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has_sub"><a href="#" class=""><span>Events &#038; Workshops</span></a><span class="mobile_arrow"><i class="fa fa-angle-right"></i><i class="fa fa-angle-down"></i></span> <ul class="sub_menu"> <li id="mobile-menu-item-7399" class="menu-item menu-item-type-custom menu-item-object-custom "><a href="https://www.security-innovation.org/events/silicon-valley-2025/" class=""><span>Silicon Valley 2025</span></a><span class="mobile_arrow"><i class="fa fa-angle-right"></i><i class="fa fa-angle-down"></i></span></li> <li id="mobile-menu-item-4287" class="menu-item menu-item-type-post_type menu-item-object-page "><a href="https://www.security-innovation.org/ciso-workshops/" class=""><span>CISO Workshops</span></a><span class="mobile_arrow"><i class="fa fa-angle-right"></i><i class="fa fa-angle-down"></i></span></li> <li id="mobile-menu-item-4403" class="menu-item menu-item-type-post_type menu-item-object-page "><a href="https://www.security-innovation.org/events/past-events/" class=""><span>Recent Events</span></a><span class="mobile_arrow"><i class="fa fa-angle-right"></i><i class="fa fa-angle-down"></i></span></li> </ul> </li> <li id="mobile-menu-item-4137" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children has_sub"><a href="#" class=""><span>Awards</span></a><span class="mobile_arrow"><i class="fa fa-angle-right"></i><i class="fa fa-angle-down"></i></span> <ul class="sub_menu"> <li id="mobile-menu-item-3779" class="menu-item menu-item-type-post_type menu-item-object-page "><a href="https://www.security-innovation.org/sinet-impact-award/" class=""><span>SINET Impact Award</span></a><span class="mobile_arrow"><i class="fa fa-angle-right"></i><i class="fa fa-angle-down"></i></span></li> <li id="mobile-menu-item-489" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children has_sub"><a href="https://www.security-innovation.org/sinet16-award/" class=""><span>SINET16 Award</span></a><span class="mobile_arrow"><i class="fa fa-angle-right"></i><i class="fa fa-angle-down"></i></span> <ul class="sub_menu"> <li id="mobile-menu-item-899" class="menu-item menu-item-type-post_type menu-item-object-page "><a href="https://www.security-innovation.org/sinet16-award/" class=""><span>Overview</span></a><span class="mobile_arrow"><i class="fa fa-angle-right"></i><i class="fa fa-angle-down"></i></span></li> <li id="mobile-menu-item-958" class="menu-item menu-item-type-post_type menu-item-object-page "><a href="https://www.security-innovation.org/sinet16-award/benefits/" class=""><span>Process &#038; Benefits</span></a><span class="mobile_arrow"><i class="fa fa-angle-right"></i><i class="fa fa-angle-down"></i></span></li> <li id="mobile-menu-item-956" class="menu-item menu-item-type-post_type menu-item-object-page "><a href="https://www.security-innovation.org/sinet16-award/steering/" class=""><span>Judging Committee</span></a><span class="mobile_arrow"><i class="fa fa-angle-right"></i><i class="fa fa-angle-down"></i></span></li> <li id="mobile-menu-item-6669" class="menu-item menu-item-type-custom menu-item-object-custom "><a href="https://www.security-innovation.org/sinet16-award/2024winners/" class=""><span>2024 Winners</span></a><span class="mobile_arrow"><i class="fa fa-angle-right"></i><i class="fa fa-angle-down"></i></span></li> <li id="mobile-menu-item-900" class="menu-item menu-item-type-post_type menu-item-object-page "><a href="https://www.security-innovation.org/sinet16-award/past-award-winners/" class=""><span>Previous Award Winners</span></a><span class="mobile_arrow"><i class="fa fa-angle-right"></i><i class="fa fa-angle-down"></i></span></li> </ul> </li> </ul> </li> </ul></nav> </div> </div> </div> </div> </div> </header> <a id="back_to_top" href="#"> <span class="fa-stack"> <i class="qode_icon_font_awesome fa fa-arrow-up " ></i> </span> </a> <div class="content content_top_margin"> <div class="content_inner "> <div class="full_width"> <div class="full_width_inner" > <div class="wpb-content-wrapper"><div class="vc_row wpb_row section vc_row-fluid vc_custom_1599600666191 full_screen_section" style='background-color:#769dba; text-align:center;'><div class=" full_section_inner clearfix"><div class=" element_from_fade"><div style='transition-delay:0.9ms; -webkit-animation-delay:0.9ms; animation-delay:0.9ms;'><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner"><div class="wpb_wrapper"> <div class="vc_empty_space" style="height: 175px" ><span class="vc_empty_space_inner"> <span class="empty_space_image" ></span> </span></div> <div class="wpb_text_column wpb_content_element "> <div class="wpb_wrapper"> <h1 style="text-align: center;">Apply for Membership</h1> </div> </div> <div class="vc_empty_space" style="height: 100px" ><span class="vc_empty_space_inner"> <span class="empty_space_image" ></span> </span></div> </div></div></div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid vc_custom_1471462059029 grid_section" style=' text-align:center;'><div class=" section_inner clearfix"><div class='section_inner_margin