">Select Your job function</option> <option value="Executive Management (CEO, President, Owner, VP, Managing Director)" >Executive Management (CEO, President, Owner, VP, Managing Director)</option> <option value="Technology Management">Technology Management</option> <option value="Information Technology Management">Information Technology Management</option> <option value="Management (Production, Engineering, Explorations, Operations)">Management (Production, Engineering, Explorations, Operations)</option> <option value="Purchasing">Purchasing</option> <option value="Geologist/Geophysicist/Chemist">Geologist/Geophysicist/Chemist</option> <option value="other">Other (please specify)</option> </select> <input type="text" class="form-control" style="width: 100% !important; display:none;" id="jobfunction_other" name="jobfunction_other" placeholder="Enter your other job function"/> </div> </div> <div class="col-md-12"> <div style="" class="form-group col-md-12"> <label for="exampleInputName2">Industry or Function</label><span style="color: #d21114;font-size: 16px;">*</span> <select class="form-control" style="width: 100% !important;" id="products" name="products" onchange="check_products(this.value);"> <option value="">Please select production activity</option> <option value="Oil & Gas companies">Oil & Gas companies</option> <option value="Coal Power Plants">Coal Power Plants</option> <option value="Solar Energy Producers">Solar Energy Producers</option> <option value=" Wind Power Producers"> Wind Power Producers</option> <option value="Nuclear Power Plant">Nuclear Power Plant</option> <option id="admOption" value="other">Other (please specify)</option> <option value="Hydro Electric Power">Hydro Electric Power</option> <option value="Electric Utilities">Electric Utilities</option> <option value="Regulatory agencies/Power Plant designers/Construction/Engineering">Regulatory agencies/Power Plant designers/Construction/Engineering</option> <option value="Service and/or Supply">Service and/or Supply</option> <option id="admOption" value="other">Other (please specify)</option> </select> <input type="text" class="form-control" style="width: 100% !important; display:none;" id="otherproduct" name="otherproduct" placeholder="Enter your other main activity"/> </div> <div class="form-group col-md-12" style="padding-bottom: 20px;padding-top: 10px;display: inline-block !important;"> <label for="exampleInputName2">Total number of Employees in your organization</label> <div class=""> <select class="form-control" style="width: 100% !important;" id="EMPLOYEES" name="EMPLOYEES"> <option value="" selected="selected">Total Employees in your entire organization</option> <option value="40,000">1. Over 40,000</option> <option value="30,001 - 40,000">2. 30,001 - 40,000</option> <option value="20,001 - 30,000">3. 20,001 - 30,000</option> <option value="10,001 - 20,000">4. 10,001 - 20,000</option> <option value="5,001 - 10,000">5. 5,001 - 10,000</option> <option value="1,001 - 5,000">6. 1,001 - 5,000</option> <option value="501 - 1,000">7. 501 - 1,000</option> <option value="100-500">8. 100-500</option> <option value="Less than 100">9. Less than 100</option></select> </div> <div id="text" style="display:none"> <input style="width: 100% !important;" type="text" class="form-control" id="checkboxll_other" name="checkboxll_other" placeholder="please specify"> </div> </li> </ul> </div> </div> </div> </div> <div style="" class="form-group col-md-12"> <div class="col-md-12"> <label for="exampleInputName2">WHICH OF THE FOLLOWING PRODUCTS, SERVICE AND / OR TECHNOLOGIES DO YOU CURRENTLY OR PLAN TO APPROVE, SPAECIFY, RECOMMEND, PURCASE OR INFLUENCE THE PURCASE OF?