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</style> <style type="text/css"> .embed-responsive{position:relative;display:block;height:0;padding:0;overflow:hidden}.embed-responsive .embed-responsive-item,.embed-responsive embed,.embed-responsive iframe,.embed-responsive object,.embed-responsive video{position:absolute;top:0;bottom:0;left:0;width:100%;height:100%;border:0}.embed-responsive-16by9{padding-bottom:56.25%}.embed-responsive-4by3{padding-bottom:75%}.clearfix:after,.clearfix:before{display:table;content:" "}.clearfix:after{clear:both}.center-block{display:block;margin-right:auto;margin-left:auto}.pull-right{float:right!important}.pull-left{float:left!important}.hide{display:none!important}.show{display:block!important}.invisible{visibility:hidden}.text-hide{font:0/0 a;color:transparent;text-shadow:none;background-color:transparent;border:0}.hidden{display:none!important}.affix{position:fixed} </style> <style type="text/css"> /*! Source: https://github.com/h5bp/html5-boilerplate/blob/master/src/css/main.css */@media print{*,:after,:before{color:#000!important;text-shadow:none!important;background:transparent!important;box-shadow:none!important}a,a:visited{text-decoration:underline}a[href]:after{content:" (" attr(href) ")"}abbr[title]:after{content:" (" attr(title) ")"}a[href^="#"]:after,a[href^="javascript:"]:after{content:""}blockquote,pre{border:1px solid #999;page-break-inside:avoid}thead{display:table-header-group}img,tr{page-break-inside:avoid}img{max-width:100%!important}h2,h3,p{orphans:3;widows:3}h2,h3{page-break-after:avoid}.navbar{display:none}.btn>.caret,.dropup>.btn>.caret{border-top-color:#000!important}.label{border:1px solid #000}.table{border-collapse:collapse!important}.table td,.table th{background-color:#fff!important}.table-bordered td,.table-bordered th{border:1px solid #ddd!important}} </style> <style type="text/css"> /* overrides for Eloqua */ body .container, body .container-fluid, body .col-xs-1, body .col-xs-2, body .col-xs-3, body .col-xs-4, body .col-xs-5, body .col-xs-6, body .col-xs-7, body .col-xs-8, body .col-xs-9, body .col-xs-10, body .col-xs-11, body .col-xs-12 { padding-left: 0; padding-right: 0; } body .elq-form-cell .container, body .elq-form-cell .container-fluid, body .elq-form-cell .col-xs-1, body .elq-form-cell .col-xs-2, body .elq-form-cell .col-xs-3, body .elq-form-cell .col-xs-4, body .elq-form-cell .col-xs-5, body .elq-form-cell .col-xs-6, body .elq-form-cell .col-xs-7, body .elq-form-cell .col-xs-8, body .elq-form-cell .col-xs-9, body .elq-form-cell .col-xs-10, body .elq-form-cell .col-xs-11, body .elq-form-cell .col-xs-12 { padding-left: 15px; padding-right: 15px; } </style> <style type="text/css">html, body { min-width:260px; min-height:100%; padding:0; margin:0 auto;}a img { border:none; }.button { word-wrap: break-word; }@media screen and (max-width:480px) {@-ms-viewport { width:320px; }@viewport { width:320px; }}.elq-form .field-style._50, .elq-form .field-style._50_left{min-width: 46%; max-width: 96%; width: calc((25em - 100%) * 1000);}.elq-form .field-style._25{min-width: 21%; max-width: 96%; width: calc((25em - 100%) * 1000);}ul { padding: 0 !important; margin: 0 0 0 40px !important; }li { margin-bottom: 10px !important; }.elq-form .sc-static-layout,.elq-form .sc-view.sc-static-layout {position: relative;}.elq-form .sc-view {overflow: hidden;} a{ color: #145c9e;}.hovered:hover { filter: brightness(80%); }@media screen and (max-width:480px) {.elq-form .field-style { width: 96%!important; }}.hide-in-desktop { display: none; max-height: 0px;}</style><style id="media-query" type="text/css">@media (max-width: 520px) {.hide-in-mobile { min-height: 0px; max-height: 0px; max-width: 0px; display: none; overflow: hidden; font-size: 0px;}.hide-in-desktop { display: block !important; max-height: none !important;}}.show-in-preview { display:none;height:auto;width:100%; }.elq-preview-mode .show-in-preview { display: inline-block !important; }.elq-preview-mode .hide-in-preview { display: none !important; }</style><style id="asset-specific-css">.elq-form-cell {color: #57585a;} #formElement0 .elq-label {font-weight: bold; font-size:20px; line-height: 1.2;} .submit-button-style input[type="reset"], input[type="submit"]{background-color: #587dff; color: #fff; padding: .4375em 1.25em; background-position: center; background-image: radial-gradient(circle, transparent 1%, #88a3ff 1% ); background-size: 12000%; position: relative; overflow: hidden; font-size: 14px; text-transform: uppercase; display: inline-block; font-weight: 400; text-align: center; vertical-align: middle; -webkit-user-select: none; -moz-user-select: none; user-select: none; border: 1px solid transparent; line-height: 1.5; border-radius: 100vw; cursor: pointer; transition: background 0.6s; background-position: center; background-image: radial-gradient(circle, transparent 1%, #88a3ff 1% ); background-size: 12000%; } .submit-button-style input[type="reset"], input[type="submit"]:hover { background-color: #3c66ff; border: 1px solid v#3c66ff; box-shadow: 0 2px 2px #0000003d; } .submit-button-style input[type="reset"], input[type="submit"]:active { background-color: #3c66ff; transition: background 0s; background-size: 100%; } input[type="text"], select { height: 45px; font-size: 1em; padding: 0.5em; font-size: 1em; } .elq-form .elq-item-input, .elq-form .elq-item-select, .elq-form .elq-item-textarea { font-size: 16px; border: 1px solid #ccc; border-radius: 5px;} .field-control-wrapper { border: 0px inset