clearfix'><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner"><div class="wpb_wrapper"></div></div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid grid_section" style=' text-align:left;'><div class=" section_inner clearfix"><div class='section_inner_margin clearfix'><div class=" element_from_top"><div style='transition-delay:0.3ms; -webkit-animation-delay:0.3ms; animation-delay:0.3ms;'><div class="wpb_column vc_column_container vc_col-sm-2"><div class="vc_column-inner"><div class="wpb_wrapper"></div></div></div><div class="wpb_column vc_column_container vc_col-sm-8"><div class="vc_column-inner"><div class="wpb_wrapper"> <div class="wpb_text_column wpb_content_element vc_custom_1626045861869"> <div class="wpb_wrapper"> <h2><span style="color: #ff5c49;">Membership Application</span></h2> <p>Become a SINETConnect Member and help us build programs that contribute to our mission of accelerating innovation in Cybersecurity.</p> </div> </div> <div class='gf_browser_chrome gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_6' style='display:none'><div id='gf_6' class='gform_anchor' tabindex='-1'></div><form method='post' enctype='multipart/form-data' target='gform_ajax_frame_6' id='gform_6' action='/sinetconnect/apply/#gf_6' data-formid='6' novalidate> <div class='gform-body gform_body'><ul id='gform_fields_6' class='gform_fields top_label form_sublabel_above description_above'><li id="field_6_31" class="gfield gfield--type-select field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_31" ><label class='gfield_label gform-field-label' for='input_6_31'>Membership Type</label><div class='ginput_container ginput_container_select'><select name='input_31' id='input_6_31' class='medium gfield_select' aria-invalid="false" ><option value='' selected='selected' class='gf_placeholder'>Please Choose One</option><option value='Buyer - Individual' >Buyer - Individual</option><option value='Buyer - Team' >Buyer - Team</option><option value='Seller' >Seller</option></select></div></li><li id="field_6_32" class="gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_32" ><h2 class="gsection_title">Buyer - Individual Membership</h2></li><li id="field_6_18" class="gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_18" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Contact Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_6_18'> <span id='input_6_18_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' > <label for='input_6_18_3' class='gform-field-label gform-field-label--type-sub '>First</label> <input type='text' name='input_18.3' id='input_6_18_3' value='' aria-required='true' /> </span> <span id='input_6_18_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' > <label for='input_6_18_6' class='gform-field-label gform-field-label--type-sub '>Last</label> <input type='text' name='input_18.6' id='input_6_18_6' value='' aria-required='true' /> </span> </div></li><li id="field_6_36" class="gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_36" ><label class='gfield_label gform-field-label' for='input_6_36'>Title<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_6_36' type='text' value='' class='medium' aria-required="true" aria-invalid="false" /> </div></li><li id="field_6_7" class="gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_7" ><label class='gfield_label gform-field-label' for='input_6_7'>Company Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_6_7' type='text' value='' class='medium' aria-required="true" aria-invalid="false" /> </div></li><li id="field_6_2" class="gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_2" ><label class='gfield_label gform-field-label' for='input_6_2'>Company Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'> <input name='input_2' id='input_6_2' type='email' value='' class='medium' aria-required="true" aria-invalid="false" /> </div></li><li id="field_6_40" class="gfield gfield--type-website gfield--width-full field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_40" ><label class='gfield_label gform-field-label' for='input_6_40'>Linkedin URL</label><div class='ginput_container ginput_container_website'> <input name='input_40' id='input_6_40' type='url' value='' class='medium' placeholder='https://' aria-invalid="false"/> </div></li><li id="field_6_34" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_34" ><label class='gfield_label gform-field-label' >Are you or any member of your team responsible for procuring cybersecurity technologies<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_34'> <li class='gchoice gchoice_6_34_0'> <input name='input_34' type='radio' value='Yes' id='choice_6_34_0' /> <label for='choice_6_34_0' id='label_6_34_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </li> <li class='gchoice gchoice_6_34_1'> <input name='input_34' type='radio' value='No' id='choice_6_34_1' /> <label for='choice_6_34_1' id='label_6_34_1' class='gform-field-label gform-field-label--type-inline'>No</label> </li></ul></div></li><li id="field_6_41" class="gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_41" ><h2 