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VALUE="212" > Service Industry</OPTION> <OPTION VALUE="269" > Telecommunications</OPTION> <OPTION VALUE="223" > Transportation and Logistics</OPTION> <OPTION VALUE="202" > Travel/Hospitality/Entertainment</OPTION> <OPTION VALUE="280" > Utility/Energy</OPTION> </select><br> </div> </div> <div id="container_indcode2"> <div id="indcode_secondary"> <div id="indcode_level2"> <div style="display: none;"> <SELECT NAME="indcode2_dt" id="indcode2_dt"> <OPTION VALUE="undefined" > undefined</OPTION> </SELECT> </div> </div> </div> <div id="indcode_other" > <p style="margin:0;"> <label for="indcode_other">Please Specify<br>for Other:</label></p> <INPUT TYPE="text" NAME="indcode_other" size="25" VALUE="" MAXLENGTH="25" ID="indcode_other_text"> </div> </div> <div id="container_street"> <p> <label for="street">Company Street Address</label><br /> </p> <input type="text" name="street" size="25" VALUE="" MAXLENGTH="50" id="street" > </div> <div id="container_dept_div"> <p> <label for="dept_div">Company 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VALUE="NC" > North Carolina</OPTION> <OPTION VALUE="ND" > North Dakota</OPTION> <OPTION VALUE="OH" > Ohio</OPTION> <OPTION VALUE="OK" > Oklahoma</OPTION> <OPTION VALUE="OR" > Oregon</OPTION> <OPTION VALUE="PA" > Pennsylvania</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="VT" > Vermont</OPTION> <OPTION VALUE="VA" > Virginia</OPTION> <OPTION VALUE="WA" > Washington</OPTION> <OPTION VALUE="WV" > West Virginia</OPTION> <OPTION VALUE="WI" > Wisconsin</OPTION> <OPTION VALUE="WY" > Wyoming</OPTION> </optgroup> <optgroup label="US Territories"> <OPTION VALUE="AS" > American Samoa</OPTION> <OPTION VALUE="GU" > Guam</OPTION> <OPTION VALUE="MH" > Marshall Islands</OPTION> <OPTION VALUE="FM" > Micronesia (Federated States of)</OPTION> <OPTION VALUE="PW" > Palau</OPTION> <OPTION VALUE="PR" > Puerto Rico</OPTION> <OPTION VALUE="OL" > U.S. Minor Outlying Islands</OPTION> <OPTION VALUE="VI" > U.S. Virgin Islands</OPTION> <OPTION VALUE="MP" > Northern Mariana Islands</OPTION> <OPTION VALUE="AA" > Armed Forces Americas AA</OPTION> <OPTION VALUE="AE" > Armed Forces Middle East, Europe, Canada AE</OPTION> <OPTION VALUE="AP" > Armed Forces Pacific AP</OPTION> </optgroup> <optgroup label="Canada"> <OPTION VALUE="AB" > Alberta</OPTION> <OPTION VALUE="BC" > British Columbia</OPTION> <OPTION VALUE="MB" > Manitoba</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> </optgroup> <optgroup label="Mexico"> <OPTION VALUE="Aguascalientes" > Aguascalientes</OPTION> <OPTION VALUE="Baja California" > Baja California</OPTION> <OPTION VALUE="Baja California Sur" > Baja California Sur</OPTION> <OPTION VALUE="Campeche" > Campeche</OPTION> <OPTION VALUE="Chiapas" > Chiapas</OPTION> <OPTION VALUE="Chihuahua" > Chihuahua</OPTION> <OPTION VALUE="Coahuila" > Coahuila</OPTION> <OPTION VALUE="Colima" > Colima</OPTION> <OPTION VALUE="Distrito Federal" > Distrito Federal</OPTION> <OPTION VALUE="Durango" > Durango</OPTION> <OPTION VALUE="Guanajuato" > Guanajuato</OPTION> <OPTION VALUE="Guerrero" > Guerrero</OPTION> <OPTION VALUE="Hidalgo" > Hidalgo</OPTION> <OPTION VALUE="Jalisco" > Jalisco</OPTION> <OPTION VALUE="Mexico State" > Mexico State</OPTION> <OPTION VALUE="Michoacan" > Michoacan</OPTION> <OPTION VALUE="Morelos" > Morelos</OPTION> <OPTION VALUE="Nayarit" > Nayarit</OPTION> <OPTION VALUE="Nuevo