<div class="modal-dialog" role="document"> <div class="popup-page-name underline-begin"> <div class="page-name-block-text">Multi-User-Price Request Form</div> </div> <form action="/Book/MultiUserPriceRequest" id="multi-user-price-request" method="post"> <div class="block-inputs-popup-message"> <input id="BookName" name="BookName" type="hidden" value="Wastewater Treatment and Green Technologies" /> <input id="BookUrl" name="BookUrl" type="hidden" value="https://www.scientific.net/book/wastewater-treatment-and-green-technologies/978-3-0364-1534-5" /> <div class="input-wrap"> <label for="BookName">eBook Name:</label> Wastewater Treatment and Green Technologies </div> <div class="input-wrap"> <div class="input-label-block"><input data-val="true" data-val-required="The Organization field is required." id="Organization" name="Organization" type="text" value="" /><span></span><label>Organization *</label></div> <span class="field-validation-valid" data-valmsg-for="Organization" data-valmsg-replace="true"></span> </div> <div class="input-wrap"> <div class="input-label-block"><input data-val="true" data-val-required="The Contact Name field is required." id="ContactName" name="ContactName" type="text" value="" /><span></span><label>Contact Name *</label></div> <span class="field-validation-valid" data-valmsg-for="ContactName" data-valmsg-replace="true"></span> </div> <div class="input-wrap"> <div class="input-label-block"><input data-val="true" data-val-email="The Contact Email field is not a valid e-mail address." data-val-required="The Contact Email field is required." id="ContactEmail" name="ContactEmail" type="text" value="" /><span></span><label>Contact Email *</label></div> <span class="field-validation-valid" data-valmsg-for="ContactEmail" data-valmsg-replace="true"></span> </div> <div class="input-wrap"> <div class="input-label-block"><textarea data-val="true" data-val-required="The Message field is required." id="Message" name="Message"></textarea><span></span><label>Message *</label></div> <span class="field-validation-valid" data-valmsg-for="Message" data-valmsg-replace="true"></span> </div> </div> <div class="popup-block-buttons clearfix"> <div class="two-buttons-block"> <button class="button button-95 button-grey icon-container" data-dismiss="modal"> <i class="inline-icon button-arrow-back-black button-icon-left"></i> <span class="inline-element">back</span> </button> <button id="submitMultiUserPriceRequestButton" type="submit" class="button button-95">Send</button> </div> </div> <input name="__RequestVerificationToken" type="hidden" value="CfDJ8N-GK58uMalPpnkbc1AC7GsY7qyG6cvSklFYmzNOJwMUHeS7Ohuqx3WAyswgsgZ7UsjY48A4TFwp0IVymENU02dUWaxdYGblQagtnfmEemH1zjovWghWTi_VTbXCrcXs08CgtCw4c87I0nx3VwCrWZg" /></form> <a data-dismiss="modal" title="Close" class="inline-icon close-icon"></a> </div> <div id="recaptchaWidgetab807e25f7af41ab86baf60fe54de4ca" class="g-recaptcha" data-size="invisible"></div> <script src="https://www.recaptcha.net/recaptcha/api.js?render=explicit" async defer></script>