class="gsection_title">Buyer - Team Membership</h2></li><li id="field_6_42" class="gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_42" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Contact Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_6_42'> <span id='input_6_42_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' > <label for='input_6_42_3' class='gform-field-label gform-field-label--type-sub '>First</label> <input type='text' name='input_42.3' id='input_6_42_3' value='' aria-required='true' /> </span> <span id='input_6_42_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' > <label for='input_6_42_6' class='gform-field-label gform-field-label--type-sub '>Last</label> <input type='text' name='input_42.6' id='input_6_42_6' value='' aria-required='true' /> </span> </div></li><li id="field_6_43" class="gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_43" ><label class='gfield_label gform-field-label' for='input_6_43'>Title<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_43' id='input_6_43' type='text' value='' class='medium' aria-required="true" aria-invalid="false" /> </div></li><li id="field_6_44" class="gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_44" ><label class='gfield_label gform-field-label' for='input_6_44'>Company Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_44' id='input_6_44' type='text' value='' class='medium' aria-required="true" aria-invalid="false" /> </div></li><li id="field_6_45" class="gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_45" ><label class='gfield_label gform-field-label' for='input_6_45'>Company Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'> <input name='input_45' id='input_6_45' type='email' value='' class='medium' aria-required="true" aria-invalid="false" /> </div></li><li id="field_6_46" class="gfield gfield--type-website gfield--width-full field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_46" ><label class='gfield_label gform-field-label' for='input_6_46'>Linkedin URL</label><div class='ginput_container ginput_container_website'> <input name='input_46' id='input_6_46' type='url' value='' class='medium' placeholder='https://' aria-invalid="false"/> </div></li><li id="field_6_47" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_47" ><label class='gfield_label gform-field-label' >Are you or any member of your team responsible for procuring cybersecurity technologies<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_47'> <li class='gchoice gchoice_6_47_0'> <input name='input_47' type='radio' value='Yes' id='choice_6_47_0' /> <label for='choice_6_47_0' id='label_6_47_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </li> <li class='gchoice gchoice_6_47_1'> <input name='input_47' type='radio' value='No' id='choice_6_47_1' /> <label for='choice_6_47_1' id='label_6_47_1' class='gform-field-label gform-field-label--type-inline'>No</label> </li></ul></div></li><li id="field_6_39" class="gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_39" ><h2 class="gsection_title">Seller Membership</h2></li><li id="field_6_35" class="gfield gfield--type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_35" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Contact Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_6_35'> <span id='input_6_35_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' > <label for='input_6_35_3' class='gform-field-label gform-field-label--type-sub '>First</label> <input type='text' name='input_35.3' id='input_6_35_3' value='' aria-required='true' /> </span> <span id='input_6_35_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' > <label for='input_6_35_6' class='gform-field-label gform-field-label--type-sub '>Last</label> <input type='text' name='input_35.6' id='input_6_35_6' value='' aria-required='true' /> </span> </div></li><li id="field_6_33" class="gfield gfield--type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_33" ><label class='gfield_label gform-field-label' for='input_6_33'>Title<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_6_33' type='text' value='' class='medium' aria-required="true" aria-invalid="false" /> </div></li><li id="field_6_37" class="gfield gfield--type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_37" ><label class='gfield_label gform-field-label' for='input_6_37'>Company Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_37' id='input_6_37' type='text' value='' class='medium' aria-required="true" aria-invalid="false" /> </div></li><li id="field_6_38" class="gfield gfield--type-email gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_38" ><label class='gfield_label gform-field-label' for='input_6_38'>Company Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'> <input name='input_38' id='input_6_38' type='email' value='' class='medium' aria-required="true" aria-invalid="false" /> </div></li><li id="field_6_5" class="gfield gfield--type-phone gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_5" ><label class='gfield_label