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domain = email.replace(/.*@/, ""); domain = domain.toLowerCase(); if (emaillist.indexOf(domain) >= 0) { $("#sm").css({"color": "#bf0a0abd", "font-family":" Trebuchet MS"}).text("Please enter only Business email address."); $('#email').css({"border-color" : "#ef5d7a"}).focus(); return false; } $('#email').css({"border-color" : "green"}).focus(); $('#load').show(); $("#sm").css({"color": "green", "font-family":" Trebuchet MS","background-color": "#d6f5d6", "border": "1px dotted green"}).text("Submitting Your Details..."); $.ajax({ type:"post", dataType: "text", url:'/newsletter_subscribe.php', data:{'email' : email,'source_site' : source_site, 'source_form' : source_form,'landing_page' : landing_page}, success: function (response) { if(response.trim()=="exists") { $.cookie('test', 'exist', { expires: 1460 ,path: '/', domain: '.themanufacturingoutlook.com' }); $("#active-popup").hide(); $("#popup-container").hide(); $.ajax({ type:"post", dataType: "text", url:'/nl_cookie_for_all.php',data:{'email_cookie' : email},success: function (response_cook) {$('#picoutput').html(response_cook);} }) } else if(response.trim()=="false"){ var response_cook = 'TRY AGAIN LATER!!!'; 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$("#email_new").focus(); return false; } else if(trim(email_new)!='') { var filter=/^(([^<>()\[\]\\.,;:\s@']+(\.[^<>()\[\]\\.,;:\s@']+)*)|('.+'))@((\[[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\])|(([a-zA-Z\-0-9]+\.)+[a-zA-Z]{2,}))$/; if (!filter.test(trim(email_new))) { alert("Please enter a valid email address!"); $("#email_new").focus(); return false; } var emaillist = ["notexisttopreventanyerror.com","aol.com", "att.net", "comcast.net", "facebook.com", "gmail.com", "gmx.com", "googlemail.com", "google.com", "hotmail.com", "hotmail.co.uk", "mac.com", "me.com", "mail.com", "msn.com", "live.com", "sbcglobal.net", "verizon.net", "yahoo.com", "yahoo.co.uk", "email.com", "games.com" , "gmx.net", "hush.com", "hushmail.com", "icloud.com", "inbox.com", "lavabit.com", "love.com", "outlook.com", "pobox.com", "rocketmail.com", "safe-mail.net", "wow.com", "ygm.com", "ymail.com", "zoho.com", "fastmail.fm", "yandex.com","iname.com", "bellsouth.net", "charter.net", "cox.net", "earthlink.net", "juno.com", "btinternet.com", "virginmedia.com", "blueyonder.co.uk", "freeserve.co.uk", "live.co.uk", "ntlworld.com", "o2.co.uk", "orange.net", "sky.com", "talktalk.co.uk", "tiscali.co.uk", "virgin.net", "wanadoo.co.uk", "bt.com", "sina.com", "qq.com", "naver.com", "hanmail.net", "daum.net", "nate.com", "yahoo.co.jp", "yahoo.co.kr", "yahoo.co.id", "yahoo.co.in", "yahoo.com.sg", "yahoo.com.ph", "hotmail.fr", "live.fr", "laposte.net", "yahoo.fr", "wanadoo.fr", "orange.fr", "gmx.fr", "sfr.fr", "neuf.fr", "free.fr", "gmx.de", "hotmail.de", "live.de", "online.de", "t-online.de", "web.de", "yahoo.de", "mail.ru", "rambler.ru", "yandex.ru", "ya.ru", "list.ru", "hotmail.be", "live.be", "skynet.be", "voo.be", "tvcablenet.be", "telenet.be", "hotmail.com.ar", "live.com.ar", "yahoo.com.ar", "fibertel.com.ar", "speedy.com.ar", "arnet.com.ar", "yahoo.com.mx", "live.com.mx", "hotmail.es", "hotmail.com.mx", "prodigy.net.mx", "yahoo.com.br", "hotmail.com.br", "outlook.com.br", "uol.com.br", "bol.com.br", "terra.com.br", "ig.com.br", "itelefonica.com.br", "r7.com", "zipmail.com.br", "globo.com", "globomail.com", "oi.com.br"]; 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We will send you additional information once the request is received.