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required" name="Email" data-label="Email Address*" type="email" data-type="email" placeholder="Enter your business email address here" aria-required="true"> </div> <div class="lb-form-item"> <span id="aws-element-d8db91c0-2edd-477d-8f6d-c9d9822fb552-label" class="lb-label">Job Role*</span> <div id="aws-element-d8db91c0-2edd-477d-8f6d-c9d9822fb552" class="lb-dropdown lb-equal-width lb-dropdown-p" data-equalize-widths="true" data-lb-comp="dropdown"> <div role="combobox" class="lb-dropdown-label" tabindex="0" aria-controls="aws-element-d8db91c0-2edd-477d-8f6d-c9d9822fb552-listbox" aria-expanded="false" aria-haspopup="listbox" aria-activedescendant="" aria-labelledby="aws-element-d8db91c0-2edd-477d-8f6d-c9d9822fb552-label" aria-required="true"> <span>Select</span> </div> <ul class="lb-dropdown-list" role="listbox" id="aws-element-d8db91c0-2edd-477d-8f6d-c9d9822fb552-listbox"> <li data-value="" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-d8db91c0-2edd-477d-8f6d-c9d9822fb552-listbox-select"> <span>Select</span> </li> <li data-value="Academic / Researcher" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-d8db91c0-2edd-477d-8f6d-c9d9822fb552-listbox-0"> <span>Academic / Researcher</span> </li> <li data-value="Advisor / Consultant" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-d8db91c0-2edd-477d-8f6d-c9d9822fb552-listbox-1"> <span>Advisor / Consultant</span> </li> <li data-value="Business Executive" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-d8db91c0-2edd-477d-8f6d-c9d9822fb552-listbox-2"> <span>Business Executive</span> </li> <li data-value="Developer / Engineer" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-d8db91c0-2edd-477d-8f6d-c9d9822fb552-listbox-3"> <span>Developer / Engineer</span> </li> <li data-value="Entrepreneur (Founder/Co-Founder)" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-d8db91c0-2edd-477d-8f6d-c9d9822fb552-listbox-4"> <span>Entrepreneur (Founder/Co-Founder)</span> </li> <li data-value="IT Executive" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-d8db91c0-2edd-477d-8f6d-c9d9822fb552-listbox-5"> <span>IT Executive</span> </li> <li data-value="IT Professional or Technical Manager" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-d8db91c0-2edd-477d-8f6d-c9d9822fb552-listbox-6"> <span>IT Professional or Technical Manager</span> </li> <li data-value="Press / Media Analyst" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-d8db91c0-2edd-477d-8f6d-c9d9822fb552-listbox-7"> <span>Press / Media Analyst</span> </li> <li data-value="Sales / Marketing" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-d8db91c0-2edd-477d-8f6d-c9d9822fb552-listbox-8"> <span>Sales / Marketing</span> </li> <li data-value="Solution or Systems Architect" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-d8db91c0-2edd-477d-8f6d-c9d9822fb552-listbox-9"> <span>Solution or Systems Architect</span> </li> <li data-value="Student" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-d8db91c0-2edd-477d-8f6d-c9d9822fb552-listbox-10"> <span>Student</span> </li> <li data-value="System Administrator" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-d8db91c0-2edd-477d-8f6d-c9d9822fb552-listbox-11"> <span>System Administrator</span> </li> <li data-value="Venture Capitalist" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-d8db91c0-2edd-477d-8f6d-c9d9822fb552-listbox-12"> <span>Venture Capitalist</span> </li> </ul> <input name="Job_Role__c" class="lb-dropdown-selected required" data-label="Job Role*" type="hidden" data-trigger="change" data-parsley-group="dropdown"> </div> </div> <div class="lb-form-item"> <label for="aws-element-ae90fd48-f4b6-44bc-ac5c-39548adcda7a"> Telephone*</label> <input id="aws-element-ae90fd48-f4b6-44bc-ac5c-39548adcda7a" class="lb-form-text required" name="Phone" data-label="Telephone*" type="text" placeholder="(XXX)XXX-XXXX" aria-required="true"> </div> <div class="lb-form-item"> <label for="aws-element-4d288793-612c-4933-aed3-0392e0e04e65"> Company Name*</label> <input id="aws-element-4d288793-612c-4933-aed3-0392e0e04e65" class="lb-form-text required" name="Company" data-label="Company Name*" type="text" placeholder="Enter your company name here" aria-required="true"> </div> <div class="lb-form-item"> <span id="aws-element-e5fe5bae-0c0a-43f6-9adf-2e5231e632f8-label" class="lb-label">Company Type*</span> <div id="aws-element-e5fe5bae-0c0a-43f6-9adf-2e5231e632f8" class="lb-dropdown lb-equal-width lb-dropdown-p" data-equalize-widths="true" data-lb-comp="dropdown"> <div role="combobox" class="lb-dropdown-label" tabindex="0" aria-controls="aws-element-e5fe5bae-0c0a-43f6-9adf-2e5231e632f8-listbox" aria-expanded="false" aria-haspopup="listbox" aria-activedescendant="" aria-labelledby="aws-element-e5fe5bae-0c0a-43f6-9adf-2e5231e632f8-label" aria-required="true"> <span>Select</span> </div> <ul