gform-field-label' for='input_6_5'>Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_6_5' type='tel' value='' class='medium' aria-required="true" aria-invalid="false" /></div></li><li id="field_6_4" class="gfield gfield--type-website gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_4" ><label class='gfield_label gform-field-label' for='input_6_4'>Website<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_website'> <input name='input_4' id='input_6_4' type='url' value='' class='medium' placeholder='https://' aria-required="true" aria-invalid="false"/> </div></li><li id="field_6_8" class="gfield gfield--type-address gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_8" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Corporate Headquarters Address<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label> <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_6_8' > <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_6_8_1_container' > <label for='input_6_8_1' id='input_6_8_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address</label> <input type='text' name='input_8.1' id='input_6_8_1' value='' aria-required='true' /> </span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_6_8_2_container' > <label for='input_6_8_2' id='input_6_8_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2</label> <input type='text' name='input_8.2' id='input_6_8_2' value='' aria-required='false' /> </span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_6_8_3_container' > <label for='input_6_8_3' id='input_6_8_3_label' class='gform-field-label gform-field-label--type-sub '>City</label> <input type='text' name='input_8.3' id='input_6_8_3' value='' aria-required='true' /> </span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_6_8_4_container' > <label for='input_6_8_4' id='input_6_8_4_label' class='gform-field-label gform-field-label--type-sub '>State / Province / Region</label> <input type='text' name='input_8.4' id='input_6_8_4' value='' aria-required='true' /> </span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_6_8_5_container' > <label for='input_6_8_5' id='input_6_8_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP / Postal Code</label> <input type='text' name='input_8.5' id='input_6_8_5' value='' aria-required='true' /> </span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_6_8_6_container' > <label for='input_6_8_6' id='input_6_8_6_label' class='gform-field-label gform-field-label--type-sub '>Country</label> <select name='input_8.6' id='input_6_8_6' aria-required='true' ><option value='' selected='selected'></option><option value='Afghanistan' >Afghanistan</option><option value='Albania' >Albania</option><option value='Algeria' >Algeria</option><option value='American Samoa' >American Samoa</option><option value='Andorra' >Andorra</option><option value='Angola' >Angola</option><option value='Anguilla' >Anguilla</option><option value='Antarctica' >Antarctica</option><option value='Antigua and Barbuda' >Antigua and Barbuda</option><option value='Argentina' >Argentina</option><option value='Armenia' >Armenia</option><option value='Aruba' >Aruba</option><option value='Australia' >Australia</option><option value='Austria' >Austria</option><option value='Azerbaijan' >Azerbaijan</option><option value='Bahamas' >Bahamas</option><option value='Bahrain' >Bahrain</option><option value='Bangladesh' >Bangladesh</option><option value='Barbados' >Barbados</option><option value='Belarus' >Belarus</option><option value='Belgium' >Belgium</option><option value='Belize' >Belize</option><option value='Benin' >Benin</option><option value='Bermuda' >Bermuda</option><option value='Bhutan' >Bhutan</option><option value='Bolivia' >Bolivia</option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba</option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina</option><option value='Botswana' >Botswana</option><option value='Bouvet Island' >Bouvet Island</option><option value='Brazil' >Brazil</option><option value='British Indian Ocean Territory' >British Indian Ocean Territory</option><option value='Brunei Darussalam' >Brunei Darussalam</option><option value='Bulgaria' >Bulgaria</option><option value='Burkina Faso' >Burkina Faso</option><option value='Burundi' >Burundi</option><option value='Cabo Verde' >Cabo Verde</option><option value='Cambodia' >Cambodia</option><option value='Cameroon' >Cameroon</option><option value='Canada' >Canada</option><option value='Cayman Islands' >Cayman Islands</option><option value='Central African Republic' >Central African Republic</option><option value='Chad' >Chad</option><option value='Chile' >Chile</option><option value='China' >China</option><option value='Christmas Island' >Christmas Island</option><option value='Cocos Islands' >Cocos Islands</option><option value='Colombia' >Colombia</option><option value='Comoros' >Comoros</option><option value='Congo' >Congo</option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the</option><option value='Cook Islands' >Cook Islands</option><option value='Costa Rica' >Costa Rica</option><option value='Croatia' >Croatia</option><option