<br><br>Thank you for your interest in The Manufacturing Outlook. <br><br></p><div class="col-md-12" style="background-color: #f4f4f4;padding-top: 20px;"><div class="col-md-2"></div><div class="col-md-8"> <div class="form-col" id="subs-form" style="margin-top: 0px;margin-bottom: 30px;width: 100%;border-top: 3px solid #94999e;"> <div class="form-inline row"> <div class="form-group col-md-6 col-xs-12"> <label for="exampleInputName2">First Name </label><span style="color: #d21114;font-size: 16px;">*</span> <input style="width: 100% !important;" type="text" name="fname" class="form-control" id="fname" placeholder="Enter the First Name"> </div> <div class="form-group col-md-6 col-xs-12"> <label for="exampleInputEmail2">Last Name</label><span style="color: #d21114;font-size: 16px;">*</span> <input style="width: 100% !important;" type="text" class="form-control" id="lname" name="lname" placeholder="Enter the Last Name"> </div> <div class="form-group col-md-6 col-xs-12"> <label for="exampleInputName2">Job Title</label><span style="color: #d21114;font-size: 16px;">*</span> <input style="width: 100% !important;" type="text" class="form-control" id="desg" name="desg" placeholder="Enter the Job Title "> </div> <div class="form-group col-md-6 col-xs-12"> <label for="exampleInputEmail2">Company Name</label><span style="color: #d21114;font-size: 17px;">*</span> <input style="width: 100% !important;" type="text" class="form-control" id="company" name="company" placeholder="Enter the Company Name"> </div> <div class="form-group col-md-6 col-xs-12" style=""> <label for="exampleInputName2">Address 1</label><span style="color: #d21114;font-size: 16px;">*</span> <textarea style="width: 100% !important;height: 55px !important;margin-bottom: 20px;" type="text" class="form-control" id="businessaddress1" name="businessaddress1" placeholder="Enter the Address 1 "></textarea> </div> <div class="form-group col-md-6 col-xs-12" style=""> <label for="exampleInputEmail2">Address 2</label> <textarea style="width: 100% !important;height: 55px !important;margin-bottom: 20px;" type="text" class="form-control" id="businessaddress2" name="businessaddress2" placeholder="Enter the Address 2"></textarea> </div> <div class="col-md-12"> <div class="row"> <div style="/*! margin-top: 20px; */text-align: left;float: left;" class="form-group col-md-6 col-xs-12"> <label for="exampleInputName2">Country</label><span style="color: #d21114;font-size: 16px;">*</span> <select class="form-control" name="Country" id="Country" style="width: 100% !important;" onchange="enter_country(this.value);"> <option value="United States" selected="selected">United States</option> <option value="Others">Others</option> </select> </div> <div id="countrybox" style="display: none;" class="form-group col-md-6 col-xs-12"> <label for="exampleInputEmail2">Enter the Country Name</label> <input style="width: 100% !important;" type="text" class="form-control" id="Country1" name="Country1" placeholder=""> </div> <div style="/*! float:left; */" class="form-group col-md-6 col-xs-12"> <label for="exampleInputName2">City/Town</label><span style="color: #d21114;font-size: 16px;">*</span> <input style="width: 100% !important;" type="text" class="form-control" id="city" name="city" placeholder="Enter the City/Town"> </div> <div id="st1" style="float:left;" class="form-group col-md-6 col-xs-12"> <label for="exampleInputEmail2">State/ Province</label><span style="color: #d21114;font-size: 16px;">*</span> <div class="form-txt" id="state_drop" style=" display: block;width: 100%;"> <select class="form-control" id="state" name="state" style="width:100% !important;" onchange="enter_state(this.value);"> <option value="" selected="selected">Select...</option> <option value="Alabama">Alabama</option> <option value="Alaska">Alaska</option> <option value="American Samoa">American Samoa</option> <option value="Arizona">Arizona</option> <option value="Arkansas">Arkansas</option> <option value="California">California</option> <option value="Colorado">Colorado</option> <option value="Connecticut">Connecticut</option> <option value="Delaware">Delaware</option> <option value="District of Columbia">District of Columbia</option> <option value="Florida">Florida</option> <option value="Georgia">Georgia</option> <option value="Guam">Guam</option> <option