Leon" > Nuevo Leon</OPTION> <OPTION VALUE="Oaxaca" > Oaxaca</OPTION> <OPTION VALUE="Puebla" > Puebla</OPTION> <OPTION VALUE="Queretaro" > Queretaro</OPTION> <OPTION VALUE="Quintana Roo" > Quintana Roo</OPTION> <OPTION VALUE="San Luis Potosi" > San Luis Potosi</OPTION> <OPTION VALUE="Sinaloa" > Sinaloa</OPTION> <OPTION VALUE="Sonora" > Sonora</OPTION> <OPTION VALUE="Tabasco" > Tabasco</OPTION> <OPTION VALUE="Tamaulipas" > Tamaulipas</OPTION> <OPTION VALUE="Tlaxcala" > Tlaxcala</OPTION> <OPTION VALUE="Veracruz" > Veracruz</OPTION> <OPTION VALUE="Yucatan" > Yucatan</OPTION> <OPTION VALUE="Zacatecas" > Zacatecas</OPTION> </optgroup> <OPTION VALUE=""> Other</OPTION> </SELECT> </div> <div id="container_country"> <p> <label for="country">Company Country</label><br /> </p> <SELECT NAME="country" id="country"> <OPTION VALUE=""> select your country</OPTION> <OPTION VALUE="USA" > UNITED STATES</OPTION> <OPTION VALUE="CANADA" > CANADA</OPTION> <OPTION VALUE="INDIA" > INDIA</OPTION> <OPTION VALUE="UNITED KINGDOM" > UNITED KINGDOM</OPTION> <OPTION VALUE=""> ==</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="AZORES" > AZORES</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="BOSNIA AND HERZEGOVINA" > BOSNIA AND HERZEGOVINA</OPTION> <OPTION VALUE="BOTSWANA" > BOTSWANA</OPTION> <OPTION VALUE="BR VIRGIN ISLAND" > BR VIRGIN ISLAND</OPTION> <OPTION VALUE="BRAZIL" > BRAZIL</OPTION> <OPTION VALUE="BRITISH INDIAN OCEAN TERRITORY" > BRITISH INDIAN OCEAN TERRITORY</OPTION> <OPTION VALUE="BRUNEI" > BRUNEI</OPTION> <OPTION VALUE="BULGARIA" > BULGARIA</OPTION> <OPTION VALUE="BURKINA FASO" > BURKINA FASO</OPTION> <OPTION VALUE="BURUNDI" > BURUNDI</OPTION> <OPTION VALUE="CAMBODIA" > CAMBODIA</OPTION> <OPTION VALUE="CAMEROON" > CAMEROON</OPTION> <OPTION VALUE="CANADA" > CANADA</OPTION> <OPTION VALUE="CANARY ISLANDS" > CANARY ISLANDS</OPTION> <OPTION VALUE="CAPE VERDE" > CAPE VERDE</OPTION> <OPTION VALUE="CAYMAN ISLANDS" > CAYMAN ISLANDS</OPTION> <OPTION VALUE="CENTRAL AFRICAN REP" > CENTRAL AFRICAN REP</OPTION> <OPTION VALUE="CHAD" > CHAD</OPTION> <OPTION VALUE="CHANNEL ISLANDS" > CHANNEL ISLANDS</OPTION> <OPTION VALUE="CHILE" > CHILE</OPTION> <OPTION VALUE="CHINA, PEO REPBL" > CHINA, PEO REPBL</OPTION> <OPTION VALUE="CHRISTMAS ISLAND" > CHRISTMAS ISLAND</OPTION> <OPTION VALUE="COCOS (KEELING) ISLANDS" > COCOS (KEELING) ISLANDS</OPTION> <OPTION VALUE="COLOMBIA" > COLOMBIA</OPTION> <OPTION VALUE="COMOROS" > COMOROS</OPTION> <OPTION VALUE="CONGO" > CONGO</OPTION> <OPTION VALUE="CONGO, THE DEMOCRATIC REPUBLIC OF THE" > CONGO, THE DEMOCRATIC REPUBLIC OF THE</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="CYPRUS" > CYPRUS</OPTION> <OPTION VALUE="CZECH REPUBLIC" > CZECH REPUBLIC</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="ELAND ISLANDS" > ELAND ISLANDS</OPTION> <OPTION VALUE="EQUATORIAL GUINEA" > EQUATORIAL GUINEA</OPTION> <OPTION VALUE="ERITREA" > ERITREA</OPTION> <OPTION VALUE="ESTONIA" > ESTONIA</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 GUINEA" > FRENCH GUINEA</OPTION> <OPTION VALUE="FRENCH POLYNESIA" > FRENCH POLYNESIA</OPTION> <OPTION VALUE="GABON, REPUBLIC OF" > GABON, REPUBLIC OF</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 BIASSAU" > GUINEA BIASSAU</OPTION> <OPTION VALUE="GUINEA,REPUBLIC OF" > GUINEA,REPUBLIC OF</OPTION> <OPTION VALUE="GUYANA" > GUYANA</OPTION> <OPTION VALUE="HAITI" > HAITI</OPTION> <OPTION