value='Cuba' >Cuba</option><option value='Curaçao' >Curaçao</option><option value='Cyprus' >Cyprus</option><option value='Czechia' >Czechia</option><option value='Côte d&#039;Ivoire' >Côte d&#039;Ivoire</option><option value='Denmark' >Denmark</option><option value='Djibouti' >Djibouti</option><option value='Dominica' >Dominica</option><option value='Dominican Republic' >Dominican Republic</option><option value='Ecuador' >Ecuador</option><option value='Egypt' >Egypt</option><option value='El Salvador' >El Salvador</option><option value='Equatorial Guinea' >Equatorial Guinea</option><option value='Eritrea' >Eritrea</option><option value='Estonia' >Estonia</option><option value='Eswatini' >Eswatini</option><option value='Ethiopia' >Ethiopia</option><option value='Falkland Islands' >Falkland Islands</option><option value='Faroe Islands' >Faroe Islands</option><option value='Fiji' >Fiji</option><option value='Finland' >Finland</option><option value='France' >France</option><option value='French Guiana' >French Guiana</option><option value='French Polynesia' >French Polynesia</option><option value='French Southern Territories' >French Southern Territories</option><option value='Gabon' >Gabon</option><option value='Gambia' >Gambia</option><option value='Georgia' >Georgia</option><option value='Germany' >Germany</option><option value='Ghana' >Ghana</option><option value='Gibraltar' >Gibraltar</option><option value='Greece' >Greece</option><option value='Greenland' >Greenland</option><option value='Grenada' >Grenada</option><option value='Guadeloupe' >Guadeloupe</option><option value='Guam' >Guam</option><option value='Guatemala' >Guatemala</option><option value='Guernsey' >Guernsey</option><option value='Guinea' >Guinea</option><option value='Guinea-Bissau' >Guinea-Bissau</option><option value='Guyana' >Guyana</option><option value='Haiti' >Haiti</option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands</option><option value='Holy See' >Holy See</option><option value='Honduras' >Honduras</option><option value='Hong Kong' >Hong Kong</option><option value='Hungary' >Hungary</option><option value='Iceland' >Iceland</option><option value='India' >India</option><option value='Indonesia' >Indonesia</option><option value='Iran' >Iran</option><option value='Iraq' >Iraq</option><option value='Ireland' >Ireland</option><option value='Isle of Man' >Isle of Man</option><option value='Israel' >Israel</option><option value='Italy' >Italy</option><option value='Jamaica' >Jamaica</option><option value='Japan' >Japan</option><option value='Jersey' >Jersey</option><option value='Jordan' >Jordan</option><option value='Kazakhstan' >Kazakhstan</option><option value='Kenya' >Kenya</option><option value='Kiribati' >Kiribati</option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of</option><option value='Korea, Republic of' >Korea, Republic of</option><option value='Kuwait' >Kuwait</option><option value='Kyrgyzstan' >Kyrgyzstan</option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic</option><option value='Latvia' >Latvia</option><option value='Lebanon' >Lebanon</option><option value='Lesotho' >Lesotho</option><option value='Liberia' >Liberia</option><option value='Libya' >Libya</option><option value='Liechtenstein' >Liechtenstein</option><option value='Lithuania' >Lithuania</option><option value='Luxembourg' >Luxembourg</option><option value='Macao' >Macao</option><option value='Madagascar' >Madagascar</option><option value='Malawi' >Malawi</option><option value='Malaysia' >Malaysia</option><option value='Maldives' >Maldives</option><option value='Mali' >Mali</option><option value='Malta' >Malta</option><option value='Marshall Islands' >Marshall Islands</option><option value='Martinique' >Martinique</option><option value='Mauritania' >Mauritania</option><option value='Mauritius' >Mauritius</option><option value='Mayotte' >Mayotte</option><option value='Mexico' >Mexico</option><option value='Micronesia' >Micronesia</option><option value='Moldova' >Moldova</option><option value='Monaco' >Monaco</option><option value='Mongolia' >Mongolia</option><option value='Montenegro' >Montenegro</option><option value='Montserrat' >Montserrat</option><option value='Morocco' >Morocco</option><option value='Mozambique' >Mozambique</option><option value='Myanmar' >Myanmar</option><option value='Namibia' >Namibia</option><option value='Nauru' >Nauru</option><option value='Nepal' >Nepal</option><option value='Netherlands' >Netherlands</option><option value='New Caledonia' >New Caledonia</option><option value='New Zealand' >New Zealand</option><option value='Nicaragua' >Nicaragua</option><option value='Niger' >Niger</option><option value='Nigeria' >Nigeria</option><option value='Niue' >Niue</option><option value='Norfolk Island' >Norfolk Island</option><option value='North Macedonia' >North Macedonia</option><option value='Northern Mariana Islands' >Northern Mariana Islands</option><option value='Norway' >Norway</option><option value='Oman' >Oman</option><option value='Pakistan' >Pakistan</option><option