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Do note this is not a registration form.\r\nPlease fill out the below and a representative will contact you shortly聽to share more details surrounding our program.\r\n聽","type":"control_text"},null,{"name":"company","qid":"5","text":"Company","type":"control_textbox"},{"name":"title","qid":"6","text":"Title","type":"control_textbox"},{"name":"phoneNumber","qid":"7","text":"Phone Number","type":"control_phone"},{"name":"businessEmail","qid":"8","text":"Business E-mail","type":"control_email"},null,null,null,null,{"name":"fullName13","qid":"13","text":"Full Name","type":"control_fullname"},null,null,null,null,null,null,null,{"name":"industry","qid":"21","text":"Industry","type":"control_dropdown"},null,null,null,null,{"name":"input26","qid":"26","text":"By submitting this form, I agree to the Privacy Policy and Terms of Use.","type":"control_text"}]);}, 20); </script> </head> <body> <form class="jotform-form" onsubmit="return typeof testSubmitFunction !== 'undefined' && testSubmitFunction();" action="https://submit.jotform.com/submit/243177120653149" method="post" name="form_243177120653149" id="243177120653149" accept-charset="utf-8" autocomplete="on"><input type="hidden" name="formID" value="243177120653149" /><input type="hidden" id="JWTContainer" value="" /><input type="hidden" id="cardinalOrderNumber" value="" /><input type="hidden" id="jsExecutionTracker" name="jsExecutionTracker" value="build-date-1732570776317" /><input type="hidden" id="submitSource" name="submitSource" value="unknown" /><input type="hidden" id="buildDate" name="buildDate" value="1732570776317" /><input type="hidden" name="uploadServerUrl" value="https://upload.jotform.com/upload" /><input type="hidden" name="eventObserver" value="1" /> <div id="formCoverLogo" style="margin-bottom:32px" class="form-cover-wrapper form-has-cover form-page-cover-image-align-center"> <div class="form-page-cover-image-wrapper" style="max-width:600px"><img src="https://www.jotform.com/uploads/jessica_marra/form_files/FN%20WOMEN%20WHO%20ROCK_2025%20(1).6744e4bd379bb7.35138158.png" class="form-page-cover-image" width="420" height="177" aria-label="Form Logo" style="aspect-ratio:420/177" /></div> </div> <div role="main" class="form-all"> <ul class="form-section page-section"> <li class="form-line" data-type="control_text" id="id_3"> <div id="cid_3" class="form-input-wide"> <div id="text_3" class="form-html" data-component="text" tabindex="0"> <p style="text-align: center;"><strong>REQUEST INFORMATION FORM</strong></p> <p style="text-align: center;"><strong>Footwear News</strong><br /><strong>Women Who Rock</strong></p> <p style="text-align: center;"><strong>NYC</strong></p> <p style="text-align: center;"><strong>February 4, 2025</strong></p> <p>Thank you for your interest in attending. Do note this is not a registration form.</p> <p>Please fill out the below and a representative will contact you shortly聽to share more details surrounding our program.</p> <p>聽</p> </div> </div> </li> <li class="form-line jf-required" data-type="control_fullname" id="id_13"><label class="form-label form-label-left form-label-auto" id="label_13" for="first_13" aria-hidden="false"> Full Name<span class="form-required">*</span> </label> <div id="cid_13" class="form-input jf-required"> <div data-wrapper-react="true"><span class="form-sub-label-container" style="vertical-align:top" data-input-type="first"><input type="text" id="first_13" name="q13_fullName13[first]" class="form-textbox validate[required]" data-defaultvalue="" autoComplete="section-input_13 given-name" size="10" data-component="first" aria-labelledby="label_13 sublabel_13_first" required="" value="" /><label class="form-sub-label" for="first_13" id="sublabel_13_first" style="min-height:13px">First Name</label></span><span 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