ThreeDFace;} select { background-color: #F2F5F9; background-image: url(data:image/svg+xml;charset=US-ASCII,%3Csvg%20xmlns%3D%22http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%22%20viewBox%3D%220%200%20256%20448%22%20enable-background%3D%22new%200%200%20256%20448%22%3E%3Cstyle%20type%3D%22text%2Fcss%22%3E.arrow%7Bfill%3A%23002948%3B%7D%3C%2Fstyle%3E%3Cpath%20class%3D%22arrow%22%20d%3D%22M255.9%20168c0-4.2-1.6-7.9-4.8-11.2-3.2-3.2-6.9-4.8-11.2-4.8H16c-4.2%200-7.9%201.6-11.2%204.8S0%20163.8%200%20168c0%204.4%201.6%208.2%204.8%2011.4l112%20112c3.1%203.1%206.8%204.6%2011.2%204.6%204.4%200%208.2-1.5%2011.4-4.6l112-112c3-3.2%204.5-7%204.5-11.4z%22%2F%3E%3C%2Fsvg%3E%0A); background-position: right 10px center; background-repeat: no-repeat; background-size: auto 30%; border-radius: 5px; border: none; color: #444; padding: 10px 30px 10px 10px; outline: none; -moz-appearance: none; -webkit-appearance: none; appearance: none; } select::-ms-expand { display: none; } @-moz-document url-prefix() { select { color: #444; text-shadow: 0 0 0 #ffffff; } } /* Styles for Checkboxes */ [type="checkbox"]:not(:checked), [type="checkbox"]:checked { position: absolute; left: 0; opacity: 0.01; } [type="checkbox"]:not(:checked) + label, [type="checkbox"]:checked + label { position: relative; padding-left: 2.3em; font-size: 1.05em; line-height: 1.7; cursor: pointer; } /* checkbox aspect */ [type="checkbox"]:not(:checked) + label:before, [type="checkbox"]:checked + label:before { content: ''; position: absolute; left: 0; top: 0; width: 1.4em; height: 1.4em; border: 1px solid #aaa; background: #FFF; border-radius: .2em; box-shadow: inset 0 1px 3px rgba(0,0,0, .1), 0 0 0 rgba(88, 125, 255, .2); -webkit-transition: all .275s; transition: all .275s; } /* checked mark aspect */ [type="checkbox"]:not(:checked) + label:after, [type="checkbox"]:checked + label:after { content: '✕'; position: absolute; top: .525em; left: .18em; font-size: 1.375em; color: #587DFF; line-height: 0; -webkit-transition: all .2s; transition: all .2s; } /* checked mark aspect changes */ [type="checkbox"]:not(:checked) + label:after { opacity: 0; -webkit-transform: scale(0) rotate(45deg); transform: scale(0) rotate(45deg); } [type="checkbox"]:checked + label:after { opacity: 1; -webkit-transform: scale(1) rotate(0); transform: scale(1) rotate(0); } /* Disabled checkbox */ [type="checkbox"]:disabled:not(:checked) + label:before, [type="checkbox"]:disabled:checked + label:before { box-shadow: none; border-color: #bbb; background-color: #e9e9e9; } [type="checkbox"]:disabled:checked + label:after { color: #777; } [type="checkbox"]:disabled + label { color: #aaa; } /* Accessibility */ [type="checkbox"]:checked:focus + label:before, [type="checkbox"]:not(:checked):focus + label:before { box-shadow: inset 0 1px 3px rgba(0,0,0, .1), 0 0 0 6px rgba(88, 125, 255, .2); } /* End Styles for Checkboxes */ .phx-container .headline {max-width: 100%; } @media (min-width: 576px) { .phx-container .headline { max-width: 100%; } } @media only screen and (max-width: 768px) { .phx-container .headline {max-width: 66.6%; } } .phx-webinar-title { color: #fff; font-size: 4em; line-height: 1em; font-weight: 300; display: inline-block; padding: 0 15px 8px 0; border-bottom: 2px solid transparent; -o-border-image: linear-gradient(to right, #fff, rgba(0,41,42,0)); border-image: linear-gradient(to right, #fff, rgba(0,41,42,0)); border-image-slice: 100%; border-top: 0; border-image-slice: 1; margin: 2.5em 15px; } .phx-banner { position: relative; width: 100%; background-image: url(https://images.explore.phenomenex.com/EloquaImages/clients/Phenomenex/%7B7bfebcc5-5f03-4f6f-af2c-1c834e7c2f7e%7D_cutomersupport_ws49340922_1.png); background-repeat: no-repeat; background-size: cover; background-position: 0;} .checkbox-aligned { font-size: 14px; line-height: 1.6;} </style><script id="asset-specific-js">var icoLoader = function (param) { var headID = document.getElementsByTagName('head')[0]; 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position: absolute; bottom: -2px; right: 0%; transition: all .2s ease-in; } ul.navbar li:hover:after {width: 100%; left: 0%;} @media (min-width: 576px) { .phx-container, .phx-container-sm { max-width: 540px; } } @media (min-width: 768px){ .phx-container, .phx-container-md, .phx-container-sm { max-width: 66.66%;} } @media (min-width: 992px){ .phx-container, .phx-container-lg, .phx-container-md, .phx-container-sm { max-width: 66.66%;} .navbar{display: flex;}} </style>  <div class="phx-container-fluid pl-pr-0"> <div class="rowNav" style="background-image:url(https://images.explore.phenomenex.com/EloquaImages/clients/Phenomenex/%7Bffbbe021-9a4e-4009-8daa-aa812aa91b10%7D_logo_background.png); background-position: center;"> <div class="phx-container containHead"> <div class="rowNav nav-row"> <div><a href="https://www.phenomenex.com?elqTrackId=37c9691cea9240979160786a533d3793&elq=00000000000000000000000000000000&elqaid=4443&elqat=2&elqCampaignId=&elqcst=272&elqcsid=4846&elqak=8AF52FFDE44663954F352D1533B87639480ECF7C906A90E1BF5C55FDC1EA7D8B80B0"><img alt="Phenomenex logo" src="https://images.explore.phenomenex.com/EloquaImages/clients/Phenomenex/%7Bcad09f40-ce41-4448-a954-f10ecbed9005%7D_logo.png" /></a></div> <ul class="navbar"> <li><a href="https://www.phenomenex.com/applications?elqTrackId=ff628cef9894495fbb50ac05534b793b&elq=00000000000000000000000000000000&elqaid=4443&elqat=2&elqCampaignId=&elqcst=272&elqcsid=4846&elqak=8AF5D462EB510F5662CA7F312EADC1E3316CCF7C906A90E1BF5C55FDC1EA7D8B80B0" target="_blank">Search