VALUE="HONDURAS" > HONDURAS</OPTION> <OPTION VALUE="HONG KONG" > HONG KONG, S.A.R., CHINA</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="KOREA,DEMOCRATIC REPUBLIC OF" > KOREA,DEMOCRATIC REPUBLIC OF</OPTION> <OPTION VALUE="KOREA,REPUBLIC OF" > KOREA,REPUBLIC OF</OPTION> <OPTION VALUE="KOSOVO" > KOSOVO</OPTION> <OPTION VALUE="KUWAIT" > KUWAIT</OPTION> <OPTION VALUE="KYRGZSTAN" > KYRGZSTAN</OPTION> <OPTION VALUE="LAOS" > LAOS</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, S.A.R., CHINA</OPTION> <OPTION VALUE="MACEDONIA" > MACEDONIA</OPTION> <OPTION VALUE="MADAGASCAR" > MADAGASCAR</OPTION> <OPTION VALUE="MADEIRA" > MADEIRA</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="NAMIBIA" > NAMIBIA</OPTION> <OPTION VALUE="NAURU ISLANDS" > NAURU ISLANDS</OPTION> <OPTION VALUE="NEPAL" > NEPAL</OPTION> <OPTION VALUE="NETHERLANDS ANTILLES" > NETHERLANDS ANTILLES</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="NORFOLK ISLAND" > NORFOLK ISLAND</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="PALESTINIAN TERRITORY, OCCUPIED" > PALESTINIAN TERRITORY, OCCUPIED</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="REPUBLIC OF KIRIBATI" > REPUBLIC OF KIRIBATI</OPTION> <OPTION VALUE="REUNION" > REUNION</OPTION> <OPTION VALUE="ROMANIA" > ROMANIA</OPTION> <OPTION VALUE="RUSSIAN FED" > RUSSIAN FED</OPTION> <OPTION VALUE="RWANDA" > RWANDA</OPTION> <OPTION VALUE="SAINT PIERRE AND MIQUELON" > SAINT PIERRE AND MIQUELON</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="SLOVAKIA" > SLOVAKIA</OPTION> <OPTION VALUE="SLOVENIA" > SLOVENIA</OPTION> <OPTION VALUE="SOCIETY ISLANDS" > SOCIETY ISLANDS</OPTION> <OPTION VALUE="SOLOMON ISLANDS" > SOLOMON ISLANDS</OPTION> <OPTION VALUE="SOMALIA,REPUBLIC" > SOMALIA,REPUBLIC</OPTION> <OPTION VALUE="SOUTH AFRICA" > SOUTH AFRICA</OPTION> <OPTION VALUE="SPAIN" > SPAIN</OPTION> <OPTION VALUE="SRI LANKA" > SRI LANKA</OPTION> <OPTION VALUE="ST KITTS" > ST KITTS</OPTION> <OPTION VALUE="ST LUCIA" > ST LUCIA</OPTION> <OPTION VALUE="ST VINCENT" > ST VINCENT</OPTION> <OPTION VALUE="SUDAN" > SUDAN</OPTION> <OPTION VALUE="SURINAM" > SURINAM</OPTION> <OPTION VALUE="SWAZILAND" > SWAZILAND</OPTION> <OPTION VALUE="SWEDEN" > SWEDEN</OPTION> <OPTION VALUE="SWITZERLAND" > SWITZERLAND</OPTION> <OPTION VALUE="SYRIA" > SYRIA</OPTION> <OPTION VALUE="TAHITI" > TAHITI</OPTION> <OPTION VALUE="TAIWAN" > TAIWAN, CHINA</OPTION> <OPTION VALUE="TAJIKISTAN" > TAJIKISTAN</OPTION> <OPTION VALUE="TANZANIA" > TANZANIA</OPTION> <OPTION VALUE="THAILAND" > THAILAND</OPTION> <OPTION VALUE="TIMOR-LESTE" > TIMOR-LESTE</OPTION> <OPTION VALUE="TOGO" > TOGO</OPTION> <OPTION VALUE="TONGA" > TONGA</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="TURKS AND CAICOS ISLANDS" > TURKS AND CAICOS ISLANDS</OPTION> <OPTION VALUE="TUVALU" > TUVALU</OPTION> <OPTION VALUE="UGANDA" > UGANDA</OPTION> <OPTION VALUE="UKRAINE" > UKRAINE</OPTION> <OPTION VALUE="UNION OF MYANMAR" > UNION OF MYANMAR</OPTION> <OPTION VALUE="UNITED ARAB EMIRATE" > UNITED ARAB EMIRATE</OPTION> <OPTION VALUE="UNITED KINGDOM,ENGLAND" > UNITED KINGDOM,ENGLAND</OPTION> <OPTION VALUE="UNITED KINGDOM,NO.IRELAND" > UNITED KINGDOM,NO.IRELAND</OPTION> <OPTION VALUE="UNITED KINGDOM,SCOTLAND" > UNITED KINGDOM,SCOTLAND</OPTION> <OPTION VALUE="UNITED KINGDOM" > UNITED KINGDOM</OPTION> <OPTION VALUE="UNITED KINGDOM,WALES" > UNITED KINGDOM,WALES</OPTION> <OPTION VALUE="USA" > UNITED STATES</OPTION> <OPTION