value="Hawaii">Hawaii</option> <option value="Idaho">Idaho</option> <option value="Illinois">Illinois</option> <option value="Indiana">Indiana</option> <option value="Iowa">Iowa</option> <option value="Kansas">Kansas</option> <option value="Kentucky">Kentucky</option> <option value="Louisiana">Louisiana</option> <option value="Maine">Maine</option> <option value="Maryland">Maryland</option> <option value="Massachusetts">Massachusetts</option> <option value="Michigan">Michigan</option> <option value="Minnesota">Minnesota</option> <option value="Mississippi">Mississippi</option> <option value="Missouri">Missouri</option> <option value="Montana">Montana</option> <option value="Nebraska">Nebraska</option> <option value="Nevada">Nevada</option> <option value="New Hampshire">New Hampshire</option> <option value="New Jersey">New Jersey</option> <option value="New Mexico">New Mexico</option> <option value="New York">New York</option> <option value="North Carolina">North Carolina</option> <option value="North Dakota">North Dakota</option> <option value="Ohio">Ohio</option> <option value="Oklahoma">Oklahoma</option> <option value="Oregon">Oregon</option> <option value="Pennsylvania">Pennsylvania</option> <option value="Puerto Rico">Puerto Rico</option> <option value="Rhode Island">Rhode Island</option> <option value="South Carolina">South Carolina</option> <option value="South Dakota">South Dakota</option> <option value="Tennessee">Tennessee</option> <option value="Texas">Texas</option> <option value="Utah">Utah</option> <option value="Vermont">Vermont</option> <option value="Virginia">Virginia</option> <option value="Washington">Washington</option> <option value="West Virginia">West Virginia</option> <option value="Wisconsin">Wisconsin</option> <option value="Wyoming">Wyoming</option> <option value="Others">Others</option> </select> </div> <div class="form-txt" id="state_text" style="width: 100% !important; display: none;"><input type="text" id="state1" name="state1" class="form-control" style="width:100% !important;"></div> </div> <div class="form-group col-md-6 col-xs-12"> <label for="exampleInputEmail2">Zip code</label><span style="color: #d21114;font-size: 16px;">*</span> <input style="width: 100% !important;" type="text" class="form-control" id="pin" name="pin" placeholder="56884"> </div> <div class="form-group col-md-6 col-xs-12"> <label for="exampleInputEmail2">Phone Number</label><span style="color: #d21114;font-size: 16px;">*</span> <div> <input name="phone11" id="phone11" class="form-control input-txt" maxlength="3" style="width:95px !important;/*! margin-bottom:0px !important; */text-align: center;display: inline-block;" type="text"> - <input name="phone22" id="phone22" class="form-control input-txt" maxlength="3" style="width:95px !important;/*! margin-bottom:0px !important; */text-align: center;display: inline-block;" type="text"> - <input name="phone33" id="phone33" class="form-control input-txt" maxlength="4" style="width:87px !important;/*! margin-bottom:0px !important; */text-align: center;display: inline-block;" type="text"> <input name="mobno" id="mobno" value="" type="hidden"> </div> </div> <div class="form-group col-md-6 col-xs-12"> <label for="exampleInputEmail2">Business Email</label><span style="color: #d21114;font-size: 16px;">*</span> <input style="width: 100% !important;" type="text" class="form-control" id="email_new" name="email_new" placeholder="Enter the Business Email"> </div> </div> </div> </div> </div> <div class="form-col" id="subs-form" style="margin-top: 0px;margin-bottom: 30px;width: 100% !important;border-top: 3px solid #94999e;"> <h3 style="font-weight: 300 !important;padding-bottom: 20px;">Qualification</h3> <div class=""> <div class="form-inline row"> <div class="col-md-12"> <div class="row"> <div class="col-md-12"> <div class="row"> <div class="col-md-12"> <div style="" class="form-group col-md-12"> <label for="exampleInputName2">Total number of employees in your organization </label><span style="color: #d21114;font-size: 16px;">*</span> <select class="form-control" style="width: 100% !important;" id="EMPLOYEES" name="EMPLOYEES"> <option value="" selected="selected">Total Employees in your entire organization</option> <option value="40,000">1. Over 40,000</option> <option value="30,001 - 40,000">2. 