Applications</a></li> <li><a href="https://www.phenomenex.com/quick-order?elqTrackId=a53e8979bd4b477790ebc6d7b0f3c328&elq=00000000000000000000000000000000&elqaid=4443&elqat=2&elqCampaignId=&elqcst=272&elqcsid=4846&elqak=8AF55B61D46083FE05F75C1D9790C9482978CF7C906A90E1BF5C55FDC1EA7D8B80B0" target="_blank">Shop Products</a></li> <li><a href="https://www.phenomenex.com/contact-us?elqTrackId=49d50fa2539049c9a58b57a015454eae&elq=00000000000000000000000000000000&elqaid=4443&elqat=2&elqCampaignId=&elqcst=272&elqcsid=4846&elqak=8AF51B2431F90E834FA5102F51C944B6624ACF7C906A90E1BF5C55FDC1EA7D8B80B0" target="_blank">Contact Us</a></li>  </ul> </div> </div> </div> </div> <div style="background-color: #fff; height: 5px;"> </div> </div></div></div></div><div class="row row-2" style="background:#F1D32D;margin:0 auto;"><div class="column col-xs-12 col-sm-12 col-0" style="vertical-align:top;background:transparent;text-align:left;font-size:12px;font-family:Arial, Helvetica, sans-serif;color:#000000;"><div style="background-color:transparent;line-height:18px;padding:0px 0px 0px 0px;" class="elq-code-cell cell cell-0"><div style="display:inline-block;width:100%;"><div class="phx-banner"> <div class="phx-container headline"> <div class="row"> <div class="phx-webinar-title" style="align-items: center; height: 100%;">Other Support Inquiries  </div> </div> </div>   <div></div></div></div></div></div></div><div class="row row-3" style="background:#ffffff;margin:0 auto;"><div class="column col-xs-12 col-sm-2 col-0" style="vertical-align:top;background:transparent;text-align:left;font-size:12px;font-family:Arial, Helvetica, sans-serif;color:#000000;"><div style="height:5px;background-color:transparent;line-height:5px;" class="elq-space-cell cell cell-0"></div></div><div class="column col-xs-12 col-sm-6 col-1" style="vertical-align:top;background:transparent;text-align:left;font-size:12px;font-family:Arial, Helvetica, sans-serif;color:#000000;"><div style="height:30px;background-color:#FFFFFF;line-height:30px;" class="elq-space-cell cell cell-0"></div></div><div class="column col-xs-12 col-sm-4 col-2" style="vertical-align:top;background:transparent;text-align:left;font-size:12px;font-family:Arial, Helvetica, sans-serif;color:#000000;"><div style="height:5px;background-color:transparent;line-height:5px;" class="elq-space-cell cell cell-0"></div></div></div><div class="row row-4" style="background:#ffffff;margin:0 auto;"><div class="column col-xs-12 col-sm-2 col-0" style="vertical-align:top;background:transparent;text-align:left;font-size:12px;font-family:Arial, Helvetica, sans-serif;color:#000000;"><div style="height:5px;background-color:transparent;line-height:5px;" class="elq-space-cell cell cell-0"></div></div><div class="column col-xs-12 col-sm-6 col-1" style="vertical-align:top;background:transparent;text-align:left;font-size:12px;font-family:Arial, Helvetica, sans-serif;color:#000000;"><div style="background-color:transparent;line-height:18px;padding:10px 10px 10px 10px;" class="elq-form-cell cell cell-0"><span><style></style><div><div elqid="1976" elqtype="UserForm" elqFormName="NewCustomerSupportPortalForm"><form method="post" name="NewCustomerSupportPortalForm" action="https://discover.phenomenex.com/e/f2?LP=4443" onsubmit="return handleFormSubmit(this)" id="form1976" class="elq-form"><input value="NewCustomerSupportPortalForm" type="hidden" name="elqFormName"><input value="822460770" type="hidden" name="elqSiteId"><input value="" type="hidden" id="elqFormSubmissionToken" name="elqFormSubmissionToken"><input name="elqCampaignId" type="hidden"><div class="layout container-fluid"><div class="row"><div class="grid-layout-col"><div class="layout-col col-sm-12 col-xs-12"><div id="formElement0" class="elq-field-style form-element-layout row"><div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe52711">Thank you. Please select the nature of your support request.<span class="elq-required">*</span></label></div><div class="col-sm-12 col-xs-12"><div class="row"><div class="col-xs-12"><div class="field-control-wrapper" id="fe52711"><div class="list-order one-column"><input type="radio" id="radio-Inquire or make changes to existing order_ghcxf07f" value="Inquire or make changes to existing order" name="supportRequestOption"><label class="checkbox-aligned elq-item-label" for="radio-Inquire or make changes to existing order_ghcxf07f">Support for Existing Order</label><br></div><div class="list-order one-column"><input type="radio" id="radio-Accounting Needs_bikd60ys" value="Accounting Needs" name="supportRequestOption"><label class="checkbox-aligned elq-item-label" for="radio-Accounting Needs_bikd60ys">Support for Accounting Issue</label><br></div><div class="list-order one-column"><input type="radio" id="radio-Remove from mailing list_46t5bip" value="Remove from mailing list" name="supportRequestOption"><label class="checkbox-aligned elq-item-label" for="radio-Remove from mailing list_46t5bip">Remove from Mailing List</label><br></div></div></div></div></div></div></div></div></div><div class="row"><div class="grid-layout-col"><div class="layout-col col-sm-12 col-xs-12"><div id="formElement1" class="elq-field-style form-element-layout row"><div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe52705">Request/Question<span class="elq-required">*</span></label></div><div class="col-sm-12 col-xs-12"><div class="row"><div class="col-xs-12"><div class="field-control-wrapper"><textarea