class="lb-dropdown-list" role="listbox" id="aws-element-e5fe5bae-0c0a-43f6-9adf-2e5231e632f8-listbox"> <li data-value="" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-e5fe5bae-0c0a-43f6-9adf-2e5231e632f8-listbox-select"> <span>Select</span> </li> <li data-value="Education" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-e5fe5bae-0c0a-43f6-9adf-2e5231e632f8-listbox-0"> <span>Education</span> </li> <li data-value="Enterprise" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-e5fe5bae-0c0a-43f6-9adf-2e5231e632f8-listbox-1"> <span>Enterprise</span> </li> <li data-value="Government - State & Local" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-e5fe5bae-0c0a-43f6-9adf-2e5231e632f8-listbox-2"> <span>Government - State & Local</span> </li> <li data-value="Government - Federal" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-e5fe5bae-0c0a-43f6-9adf-2e5231e632f8-listbox-3"> <span>Government - Federal</span> </li> <li data-value="Non-Profit" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-e5fe5bae-0c0a-43f6-9adf-2e5231e632f8-listbox-4"> <span>Non-Profit</span> </li> <li data-value="Self Employed" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-e5fe5bae-0c0a-43f6-9adf-2e5231e632f8-listbox-5"> <span>Self Employed</span> </li> <li data-value="Small-Medium Business" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-e5fe5bae-0c0a-43f6-9adf-2e5231e632f8-listbox-6"> <span>Small-Medium Business</span> </li> <li data-value="Start-Up" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-e5fe5bae-0c0a-43f6-9adf-2e5231e632f8-listbox-7"> <span>Start-Up</span> </li> <li data-value="Not Applicable" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-e5fe5bae-0c0a-43f6-9adf-2e5231e632f8-listbox-8"> <span>Not Applicable</span> </li> </ul> <input name="Company_Type__c" class="lb-dropdown-selected required" data-label="Company Type*" type="hidden" data-trigger="change" data-parsley-group="dropdown"> </div> </div> <div class="lb-form-item"> <span id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-label" class="lb-label">Industry*</span> <div id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e" class="lb-dropdown lb-equal-width lb-dropdown-p" data-equalize-widths="true" data-lb-comp="dropdown"> <div role="combobox" class="lb-dropdown-label" tabindex="0" aria-controls="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox" aria-expanded="false" aria-haspopup="listbox" aria-activedescendant="" aria-labelledby="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-label" aria-required="true"> <span>Select</span> </div> <ul class="lb-dropdown-list" role="listbox" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox"> <li data-value="" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-select"> <span>Select</span> </li> <li data-value="Aerospace" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-0"> <span>Aerospace</span> </li> <li data-value="Agriculture" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-1"> <span>Agriculture</span> </li> <li data-value="Automotive" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-2"> <span>Automotive</span> </li> <li data-value="Computers & Electronics" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-3"> <span>Computers & Electronics</span> </li> <li data-value="Consumer Goods" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-4"> <span>Consumer Goods</span> </li> <li data-value="Education" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-5"> <span>Education</span> </li> <li data-value="Financial Services" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-6"> <span>Financial Services</span> </li> <li data-value="Gaming" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-7"> <span>Gaming</span> </li> <li data-value="Government" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-8"> <span>Government</span> </li> <li data-value="Healthcare" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-9"> <span>Healthcare</span> </li> <li data-value="Hospitality" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-10"> <span>Hospitality</span> </li> <li data-value="Life Sciences" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-11"> <span>Life Sciences</span> </li> <li data-value="Manufacturing" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-12"> <span>Manufacturing</span> </li> <li data-value="Marketing & Advertising" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-13"> <span>Marketing & Advertising</span> </li> <li data-value="Media & Entertainment" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-14"> <span>Media & Entertainment</span> </li> <li