VALUE="URUGUAY" > URUGUAY</OPTION> <OPTION VALUE="UZBEKISTAN" > UZBEKISTAN</OPTION> <OPTION VALUE="VANUATU" > VANUATU</OPTION> <OPTION VALUE="VATICAN CITY" > VATICAN CITY</OPTION> <OPTION VALUE="VENEZUELA" > VENEZUELA</OPTION> <OPTION VALUE="VIETNAM, RPBLC OF" > VIETNAM, RPBLC OF</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="WESTERN SAMOA" > WESTERN SAMOA</OPTION> <OPTION VALUE="YEMEN" > YEMEN</OPTION> <OPTION VALUE="ZAMBIA" > ZAMBIA</OPTION> <OPTION VALUE="ZANZIBAR" > ZANZIBAR</OPTION> <OPTION VALUE="ZIMBABWE" > ZIMBABWE</OPTION> <OPTION VALUE="OTHER" > OTHER</OPTION> </SELECT> </div> </div> <div id="usersummary"> <p>Summary</p> <br> <div id="summary_email"></div> <div id="summary_title"></div> <div id="summary_company"></div> <div><div id="summary_city"></div><div id="summary_state"></div></div> <div id="summary_country"></div> <div class="infodisplaylast"> <p> <div id="userinfo" style="display:none;"> <div class="infodisplaylast"> <p> <a href="javascript:void(0);" id="updatereg">edit</a> <a href="javascript:void(0);" id="notme">new</a> <a href="javascript:void(0);" id="save" style="display:none;">save</a> </p> </div> </div> <div id="usernoauth" style="display:none;"> <div class="infodisplaylast"> <p> <a href="javascript:void(0);" id="sendemail">edit</a> <a href="javascript:void(0);" id="notme_noauth">new</a> </p> </div> </div> </div> </div> </div> <input type="hidden" name="lclick" value="" id="lclick"> </div> <div id="container_notice" class="demosnon" style="display:none;"> <div style="display:table-cell;white-space:nowrap;vertical-align:middle;width:120px;"> <INPUT NAME="notice" TYPE="radio" VALUE="yes" > Yes     <INPUT NAME="notice" TYPE="radio" VALUE="no" > No </div> <p style="display:table-cell;"> <b> <label for="notice" id="notice">By submitting this content request, I have legitimate interest in the content and agree that IoT M2M Council, their partners, and the creators of any other content I have selected may contact me regarding news, products, and services that may be of interest to me.</label></b><br/> <b><label for="notice" id="notice_cust"></label></b><br/> </p> </div> <div id="privpolicy" style="display:none;" class="demosnon"> <B>By submitting this content request, I have legitimate interest in the content and agree that IoT M2M Council, their partners, and the creators of any other content I have selected may contact me regarding news, products, and services that may be of interest to me.</B> </div> <div id="privpolicy_cust" style="display:none;" class="demosnon"><B></B></div>  <script language="javascript" type="text/javascript">  </script>    <div id="demoscontainer">  <div class="demosques"> <div class="demosnum"> </div> <div class="demosleft"> What role do you play in the IoT eco-system?</div> <div class="demosright"> <SELECT NAME="Q2" id="Q2"> <OPTION VALUE=""> Select One</OPTION> <OPTION VALUE="Enterprise User" > Enterprise User</OPTION> <OPTION VALUE="Product Maker/Designer" > Product Maker/Designer</OPTION> <OPTION VALUE="Apps Developer" > Apps Developer</OPTION> <OPTION VALUE="Consultant" > Consultant</OPTION> <OPTION VALUE="Vendor" > Vendor</OPTION> <OPTION VALUE="Other" > Other</OPTION> </SELECT> </div> </div> <div id="Q2-other"> <div class="demosques"> <div class="demosnum"> </div> <div class="demosleft"> </div> <div class="demosright"> Please specify for Other<input type="text" name="Q2-other" size="25" VALUE="" MAXLENGTH="25" class="clearinput" title=""> </div> </div> </div>  <div class="demosques"> <div class="demosnum"> </div> <div class="demosleft"> What is the size of your business unit?