class="elq-item-textarea" style="width:100%;" name="Request/Comments" id="fe52705"></textarea></div></div></div></div></div></div></div></div><div class="row"><div class="grid-layout-col"><div class="layout-col col-sm-12 col-xs-12"><div id="formElement2" class="elq-field-style form-element-layout row"><div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe52699">First Name<span class="elq-required">*</span></label></div><div class="col-sm-12 col-xs-12"><div class="row"><div class="col-xs-12"><div class="field-control-wrapper"><input type="text" class="elq-item-input" name="firstName" id="fe52699" value="" style="width:100%;"></div></div></div></div></div></div></div></div><div class="row"><div class="grid-layout-col"><div class="layout-col col-sm-12 col-xs-12"><div id="formElement3" class="elq-field-style form-element-layout row"><div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe52700">Last Name<span class="elq-required">*</span></label></div><div class="col-sm-12 col-xs-12"><div class="row"><div class="col-xs-12"><div class="field-control-wrapper"><input type="text" class="elq-item-input" name="lastName" id="fe52700" value="" style="width:100%;"></div></div></div></div></div></div></div></div><div class="row"><div class="grid-layout-col"><div class="layout-col col-sm-12 col-xs-12"><div id="formElement4" class="elq-field-style form-element-layout row"><div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe52701">Company<span class="elq-required">*</span></label></div><div class="col-sm-12 col-xs-12"><div class="row"><div class="col-xs-12"><div class="field-control-wrapper"><input type="text" class="elq-item-input" name="company" id="fe52701" value="" style="width:100%;"></div></div></div></div></div></div></div></div><div class="row"><div class="grid-layout-col"><div class="layout-col col-sm-12 col-xs-12"><div id="formElement5" class="elq-field-style form-element-layout row"><div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe52702">Country<span class="elq-required">*</span></label></div><div class="col-sm-12 col-xs-12"><div class="row"><div class="col-xs-12"><div class="field-control-wrapper"><select class="elq-item-select" id="fe52702" name="country" style="width:100%;" data-value=""><option value="">-- Please Select --</option><option value="Afghanistan">Afghanistan</option><option value="Albania">Albania</option><option value="Algeria">Algeria</option><option value="Andorra">Andorra</option><option value="Angola">Angola</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="Bhutan">Bhutan</option><option value="Bolivia">Bolivia</option><option value="Bosnia And Herzegowina">Bosnia And Herzegowina</option><option value="Botswana">Botswana</option><option value="Brazil">Brazil</option><option value="Brunei Darussalam">Brunei Darussalam</option><option value="Bulgaria">Bulgaria</option><option value="Burkina Faso">Burkina Faso</option><option value="Cambodia">Cambodia</option><option value="Cameroon">Cameroon</option><option value="Canada">Canada</option><option value="Cape Verde">Cape Verde</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="Colombia">Colombia</option><option value="Congo">Congo</option><option value="Cook Islands">Cook Islands</option><option value="Costa Rica">Costa Rica</option><option value="Cote D'ivoire">Cote D'ivoire</option><option value="Croatia">Croatia</option><option value="Cuba">Cuba</option><option value="Curacao">Curacao</option><option value="Cyprus">Cyprus</option><option value="Czech Republic">Czech Republic</option><option value="Denmark">Denmark</option><option value="Deutschland">Deutschland</option><option value="Dominican Republic">Dominican Republic</option><option value="East Timor">East Timor</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="Eritrea">Eritrea</option><option value="Estonia">Estonia</option><option value="Ethiopia">Ethiopia</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 Guyana">French Guyana</option><option value="French Polynesia">French Polynesia</option><option value="Gabon">Gabon</option><option value="Gambia">Gambia</option><option value="Georgia">Georgia</option><option value="Ghana">Ghana</option><option value="Gibraltar">Gibraltar</option><option value="Greece">Greece</option><option value="Grenada">Grenada</option><option value="Guadeloupe">Guadeloupe</option><option value="Guam">Guam</option><option value="Guatemala">Guatemala</option><option value="Guyana">Guyana</option><option value="Haiti">Haiti</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="Israel">Israel</option><option value="Italy">Italy</option><option value="Jamaica">Jamaica</option><option value="Japan">Japan</option><option value="Jordan">Jordan</option><option value="Kazakhstan">Kazakhstan</option><option value="Kenya">Kenya</option><option value="Kiribati">Kiribati</option><option value="Korea">Korea</option><option value="Kosovo">Kosovo</option><option value="Kuwait">Kuwait</option><option value="Kyrgyzstan">Kyrgyzstan</option><option value="La Réunion">La Réunion</option><option value="Lao People's Democratic Republic">Lao People'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="Macau">Macau</option><option value="Macedonia">Macedonia</option><option value="Madagascar">Madagascar</option><option value="Malawi">Malawi</option><option value="Malaysia">Malaysia</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="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="Morocco">Morocco</option><option value="Mozambique">Mozambique</option><option value="Myanmar">Myanmar</option><option