value='Palau' >Palau</option><option value='Palestine, State of' >Palestine, State of</option><option value='Panama' >Panama</option><option value='Papua New Guinea' >Papua New Guinea</option><option value='Paraguay' >Paraguay</option><option value='Peru' >Peru</option><option value='Philippines' >Philippines</option><option value='Pitcairn' >Pitcairn</option><option value='Poland' >Poland</option><option value='Portugal' >Portugal</option><option value='Puerto Rico' >Puerto Rico</option><option value='Qatar' >Qatar</option><option value='Romania' >Romania</option><option value='Russian Federation' >Russian Federation</option><option value='Rwanda' >Rwanda</option><option value='Réunion' >Réunion</option><option value='Saint Barthélemy' >Saint Barthélemy</option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha</option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis</option><option value='Saint Lucia' >Saint Lucia</option><option value='Saint Martin' >Saint Martin</option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon</option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines</option><option value='Samoa' >Samoa</option><option value='San Marino' >San Marino</option><option value='Sao Tome and Principe' >Sao Tome and Principe</option><option value='Saudi Arabia' >Saudi Arabia</option><option value='Senegal' >Senegal</option><option value='Serbia' >Serbia</option><option value='Seychelles' >Seychelles</option><option value='Sierra Leone' >Sierra Leone</option><option value='Singapore' >Singapore</option><option value='Sint Maarten' >Sint Maarten</option><option value='Slovakia' >Slovakia</option><option value='Slovenia' >Slovenia</option><option value='Solomon Islands' >Solomon Islands</option><option value='Somalia' >Somalia</option><option value='South Africa' >South Africa</option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands</option><option value='South Sudan' >South Sudan</option><option value='Spain' >Spain</option><option value='Sri Lanka' >Sri Lanka</option><option value='Sudan' >Sudan</option><option value='Suriname' >Suriname</option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen</option><option value='Sweden' >Sweden</option><option value='Switzerland' >Switzerland</option><option value='Syria Arab Republic' >Syria Arab Republic</option><option value='Taiwan' >Taiwan</option><option value='Tajikistan' >Tajikistan</option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of</option><option value='Thailand' >Thailand</option><option value='Timor-Leste' >Timor-Leste</option><option value='Togo' >Togo</option><option value='Tokelau' >Tokelau</option><option value='Tonga' >Tonga</option><option value='Trinidad and Tobago' >Trinidad and Tobago</option><option value='Tunisia' >Tunisia</option><option value='Turkmenistan' >Turkmenistan</option><option value='Turks and Caicos Islands' >Turks and Caicos Islands</option><option value='Tuvalu' >Tuvalu</option><option value='Türkiye' >Türkiye</option><option value='US Minor Outlying Islands' >US Minor Outlying Islands</option><option value='Uganda' >Uganda</option><option value='Ukraine' >Ukraine</option><option value='United Arab Emirates' >United Arab Emirates</option><option value='United Kingdom' >United Kingdom</option><option value='United States' >United States</option><option value='Uruguay' >Uruguay</option><option value='Uzbekistan' >Uzbekistan</option><option value='Vanuatu' >Vanuatu</option><option value='Venezuela' >Venezuela</option><option value='Viet Nam' >Viet Nam</option><option value='Virgin Islands, British' >Virgin Islands, British</option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.</option><option value='Wallis and Futuna' >Wallis and Futuna</option><option value='Western Sahara' >Western Sahara</option><option value='Yemen' >Yemen</option><option value='Zambia' >Zambia</option><option value='Zimbabwe' >Zimbabwe</option><option value='Åland Islands' >Åland Islands</option> </select> </span> <div class='gf_clear gf_clear_complex'></div> </div></li><li id="field_6_11" class="gfield gfield--type-textarea gfield_contains_required field_sublabel_above gfield--has-description field_description_above gfield_visibility_visible" data-js-reload="field_6_11" ><label class='gfield_label gform-field-label' for='input_6_11'>Short Description of Your Company<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='gfield_description' id='gfield_description_6_11'>In 300 characters or less, describe your company and what it does. </div><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_6_11' class='textarea large' aria-describedby="gfield_description_6_11" maxlength='300' aria-required="true" aria-invalid="false" rows='10' cols='50'></textarea></div></li><li id="field_6_19" class="gfield gfield--type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_19" ><label class='gfield_label gform-field-label' for='input_6_19'>What year was the company founded?