</div> <div class="demosright"> <SELECT NAME="Q3" id="Q3"> <OPTION VALUE=""> Select One</OPTION> <OPTION VALUE="Less than 100 employees" > Less than 100 employees</OPTION> <OPTION VALUE="100-500 employees" > 100-500 employees</OPTION> <OPTION VALUE="More than 500 employees" > More than 500 employees</OPTION> </SELECT> </div> </div>  <div class="demosques"> <div class="demosnum"> </div> <div class="demosleft"> Do you influence, specify, or approve the purchase of technology to connect devices at your business unit, including equipment, software, connectivity, or other services?</div> <div class="demosright"> <SELECT NAME="Q9" id="Q9"> <OPTION VALUE=""> Select One</OPTION> <OPTION VALUE="Yes" > Yes</OPTION> <OPTION VALUE="No" > No</OPTION> </SELECT> </div> </div>  <div class="demosques"> <div class="demosnum"> </div> <div class="demosleft"> What is the organizational level of your position?</div> <div class="demosright"> <SELECT NAME="Q4" id="Q4"> <OPTION VALUE=""> Select One</OPTION> <OPTION VALUE="C-Level" > C-Level</OPTION> <OPTION VALUE="VP Director" > VP Director</OPTION> <OPTION VALUE="Manager" > Manager</OPTION> <OPTION VALUE="Other" > Other</OPTION> </SELECT> </div> </div> <div id="Q4-other"> <div class="demosques"> <div class="demosnum"> </div> <div class="demosleft"> </div> <div class="demosright"> Please specify for Other<input type="text" name="Q4-other" size="25" VALUE="" MAXLENGTH="25" class="clearinput" title=""> </div> </div> </div>  <div class="demosques"> <div class="demosnum"> </div> <div class="demosleft"> What is your principal job function?</div> <div class="demosright"> <SELECT NAME="Q6" id="Q6"> <OPTION VALUE=""> Select One</OPTION> <OPTION VALUE="Operations" > Operations</OPTION> <OPTION VALUE="Marketing/Sales" > Marketing/Sales</OPTION> <OPTION VALUE="IT/Data Management" > IT/Data Management</OPTION> <OPTION VALUE="Product Development/Design" > Product Development/Design</OPTION> <OPTION VALUE="Finance" > Finance</OPTION> <OPTION VALUE="Other" > Other</OPTION> </SELECT> </div> </div> <div id="Q6-other"> <div class="demosques"> <div class="demosnum"> </div> <div class="demosleft"> </div> <div class="demosright"> Please specify for Other<input type="text" name="Q6-other" size="25" VALUE="" MAXLENGTH="25" class="clearinput" title=""> </div> </div> </div>  <div class="demosques"> <div class="demosnum"> </div> <div class="demosboth"> What products/services do you buy, sell, specify, or recommend? (select all that apply) <TABLE cellpadding="3" cellspacing="0" class="tableResp td_font"> <TR> <TD class="leftspace" > </TD> <TD style="width:48%;" > <INPUT NAME="Q7" TYPE="checkbox" VALUE="Cellular_Connectivity_Services" > Cellular Connectivity Services</TD> <TD style="width:48%;" > <INPUT NAME="Q7" TYPE="checkbox" VALUE="Satellite_Connectivity_Services" > Satellite Connectivity Services</TD> </TR> <TR> <TD class="leftspace" > </TD> <TD style="width:48%;" > <INPUT NAME="Q7" TYPE="checkbox" VALUE="Chip_Sets/SIM_Cards" > Chip Sets/SIM Cards</TD> <TD style="width:48%;" > <INPUT NAME="Q7" TYPE="checkbox" VALUE="Modules/Connectivity_Hardware" > Modules/Connectivity Hardware</TD> </TR> <TR> <TD class="leftspace" > </TD> <TD style="width:48%;" > <INPUT