value="Namibia">Namibia</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="North Macedonia">North Macedonia</option><option value="Norway">Norway</option><option value="Oman">Oman</option><option value="Pakistan">Pakistan</option><option value="Palestine">Palestine</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="Poland">Poland</option><option value="Portugal">Portugal</option><option value="Qatar">Qatar</option><option value="Reunion">Reunion</option><option value="Romania">Romania</option><option value="Russia">Russia</option><option value="Rwanda">Rwanda</option><option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option><option value="Saint Lucia">Saint Lucias</option><option value="Saint Lucia">Saint Lucias</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="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="Sierra Leone">Sierra Leone</option><option value="Singapore">Singapore</option><option value="Slovakia">Slovakia</option><option value="Slovenia">Slovenia</option><option value="Somalia">Somalia</option><option value="South Africa">South Africa</option><option value="South Korea">South Korea</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="Swaziland">Swaziland</option><option value="Sweden">Sweden</option><option value="Switzerland">Switzerland</option><option value="Syria">Syria</option><option value="Syrian Arab Republic">Syrian Arab Republic</option><option value="Taiwan">Taiwan</option><option value="Tajikistan">Tajikistan</option><option value="Tanzania">Tanzania</option><option value="Thailand">Thailand</option><option value="Togo">Togo</option><option value="Trinidad And Tobago">Trinidad And Tobago</option><option value="Tunisia">Tunisia</option><option value="Turkey">Turkey</option><option value="Turkmenistan">Turkmenistan</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="Uruguay">Uruguay</option><option value="USA">USA</option><option value="Uzbekistan">Uzbekistan</option><option value="Vanuatu">Vanuatu</option><option value="Venezuela">Venezuela</option><option value="Vietnam">Vietnam</option><option value="US Virgin Islands">US Virgin Islands</option><option value="Yemen">Yemen</option><option value="Yugoslavia">Yugoslavia</option><option value="Zambia">Zambia</option><option value="Zimbabwe">Zimbabwe</option></select></div></div></div></div></div></div></div></div><div class="row"><div class="grid-layout-col"><div class="layout-col col-sm-12 col-xs-12"><div id="formElement6" class="elq-field-style form-element-layout row"><div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe52703">Email Address<span class="elq-required">*</span></label></div><div class="col-sm-12 col-xs-12"><div class="row"><div class="col-xs-12"><div class="field-control-wrapper"><input type="text" class="elq-item-input" name="emailAddress" id="fe52703" value="" style="width:100%;"></div></div></div></div></div></div></div></div><div class="row"><div class="pp-field grid-layout-col first first-shown" style="display:none;" id="epp0"><div class="layout-col col-sm-12 col-xs-12"><div id="formElement7" class="elq-field-style form-element-layout row"><div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe52713">Address<span class="elq-required">*</span></label></div><div class="col-sm-12 col-xs-12"><div class="row"><div class="col-xs-12"><div class="field-control-wrapper"><input type="text" class="elq-item-input" name="address1" id="fe52713" value="" style="width:100%;" data-previous=""></div></div></div></div></div></div></div><div class="pp-field grid-layout-col first-shown" style="display:none;" id="epp1"><div class="layout-col col-sm-12 col-xs-12"><div id="formElement8" class="elq-field-style form-element-layout row"><div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe52714">City<span class="elq-required">*</span></label></div><div class="col-sm-12 col-xs-12"><div class="row"><div class="col-xs-12"><div class="field-control-wrapper"><input type="text" class="elq-item-input" name="city" id="fe52714" value="" style="width:100%;" data-previous=""></div></div></div></div></div></div></div><div class="pp-field grid-layout-col first-shown" style="display:none;" id="epp2"><div class="layout-col col-sm-12 col-xs-12"><div id="formElement9" class="elq-field-style form-element-layout row"><div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe52715">State or Province (US and Canada ONLY)</label></div><div class="col-sm-12 col-xs-12"><div class="row"><div class="col-xs-12"><div class="field-control-wrapper"><select class="elq-item-select" id="fe52715" name="stateProv" style="width:100%;" data-value="" data-previous=""><option value="">Please Select...</option><option value="AK">Alaska</option><option value="AL">Alabama</option><option value="AR">Arkansas</option><option value="AS">American Samoa</option><option value="AZ">Arizona</option><option value="CA">California</option><option value="CO">Colorado</option><option value="CT">Connecticut</option><option value="DC">D.C.