data-value="Mining" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-15"> <span>Mining</span> </li> <li data-value="Non-Profit Organization" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-16"> <span>Non-Profit Organization</span> </li> <li data-value="Oil & Gas" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-17"> <span>Oil & Gas</span> </li> <li data-value="Other" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-18"> <span>Other</span> </li> <li data-value="Power & Utilities" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-19"> <span>Power & Utilities</span> </li> <li data-value="Professional Services" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-20"> <span>Professional Services</span> </li> <li data-value="Real Estate & Construction" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-21"> <span>Real Estate & Construction</span> </li> <li data-value="Retail" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-22"> <span>Retail</span> </li> <li data-value="Software & Internet" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-23"> <span>Software & Internet</span> </li> <li data-value="Telecommunications" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-24"> <span>Telecommunications</span> </li> <li data-value="Transportation & Logistics" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-25"> <span>Transportation & Logistics</span> </li> <li data-value="Travel" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-26"> <span>Travel</span> </li> <li data-value="Wholesale & Distribution" role="option" tabindex="0" class="lb-dropdown-item" id="aws-element-62ec03e3-9069-4209-ad3e-5226af0a270e-listbox-27"> <span>Wholesale & Distribution</span> </li> </ul> <input name="Industry" class="lb-dropdown-selected required" data-label="Industry*" type="hidden" data-trigger="change" data-parsley-group="dropdown"> </div> </div> <div id="aws-element-8d03bc60-1eb3-4989-86bb-9d69280d1d47" class="lb-form-item lb-cs-dropdown" data-lb-comp="cs-dropdown"> <script type="application/json" class="cs-dropdown-metadata">{"countryDropdownName":"Country","statesDropdownName":"State","countryLabelName":"Country/Region*","statesLabelName":"State*","isRequired":true,"countryDropdownId":"aws-element-8d03bc60-1eb3-4989-86bb-9d69280d1d47-country","stateDropdownId":"aws-element-8d03bc60-1eb3-4989-86bb-9d69280d1d47-state"}</script> <span id="aws-element-8d03bc60-1eb3-4989-86bb-9d69280d1d47-country-label" class="lb-label">Country/Region*</span> <div class="countries-dropdown-wrapper"></div> <script type="application/json" class="cs-dropdown-countries">{"":"- select a country/region -","US":"United States","AF":"Afghanistan","AL":"Albania","DZ":"Algeria","AS":"American 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Islands","MR":"Mauritania","MU":"Mauritius","MQ":"Martinique","YT":"Mayotte","MX":"Mexico","FM":"Micronesia","MD":"Moldova","MC":"Monaco","MN":"Mongolia","MS":"Montserrat","MA":"Morocco","MZ":"Mozambique","MM":"Myanmar","NA":"Namibia","NR":"Nauru","NP":"Nepal","NL":"Netherlands","AN":"Netherlands Antilles","NC":"New Caledonia","NZ":"New Zealand","NI":"Nicaragua","NE":"Niger","NG":"Nigeria","NU":"Niue","NO":"Norway","NF":"Norfolk Island","MP":"Northern Mariana Islands","OM":"Oman","PK":"Pakistan","PW":"Palau","PA":"Panama","PG":"Papua New Guinea","PY":"Paraguay","PE":"Peru","PH":"Philippines","PN":"Pitcairn","PL":"Poland","PT":"Portugal","PR":"Puerto Rico","QA":"Qatar","CG":"Republic of the Congo","RE":"Reunion","RO":"Romania","RU":"Russia","SH":"Saint Helena","KN":"Saint Kitts","LC":"Saint Lucia","PM":"Saint Pierre","VC":"Saint Vincent","WS":"Samoa","SM":"San Marino","ST":"Sao Tome","SA":"Saudi Arabia","SN":"Senegal","RS":"Serbia","SC":"Seychelles","SL":"Sierra Leone","SG":"Singapore","SK":"Slovakia","SI":"Slovenia","SB":"Soloman Islands","SO":"Somalia","ZA":"South Africa","GS":"South Georgia & South Sandwich Islands","ES":"Spain","LK":"Sri Lanka","SR":"Suriname","SJ":"Svalbard & Jan Mayen Islands","SZ":"Swaziland","SE":"Sweden","CH":"Switzerland","TW":"Taiwan","TJ":"Tajikistan","TZ":"Tanzania","TH":"Thailand","TG":"Togo","TK":"Tokelau","TO":"Tonga","TT":"Trinidad & Tobago","TN":"Tunisia","TR":"Turkey","TC":"Turks & Caicos Islands","TM":"Turkmenistan","TV":"Tuvalu","UG":"Uganda","UA":"Ukraine","AE":"United Arab Emirates","GB":"United Kingdom","UM":"U.S. Minor Outlying Islands","UY":"Uruguay","UZ":"Uzbekistan","VU":"Vanuatu","VA":"Vatican City State","VE":"Venezuela","VN":"Vietnam","VG":"Virgin Islands (British)","VI":"Virgin Islands (US)","WF":"Wallis","EH":"Western Sahara","YE":"Yemen","ZM":"Zambia","ZW":"Zimbabwe"}</script> <span id="aws-element-8d03bc60-1eb3-4989-86bb-9d69280d1d47-state-label" class="lb-label">State*</span> <div 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