(CHECK ALL THAT APPLY) <span style="color: #d21114;font-size: 16px;">*</span></label> </div> <div class="col-md-6"> <div class=""> <div class="form-txt"> <ul class="form-ul"> <label>Petroleum:</label> <li><label><input type="checkbox" name="checkboxmk[]" value="Exploration and Production" class="checkbox" style="padding-right: 10px;margin-right: 5px;"> Exploration and Production</label></li> <li><label><input type="checkbox" name="checkboxmk[]" value="Gas Processing and LNG" class="checkbox" style="padding-right: 10px;margin-right: 5px;"> Gas Processing and LNG</label></li> <li><label><input type="checkbox" name="checkboxmk[]" value="Offshore" class="checkbox" style="padding-right: 10px;margin-right: 5px;"> Offshore</label></li> <li><label><input type="checkbox" name="checkboxmk[]" value="Pipelines and Transportation" class="checkbox" style="padding-right: 10px;margin-right: 5px;"> Pipelines and Transportation</label></li> <li><label><input type="checkbox" name="checkboxmk[]" value="Refining and Petrochemicals" class="checkbox" style="padding-right: 10px;margin-right: 5px;"> Refining and Petrochemicals</label></li> <label>Power:</label> <li><label><input type="checkbox" name="checkboxmk[]" value="Coal-Fueled Generation" class="checkbox" style="padding-right: 10px;margin-right: 5px;"> Coal-Fueled Generation</label></li> <li><label><input type="checkbox" name="checkboxmk[]" value="Metering" class="checkbox" style="padding-right: 10px;margin-right: 5px;">Metering</label></li> <li><label><input type="checkbox" name="checkboxmk[]" value="Natural Gas Generation" class="checkbox" style="padding-right: 10px;margin-right: 5px;"> Natural Gas Generation</label></li> <li><label><input type="checkbox" name="checkboxmk[]" value="Nuclear Generation" class="checkbox" style="padding-right: 10px;margin-right: 5px;"> Nuclear Generation</label></li> </ul> </div> </div> </div> <div class="col-md-6"> <div class=""> <div class="form-txt"> <ul class="form-ul"> <li><label><input type="checkbox" name="checkboxmk[]" value="Operations and Reliability" class="checkbox" style="padding-right: 10px;margin-right: 5px;">Operations and Reliability</label></li> <li><label><input type="checkbox" name="checkboxmk[]" value="Renewable Generation" class="checkbox" style="padding-right: 10px;margin-right: 5px;">Renewable Generation</label></li> <label>Other:</label> <li><label><input type="checkbox" name="checkboxmk_others[]" value="Smart Grid" class="checkbox" style="padding-right: 10px;margin-right: 5px;"> Smart Grid</label></li> <li><label><input type="checkbox" name="checkboxmk_others[]" value="HSS and E" class="checkbox" style="padding-right: 10px;margin-right: 5px;"> HSS and E</label></li> <li><label><input type="checkbox" name="checkboxmk_others[]" value="Regulatory and Legal" class="checkbox" style="padding-right: 10px;margin-right: 5px;"> Regulatory and Legal</label></li> <li><label><input type="checkbox" name="checkboxmk_others[]" value="Technology Solutions" class="checkbox" style="padding-right: 10px;margin-right: 5px;">Technology Solutions</label></li> <li><label><input type="checkbox" name="checkboxmk_others[]" value="None of the Above" class="checkbox" style="padding-right: 10px;margin-right: 5px;"> None of the Above</label></li> <li><label><input type="checkbox" name="checkboxmk_other[]" value="Others" class="checkbox" onclick="myFunction2()" id="myCheck2" style="padding-right: 10px;margin-right: 5px;"> Others</label></li> <div id="text_one" style="display:none"> <input style="width: 100% !important;" type="text" class="form-control" id="checkboxmk_other" name="checkboxmk_other" placeholder="please specify"> </div> </ul> </div> </div> </div> </div> <div class="form-lane col-md-12 col-xs-12"> <div class="form-new-col col-md-6 col-xs-12"> <div class="form-lbl"><label>Enter the below code</label><span style="color: #d21114;font-size: 16px;">*</span></div> <div class="form-txt"> <img src="/captcha_code_file.php?rand=1860335418" id="captchaimg" style="padding-right: 20px;"> <input id="6_letters_code" name="6_letters_code" style="border:1px solid #D5E0EA;width: 45% !important;" type="text"><br> <small>Can't read the image? 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