</option><option value="DE">Delaware</option><option value="FL">Florida</option><option value="FM">Micronesia</option><option value="GA">Georgia</option><option value="GU">Guam</option><option value="HI">Hawaii</option><option value="IA">Iowa</option><option value="ID">Idaho</option><option value="IL">Illinois</option><option value="IN">Indiana</option><option value="KS">Kansas</option><option value="KY">Kentucky</option><option value="LA">Louisiana</option><option value="MA">Massachusetts</option><option value="MD">Maryland</option><option value="ME">Maine</option><option value="MH">Marshall Islands</option><option value="MI">Michigan</option><option value="MN">Minnesota</option><option value="MO">Missouri</option><option value="MP">Marianas</option><option value="MS">Mississippi</option><option value="MT">Montana</option><option value="NC">North Carolina</option><option value="ND">North Dakota</option><option value="NE">Nebraska</option><option value="NH">New Hampshire</option><option value="NJ">New Jersey</option><option value="NM">New Mexico</option><option value="NV">Nevada</option><option value="NY">New York</option><option value="OH">Ohio</option><option value="OK">Oklahoma</option><option value="OR">Oregon</option><option value="PA">Pennsylvania</option><option value="PR">Puerto Rico</option><option value="PW">Palau</option><option value="RI">Rhode Island</option><option value="SC">South Carolina</option><option value="SD">South Dakota</option><option value="TN">Tennessee</option><option value="TX">Texas</option><option value="UT">Utah</option><option value="VA">Virginia</option><option value="VI">Virgin Islands</option><option value="VT">Vermont</option><option value="WA">Washington</option><option value="WI">Wisconsin</option><option value="WV">West Virginia</option><option value="WY">Wyoming</option><option value="AA">Military Americas</option><option value="AE">Military Europe/ME/Canada</option><option value="AP">Military Pacific</option><option value="AB">Alberta</option><option value="MB">Manitoba</option><option value="BC">British Columbia</option><option value="NB">New Brunswick</option><option value="NL">Newfoundland and Labrador</option><option value="NS">Nova Scotia</option><option value="NT">Northwest Territories</option><option value="NU">Nunavut</option><option value="ON">Ontario</option><option value="PE">Prince Edward Island</option><option value="QC">Quebec</option><option value="SK">Saskatchewan</option><option value="YT">Yukon Territory</option></select></div></div></div></div></div></div></div><div class="pp-field grid-layout-col first-shown" style="display:none;" id="epp3"><div class="layout-col col-sm-12 col-xs-12"><div id="formElement10" class="elq-field-style form-element-layout row"><div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe52716">Zip or Postal Code<span class="elq-required">*</span></label></div><div class="col-sm-12 col-xs-12"><div class="row"><div class="col-xs-12"><div class="field-control-wrapper"><input type="text" class="elq-item-input" name="zipPostal" id="fe52716" value="" style="width:100%;" data-previous=""></div></div></div></div></div></div></div><div class="pp-field grid-layout-col first-shown" style="display:none;" id="epp4"><div class="layout-col col-sm-12 col-xs-12"><div id="formElement11" class="elq-field-style form-element-layout row"><div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe52717">Your Industry<span class="elq-required">*</span></label></div><div class="col-sm-12 col-xs-12"><div class="row"><div class="col-xs-12"><div class="field-control-wrapper"><select class="elq-item-select" id="fe52717" name="dropdownMenu" style="width:100%;" data-value="" data-previous=""><option value="">-- Please Select --</option><option value="100000013">Cannabis</option><option value="100000001">Clinical</option><option value="100000002">Environmental</option><option value="100000004">Food Safety</option><option value="100000003">Food Quality</option><option value="100000005">Forensics/Toxicology</option><option value="100000006">Fuels</option><option value="100000007">Life Sciences</option><option value="100000008">Personal Care/ Consumer Products</option><option value="100000009">Pharmaceutical</option><option value="100000011">Specialty Chemical/Industrial</option><option value="100000012">Biopharmaceutical</option></select></div></div></div></div></div></div></div><div class="pp-field grid-layout-col first-shown" style="display:none;" id="epp5"><div class="layout-col col-sm-12 col-xs-12"><div id="formElement12" class="elq-field-style form-element-layout row"><div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe52718">Job Role<span class="elq-required">*</span></label></div><div class="col-sm-12 col-xs-12"><div class="row"><div class="col-xs-12"><div class="field-control-wrapper"><select class="elq-item-select" id="fe52718" name="dropdownMenu2" style="width:100%;" data-value="" data-previous=""><option value="">-- Please Select --</option><option value="100000000">Chemist/Scientist</option><option value="100000002">Principal Scientist/Sr. Scientist</option><option value="100000003">Lab Manager/Lab Director</option><option value="100000001">Purchasing Agent (PA)/Sourcing Manager</option><option value="100000004">Professor/Assoc. Professor</option><option value="100000005">Lab Technician</option><option value="100000006">PhD Student/PostDoc</option><option value="100000007">Principal Investigator (PI)</option><option value="100000008">Executive/CEO/CSO/VP</option><option value="100000009">Other</option></select></div></div></div></div></div></div></div></div><div id="elq-FormLastRow" class="row"><div class="grid-layout-col"><div class="layout-col col-sm-12 col-xs-12"><div class="elq-field-style form-element-layout row"><div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label">address2</label></div><div class="col-sm-12 col-xs-12"><div class="row"><div class="col-xs-12"><div class="field-control-wrapper"><input