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_6_19' type='text' value='' class='medium' aria-required="true" aria-invalid="false" /> </div></li><li id="field_6_12" class="gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_12" ><label class='gfield_label gform-field-label' >Including Angel, VC and other sources, how much capital has your company received in total (U.S. dollars)?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_12'> <li class='gchoice gchoice_6_12_0'> <input name='input_12' type='radio' value='Under $3 million dollars' id='choice_6_12_0' /> <label for='choice_6_12_0' id='label_6_12_0' class='gform-field-label gform-field-label--type-inline'>Under $3 million dollars</label> </li> <li class='gchoice gchoice_6_12_1'> <input name='input_12' type='radio' value='$3 to $5 million dollars' id='choice_6_12_1' /> <label for='choice_6_12_1' id='label_6_12_1' class='gform-field-label gform-field-label--type-inline'>$3 to $5 million dollars</label> </li> <li class='gchoice gchoice_6_12_2'> <input name='input_12' type='radio' value='$6 to $10 million dollars' id='choice_6_12_2' /> <label for='choice_6_12_2' id='label_6_12_2' class='gform-field-label gform-field-label--type-inline'>$6 to $10 million dollars</label> </li> <li class='gchoice gchoice_6_12_3'> <input name='input_12' type='radio' value='$11 to $20 million dollars' id='choice_6_12_3' /> <label for='choice_6_12_3' id='label_6_12_3' class='gform-field-label gform-field-label--type-inline'>$11 to $20 million dollars</label> </li> <li class='gchoice gchoice_6_12_4'> <input name='input_12' type='radio' value='Over $20 million dollars' id='choice_6_12_4' /> <label for='choice_6_12_4' id='label_6_12_4' class='gform-field-label gform-field-label--type-inline'>Over $20 million dollars</label> </li></ul></div></li><li id="field_6_20" class="gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_20" ><label class='gfield_label gform-field-label' >How long have your products been commercially available?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_20'> <li class='gchoice gchoice_6_20_0'> <input name='input_20' type='radio' value='Less than 1 year' id='choice_6_20_0' /> <label for='choice_6_20_0' id='label_6_20_0' class='gform-field-label gform-field-label--type-inline'>Less than 1 year</label> </li> <li class='gchoice gchoice_6_20_1'> <input name='input_20' type='radio' value='1 to 3 years' id='choice_6_20_1' /> <label for='choice_6_20_1' id='label_6_20_1' class='gform-field-label gform-field-label--type-inline'>1 to 3 years</label> </li> <li class='gchoice gchoice_6_20_2'> <input name='input_20' type='radio' value='More than 3 years' id='choice_6_20_2' /> <label for='choice_6_20_2' id='label_6_20_2' class='gform-field-label gform-field-label--type-inline'>More than 3 years</label> </li></ul></div></li><li id="field_6_22" class="gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_22" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Indicate which industries your products address within the Cybersecurity marketplace. Mark all that apply:<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_22'><li class='gchoice gchoice_select_all'> <input class='gfield-choice-input' type='checkbox' id='choice_22_select_all' onclick='gformToggleCheckboxes( this )' onkeypress='gformToggleCheckboxes( this )' /> <label for='choice_22_select_all' id='label_22_select_all' class='gform-field-label gform-field-label--type-inline' data-label-select='Select All' data-label-deselect='Deselect All'>Select All</label> </li><li class='gchoice gchoice_6_22_1'> <input class='gfield-choice-input' name='input_22.1' type='checkbox' value='Financial Services' id='choice_6_22_1' /> <label for='choice_6_22_1' id='label_6_22_1' class='gform-field-label gform-field-label--type-inline'>Financial Services</label> </li><li class='gchoice gchoice_6_22_2'> <input class='gfield-choice-input' name='input_22.2' type='checkbox' value='Government' id='choice_6_22_2' /> <label for='choice_6_22_2' id='label_6_22_2' class='gform-field-label gform-field-label--type-inline'>Government</label> </li><li class='gchoice gchoice_6_22_3'> <input class='gfield-choice-input' name='input_22.3' type='checkbox' value='Energy and Public Utilities' id='choice_6_22_3' /> <label for='choice_6_22_3' id='label_6_22_3' class='gform-field-label gform-field-label--type-inline'>Energy and Public Utilities</label> </li><li class='gchoice gchoice_6_22_4'> <input class='gfield-choice-input' name='input_22.4' type='checkbox' value='SMB' id='choice_6_22_4' /> <label for='choice_6_22_4' id='label_6_22_4' class='gform-field-label gform-field-label--type-inline'>SMB</label> </li><li class='gchoice gchoice_6_22_5'> <input class='gfield-choice-input' name='input_22.5' type='checkbox' value='Manufacturing' id='choice_6_22_5' /> <label for='choice_6_22_5' id='label_6_22_5' class='gform-field-label gform-field-label--type-inline'>Manufacturing</label> </li><li class='gchoice gchoice_6_22_6'> <input class='gfield-choice-input' name='input_22.6' type='checkbox' value='Transportation' id='choice_6_22_6' /> <label for='choice_6_22_6' id='label_6_22_6' class='gform-field-label gform-field-label--type-inline'>Transportation</label> </li><li