NAME="Q7" TYPE="checkbox" VALUE="Other_Components" > Other Components</TD> <TD style="width:48%;" > <INPUT NAME="Q7" TYPE="checkbox" VALUE="Systems_Integration_Services" > Systems Integration Services</TD> </TR> <TR> <TD class="leftspace" > </TD> <TD style="width:48%;" > <INPUT NAME="Q7" TYPE="checkbox" VALUE="Software_Platforms" > Software Platforms</TD> <TD style="width:48%;" > <INPUT NAME="Q7" TYPE="checkbox" VALUE="Software_Application" > Software Application</TD> </TR> <TR> <TD class="leftspace" > </TD> <TD style="width:48%;" > <INPUT NAME="Q7" TYPE="checkbox" VALUE="Embedded_Design_Services" > Embedded Design Services</TD> <TD style="width:48%;" > <INPUT NAME="Q7" TYPE="checkbox" VALUE="Consulting_Services" > Consulting Services</TD> </TR> <TR> <TD class="leftspace" > </TD> <TD style="width:48%;" > <INPUT NAME="Q7" TYPE="checkbox" VALUE="Other" > Other</TD> <TD style="width:48%;" > </TD> </TR> </TABLE> </div> </div> <div id="Q7-other"> <div class="demosques"> <div class="demosnum"> </div> <div class="demosleft"> </div> <div class="demosright"> Please specify for Other<input type="text" name="Q7-other" size="25" VALUE="" MAXLENGTH="25" class="clearinput" title=""> </div> </div> </div>  <div class="demosques"> <div class="demosnum"> </div> <div class="demosboth"> In which end-use markets are you primarily active? (select all that apply) <TABLE cellpadding="3" cellspacing="0" class="tableResp td_font"> <TR> <TD class="leftspace" > </TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Automotive/Transportation:_Fleet_Management" > Automotive/Transportation: Fleet Management</TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Automotive/Transportation:_Telematics/Infotainment_Hware/Svcs" > Automotive/Transportation: Telematics/Infotainment Hware/Svcs</TD> </TR> <TR> <TD class="leftspace" > </TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Automotive/Transportation:_Transportation_Insurance" > Automotive/Transportation: Transportation Insurance</TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Building/Construction:_Construction/Design" > Building/Construction: Construction/Design</TD> </TR> <TR> <TD class="leftspace" > </TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Building/Construction:_Energy_Management" > Building/Construction: Energy Management</TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Building/Construction:_Real_Estate" > Building/Construction: Real Estate</TD> </TR> <TR> <TD class="leftspace" > </TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Building/Construction:_Security" > Building/Construction: Security</TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Energy/Utilities:_Aggregator" > Energy/Utilities: Aggregator</TD> </TR> <TR> <TD class="leftspace" > </TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Energy/Utilities:_Electricity_Water_Waste" > Energy/Utilities: Electricity Water Waste</TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Energy/Utilities:_Meter_Manufacturer" > Energy/Utilities: Meter Manufacturer</TD> </TR> <TR> <TD class="leftspace" > </TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Energy/Utilities:_Pipeline/Refinery_Management" > Energy/Utilities: Pipeline/Refinery Management</TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Healthcare:_Care_Provider" > Healthcare: Care Provider</TD> </TR> <TR> <TD class="leftspace" > </TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Healthcare:_Health_Insurance" > Healthcare: Health Insurance</TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Healthcare:_Medical_Device_Manufacturer" > Healthcare: Medical Device Manufacturer</TD> </TR> <TR> <TD class="leftspace" > </TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Industrial:_Agribusiness/Farming" > Industrial: Agribusiness/Farming</TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Industrial:_Laboratory/Pharma" > Industrial: Laboratory/Pharma</TD> </TR> <TR> <TD class="leftspace" > </TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Industrial:_Manufacturing/Fabrication" > Industrial: Manufacturing/Fabrication</TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Industrial:_Mining/Excavation" > Industrial: Mining/Excavation</TD> </TR> <TR> <TD class="leftspace" > </TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Logistics:_Asset_Tracking_Services" > Logistics: Asset Tracking Services</TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Logistics:_Shipping" > Logistics: Shipping</TD> </TR> <TR> <TD class="leftspace" > </TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Public_Infrastructure:_Emergency_Services" > Public Infrastructure: Emergency Services</TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Public_Infrastructure:_Facilities_Management" > Public Infrastructure: Facilities Management</TD> </TR> <TR> <TD class="leftspace" > </TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Public_Infrastructure:_Public_Transport_Management" > Public Infrastructure: Public Transport Management</TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Public_Infrastructure:_Security/Defense" > Public Infrastructure: Security/Defense</TD> </TR> <TR> <TD class="leftspace" > </TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Public_Infrastructure:_Traffic_Control/Roads" > Public Infrastructure: Traffic Control/Roads</TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Retail/Consumer:_Appliances/Housewares" > Retail/Consumer: Appliances/Housewares</TD> </TR> <TR> <TD class="leftspace" > </TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Retail/Consumer:_Hospitality/Entertainment" > Retail/Consumer: Hospitality/Entertainment</TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Retail/Consumer:_Personal_Device_Manufacturer" > Retail/Consumer: Personal Device Manufacturer</TD> </TR> <TR> <TD class="leftspace" > </TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Retail/Consumer:_PoS/Vending" > Retail/Consumer: PoS/Vending</TD> <TD style="width:48%;" > <INPUT NAME="Q5" TYPE="checkbox" VALUE="Retail/Consumer:_Signage" > Retail/Consumer: Signage</TD> </TR> </TABLE> </div> </div>  <div class="demosques"> <div class="demosnum"> </div> <div class="demosleft"> Do you wish to receive relevant information from the IoT M2M Council?</div> <div class="demosright"> <SELECT NAME="Q8" id="Q8"> <OPTION VALUE=""> Select One</OPTION> <OPTION VALUE="Accept" > Yes</OPTION> <OPTION VALUE="Decline" > No</OPTION> </SELECT> </div> </div>  <div class="demosques"> <div class="demosnum"> </div> <div class="demosleft"> Do you wish to receive relevant information about the IoT sector from other IMC members?</div> <div class="demosright"> <SELECT NAME="Q1" id="Q1"> <OPTION VALUE=""> Select One</OPTION> <OPTION VALUE="Accept" > Yes</OPTION> <OPTION VALUE="Decline" > No</OPTION> 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