type="text" value="" tabindex="-1" autocomplete="off" style="width:100%;" class="elq-item-input" name="address2" id="fe63418"></div></div></div></div></div></div></div></div><div class="row"><div class="grid-layout-col"><div class="layout-col col-sm-12 col-xs-12"><div id="formElement13" class="elq-field-style form-element-layout row"><div class="col-sm-12 col-xs-12"><div class="row"><div class="col-xs-12"><div><input type="Submit" class="submit-button-style " value="Submit" id="fe52709"></div></div></div></div></div></div></div></div><input type="hidden" name="hiddenField" id="fe52706" value="DM24PHNXWF"><input type="hidden" name="hiddenField2" id="fe52707" value="Customer Support Portal"><input type="hidden" name="hiddenField3" id="fe52708" value="LEADNURTURING"><input type="hidden" name="hiddenField4" id="fe52710" value="Direct Web Traffic"><input type="hidden" name="campaignId" id="fe63416" value=""><input type="hidden" name="assetName" id="fe63417" value="Customer Support Portal"><input type="hidden" name="formType" id="fe63418" value="General Request – Support"></div></form><script type="text/javascript" src="https://img04.en25.com/i/livevalidation_standalone.compressed.js"></script><script>function handleFormSubmit(ele) { var submitButton = ele.querySelector('input[type=submit]'); var spinner = document.createElement('span'); spinner.setAttribute('class', 'loader'); submitButton.setAttribute('disabled', true); submitButton.style.cursor = 'wait'; submitButton.parentNode.appendChild(spinner); return true; }function resetSubmitButton(e){ var submitButtons = e.target.form.getElementsByClassName('submit-button'); for(var i=0;i<submitButtons.length;i++){ submitButtons[i].disabled = false; } }function addChangeHandler(elements){ for(var i=0; i<elements.length; i++){ elements[i].addEventListener('change', resetSubmitButton); } }var form = document.getElementById('form1976'); addChangeHandler(form.getElementsByTagName('input')); addChangeHandler(form.getElementsByTagName('select')); addChangeHandler(form.getElementsByTagName('textarea'));var nodes = document.querySelectorAll('#form1976 input[data-subscription]'); if (nodes) { for (var i = 0, len = nodes.length; i < len; i++) {var status = nodes[i].dataset ? nodes[i].dataset.subscription : nodes[i].getAttribute('data-subscription'); if(status ==='true') {nodes[i].checked = true;}}};var nodes = document.querySelectorAll('#form1976 select[data-value]'); if (nodes) { for (var i = 0; i < nodes.length; i++) { var node = nodes[i]; var selectedValue = node.dataset ? node.dataset.value : node.getAttribute('data-value'); if (selectedValue) { for (var j = 0; j < node.options.length; j++) { if(node.options[j].value === selectedValue) { node.options[j].selected = 'selected';break;}}}}}this.getParentElement = function(list) { return list[list.length-1].parentElement};var dom0 = document.querySelectorAll('#form1976 [name="supportRequestOption"]');var fe52711 = new LiveValidation(dom0, {validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false, insertAfterWhatNode :this.getParentElement(dom0), isGroup: true}, true);fe52711.add(Validate.Custom, {against: function(value) {return !value.match(/(telnet|ftp|https?):\/\/(?:[a-z0-9][a-z0-9-]{0,61}[a-z0-9]\.|[a-z0-9]\.)+[a-z]{2,63}/i);}, failureMessage: "Value must not contain any URL's"});fe52711.add(Validate.Custom, {against: function(value) {return !value.match(/(<([^>]+)>)/ig);}, failureMessage: "Value must not contain any HTML"});fe52711.add(Validate.Presence, {failureMessage:"This field is required"});var dom1 = document.querySelector('#form1976 #fe52705');var fe52705 = new LiveValidation(dom1, {validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false});fe52705.add(Validate.Custom, {against: function(value) {return !value.match(/(<([^>]+)>)/ig);}, failureMessage: "Value must not contain any HTML"});fe52705.add(Validate.Custom, {against: function(value) {return !value.match(/(telnet|ftp|https?):\/\/(?:[a-z0-9][a-z0-9-]{0,61}[a-z0-9]\.|[a-z0-9]\.)+[a-z]{2,63}/i);}, failureMessage: "Value must not contain any URL's"});fe52705.add(Validate.Presence, {failureMessage:"This field is required"});var dom2 = document.querySelector('#form1976 #fe52699');var fe52699 = new LiveValidation(dom2, {validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false});fe52699.add(Validate.Presence, {failureMessage:"This field is required"});fe52699.add(Validate.Length, {tooShortMessage:"Invalid length for field value", tooLongMessage: "Invalid length for field value", minimum: 0, maximum: 35});fe52699.add(Validate.Custom, {against: function(value) {return !value.match(/(<([^>]+)>)/ig);}, failureMessage: "Value must not contain any HTML"});fe52699.add(Validate.Custom, {against: function(value) {return !value.match(/(telnet|ftp|https?):\/\/(?:[a-z0-9][a-z0-9-]{0,61}[a-z0-9]\.|[a-z0-9]\.)+[a-z]{2,63}/i);}, failureMessage: "Value must not contain any URL's"});var dom3 = document.querySelector('#form1976 #fe52700');var fe52700 = new LiveValidation(dom3, {validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false});fe52700.add(Validate.Presence, {failureMessage:"This field is required"});fe52700.add(Validate.Length, {tooShortMessage:"Invalid length for field value", tooLongMessage: "Invalid length for field value", minimum: 0, maximum: 35});fe52700.add(Validate.Custom, {against: function(value) {return !value.match(/(<([^>]+)>)/ig);}, failureMessage: "Value must not contain any HTML"});fe52700.add(Validate.Custom, {against: function(value) {return !value.match(/(telnet|ftp|https?):\/\/(?:[a-z0-9][a-z0-9-]{0,61}[a-z0-9]\.