class='gchoice gchoice_6_22_7'> <input class='gfield-choice-input' name='input_22.7' type='checkbox' value='Hospitality' id='choice_6_22_7' /> <label for='choice_6_22_7' id='label_6_22_7' class='gform-field-label gform-field-label--type-inline'>Hospitality</label> </li><li class='gchoice gchoice_6_22_8'> <input class='gfield-choice-input' name='input_22.8' type='checkbox' value='Health Care' id='choice_6_22_8' /> <label for='choice_6_22_8' id='label_6_22_8' class='gform-field-label gform-field-label--type-inline'>Health Care</label> </li><li class='gchoice gchoice_6_22_9'> <input class='gfield-choice-input' name='input_22.9' type='checkbox' value='Computers and High-Tech' id='choice_6_22_9' /> <label for='choice_6_22_9' id='label_6_22_9' class='gform-field-label gform-field-label--type-inline'>Computers and High-Tech</label> </li><li class='gchoice gchoice_6_22_11'> <input class='gfield-choice-input' name='input_22.11' type='checkbox' value='Telecommunications' id='choice_6_22_11' /> <label for='choice_6_22_11' id='label_6_22_11' class='gform-field-label gform-field-label--type-inline'>Telecommunications</label> </li><li class='gchoice gchoice_6_22_12'> <input class='gfield-choice-input' name='input_22.12' type='checkbox' value='Education' id='choice_6_22_12' /> <label for='choice_6_22_12' id='label_6_22_12' class='gform-field-label gform-field-label--type-inline'>Education</label> </li></ul></div></li><li id="field_6_23" class="gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_23" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Please select the main type(s) of Cybersecurity solutions your company provides.<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_23'><li class='gchoice gchoice_6_23_1'> <input class='gfield-choice-input' name='input_23.1' type='checkbox' value='&lt;strong&gt;Risk Analysis and Strategy: &lt;/strong&gt;&lt;/br&gt;Examples include Asset Identification and Management, Business Impact Analysis, GRC, and Supply Chain.' id='choice_6_23_1' /> <label for='choice_6_23_1' id='label_6_23_1' class='gform-field-label gform-field-label--type-inline'><strong>Risk Analysis and Strategy: </strong></br>Examples include Asset Identification and Management, Business Impact Analysis, GRC, and Supply Chain.</label> </li><li class='gchoice gchoice_6_23_2'> <input class='gfield-choice-input' name='input_23.2' type='checkbox' value='&lt;strong&gt;Data and Systems Protection: &lt;/strong&gt;&lt;/br&gt;Examples include Access Management, Authentication, Encryption, Patch and Vulnerability Management, Awareness and Training, and the like.' id='choice_6_23_2' /> <label for='choice_6_23_2' id='label_6_23_2' class='gform-field-label gform-field-label--type-inline'><strong>Data and Systems Protection: </strong></br>Examples include Access Management, Authentication, Encryption, Patch and Vulnerability Management, Awareness and Training, and the like.</label> </li><li class='gchoice gchoice_6_23_3'> <input class='gfield-choice-input' name='input_23.3' type='checkbox' value='&lt;strong&gt;Threat Detection: &lt;/strong&gt;&lt;/br&gt; Examples include anomalies and events, monitoring, cyber threat intelligence, malware detection, fraud management, etc.' id='choice_6_23_3' /> <label for='choice_6_23_3' id='label_6_23_3' class='gform-field-label gform-field-label--type-inline'><strong>Threat Detection: </strong></br> Examples include anomalies and events, monitoring, cyber threat intelligence, malware detection, fraud management, etc.</label> </li><li class='gchoice gchoice_6_23_4'> <input class='gfield-choice-input' name='input_23.4' type='checkbox' value='&lt;strong&gt;Threat Response: &lt;/strong&gt;&lt;/br&gt; Incident management, crisis management, and forensics.' id='choice_6_23_4' /> <label for='choice_6_23_4' id='label_6_23_4' class='gform-field-label gform-field-label--type-inline'><strong>Threat Response: </strong></br> Incident management, crisis management, and forensics.</label> </li><li class='gchoice gchoice_6_23_5'> <input class='gfield-choice-input' name='input_23.5' type='checkbox' value='&lt;strong&gt;Incident Recovery: &lt;/strong&gt;&lt;/br&gt; Fraud investigation, Business Continuity and Recovery, Post event communications' id='choice_6_23_5' /> <label for='choice_6_23_5' id='label_6_23_5' class='gform-field-label gform-field-label--type-inline'><strong>Incident Recovery: </strong></br> Fraud investigation, Business Continuity and Recovery, Post event communications</label> </li></ul></div></li><li id="field_6_24" class="gfield gfield--type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_24" ><label class='gfield_label gform-field-label' for='input_6_24'>How many customers do you have?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_6_24' type='text' value='' class='medium' aria-required="true" aria-invalid="false" /> </div></li><li id="field_6_26" class="gfield gfield--type-textarea field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible" data-js-reload="field_6_26" ><label 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