|[a-z0-9]\.)+[a-z]{2,63}/i);}, failureMessage: "Value must not contain any URL's"});var dom4 = document.querySelector('#form1976 #fe52701');var fe52701 = new LiveValidation(dom4, {validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false});fe52701.add(Validate.Presence, {failureMessage:"This field is required"});fe52701.add(Validate.Length, {tooShortMessage:"Invalid length for field value", tooLongMessage: "Invalid length for field value", minimum: 0, maximum: 75});fe52701.add(Validate.Custom, {against: function(value) {return !value.match(/(<([^>]+)>)/ig);}, failureMessage: "Value must not contain any HTML"});fe52701.add(Validate.Custom, {against: function(value) {return !value.match(/(telnet|ftp|https?):\/\/(?:[a-z0-9][a-z0-9-]{0,61}[a-z0-9]\.|[a-z0-9]\.)+[a-z]{2,63}/i);}, failureMessage: "Value must not contain any URL's"});var dom5 = document.querySelector('#form1976 #fe52702');var fe52702 = new LiveValidation(dom5, {validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false});fe52702.add(Validate.Presence, {failureMessage:"This field is required"});var dom6 = document.querySelector('#form1976 #fe52703');var fe52703 = new LiveValidation(dom6, {validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false});fe52703.add(Validate.Format, {pattern: /(^[A-Z0-9!#\$%&'\*\+\-\/=\?\^_`\{\|\}~][A-Z0-9!#\$%&'\*\+\-\/=\?\^_`\{\|\}~\.]{0,62}@(([A-Z0-9](?:[A-Z0-9\-]{0,61}[A-Z0-9])?)(\.[A-Z0-9](?:[A-Z0-9\-]{0,61}[A-Z0-9])?)+)$)/i, failureMessage: "A valid email address is required"});fe52703.add(Validate.Format, {pattern: /\.\.|\.@/i, failureMessage: "A valid email address is required", negate: "true"});fe52703.add(Validate.Presence, {failureMessage:"This field is required"});var ppv = {};ppv['0'] = function() {var dom0 = document.querySelector('#form1976 #fe52713');var fe52713 = new LiveValidation(dom0, {validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false});fe52713.add(Validate.Custom, {against: function(value) {return !value.match(/(telnet|ftp|https?):\/\/(?:[a-z0-9][a-z0-9-]{0,61}[a-z0-9]\.|[a-z0-9]\.)+[a-z]{2,63}/i);}, failureMessage: "Value must not contain any URL's"});fe52713.add(Validate.Custom, {against: function(value) {return !value.match(/(<([^>]+)>)/ig);}, failureMessage: "Value must not contain any HTML"});fe52713.add(Validate.Length, {tooShortMessage:"Invalid length for field value", tooLongMessage: "Invalid length for field value", minimum: 0, maximum: 100});fe52713.add(Validate.Presence, {failureMessage:"This field is required"});};ppv['1'] = function() {var dom1 = document.querySelector('#form1976 #fe52714');var fe52714 = new LiveValidation(dom1, {validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false});fe52714.add(Validate.Custom, {against: function(value) {return !value.match(/(telnet|ftp|https?):\/\/(?:[a-z0-9][a-z0-9-]{0,61}[a-z0-9]\.|[a-z0-9]\.)+[a-z]{2,63}/i);}, failureMessage: "Value must not contain any URL's"});fe52714.add(Validate.Custom, {against: function(value) {return !value.match(/(<([^>]+)>)/ig);}, failureMessage: "Value must not contain any HTML"});fe52714.add(Validate.Length, {tooShortMessage:"Invalid length for field value", tooLongMessage: "Invalid length for field value", minimum: 0, maximum: 35});fe52714.add(Validate.Presence, {failureMessage:"This field is required"});};ppv['2'] = function() {var dom2 = document.querySelector('#form1976 #fe52715');var fe52715 = new LiveValidation(dom2, {validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false});};ppv['3'] = function() {var dom3 = document.querySelector('#form1976 #fe52716');var fe52716 = new LiveValidation(dom3, {validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false});fe52716.add(Validate.Custom, {against: function(value) {return !value.match(/(telnet|ftp|https?):\/\/(?:[a-z0-9][a-z0-9-]{0,61}[a-z0-9]\.|[a-z0-9]\.)+[a-z]{2,63}/i);}, failureMessage: "Value must not contain any URL's"});fe52716.add(Validate.Custom, {against: function(value) {return !value.match(/(<([^>]+)>)/ig);}, failureMessage: "Value must not contain any HTML"});fe52716.add(Validate.Length, {tooShortMessage:"Invalid length for field value", tooLongMessage: "Invalid length for field value", minimum: 0, maximum: 35});fe52716.add(Validate.Presence, {failureMessage:"This field is required"});};ppv['4'] = function() {var dom4 = document.querySelector('#form1976 #fe52717');var fe52717 = new LiveValidation(dom4, {validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false});fe52717.add(Validate.Presence, {failureMessage:"This field is required"});};ppv['5'] = function() {var dom5 = document.querySelector('#form1976 #fe52718');var fe52718 = new LiveValidation(dom5, {validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false});fe52718.add(Validate.Presence, {failureMessage:"This field is required"});};var config = { formId: '1976', mode: 'list', numStages: 0, numFields: 6, numToReveal: 6, randomize: false, onlyIncomplete: true };var revealed = [];var getPreviousValue = function(elem) {var prev;if (elem.dataset) {prev = elem.dataset.previous;} else {prev = elem.getAttribute('data-previous');}return prev;};var showField = function(field, index) {field.style.display = '';revealed.push(index + '');var vf = ppv[index];if (vf) vf();};var textHasValue = function(input, field, onlyPrev) {var prev;var hasValue = false;if (!input.value || onlyPrev) {prev = getPreviousValue(input);if (prev) {input.value = prev;hasValue = true;}} else {hasValue = 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