30,001 - 40,000</option> <option value="20,001 - 30,000">3. 20,001 - 30,000</option> <option value="10,001 - 20,000">4. 10,001 - 20,000</option> <option value="5,001 - 10,000">5. 5,001 - 10,000</option> <option value="1,001 - 5,000">6. 1,001 - 5,000</option> <option value="501 - 1,000">7. 501 - 1,000</option> <option value="100-500">8. 100-500</option> <option value="Less than 100">9. Less than 100</option></select> </div> <div style="" class="form-group col-md-12"> <label for="exampleInputName2">Which of the following best describes your primary job function? </label><span style="color: #d21114;font-size: 16px;">*</span> <select class="form-control" style="width: 100% !important;" id="jobfunc" name="jobfunction" onchange="check_jobfunc(this.value);"> <option value="" selected="selected">Select Your job function</option> <option value="General Manager">General Manager</option> <option value="Head of Manufacturing">Head of Manufacturing</option> <option value="Purchasing">Purchasing</option> <option value="Distribution">Distribution</option> <option value="Installation">Installation</option> <option value="Maintenance">Maintenance</option> <option value="Supply Chain Heads">Supply Chain Heads</option> <option value="Production">Production</option> <option value="Operations">Operations</option> <option value="Safety">Safety</option> <option value="Quality Assurance">Quality Assurance</option> <option value="Control division">Control division</option> <option value="Engineering">Engineering</option> <option value="Procurement">Procurement</option> <option value="other">Other (please specify)</option> </select> <label for="exampleInputEmail2" id="jobfunction_other1" style="display:none;" >If your job function is "Other" please specify:</label> <input type="text" class="form-control" style="width: 100% !important; display:none;" id="jobfunction_other" name="jobfunction_other" placeholder="Enter your other job function"/> </div> <div style="" class="form-group col-md-12"> <label for="exampleInputName2">Which of the following best describes your organization's industry or function? (Select one only)</label><span style="color: #d21114;font-size: 16px;">*</span> <select class="form-control" style="width: 100% !important;" id="products" name="products" onchange="check_products(this.value);"> <option value="">Please select an industry.....</option> <option value="Automotive">1. Automotive</option> <option value="Aerospace & Defense">2. Aerospace & Defense</option> <option value="Machinery">3. Machinery</option> <option value="Computer/Electronics">4. Computer/Electronics</option> <option value="Robotics and Automation">5. Robotics and Automation</option> <option value="Metal Manufacturing">6. Metal Manufacturing</option> <option value="Electrical Equipment, Appliances, and Components">7. Electrical Equipment, Appliances, and Components</option> <option value="Pharmaceutical & Medical Devices">8. Pharmaceutical & Medical Devices</option> <option value="Industrial Equipment">9. Industrial Equipment</option> <option value="Food & Beverage">10. Food & Beverage</option> <option value="Energy & Power">11. Energy & Power</option> <option value="Chemicals & Petroleum">12. Chemicals & Petroleum</option> <option value="Plastics">13. Plastics</option> <option value="Pulp & Paper">14. Pulp & Paper </option> <option value="Rubber & Tire">15. Rubber & Tire </option> <option value="Wire & Cable">16. Wire & Cable </option> <option value="Wood & Glass">17. Wood & Glass</option> <option value="Textiles, Leather & Apparel">18. Textiles, Leather & Apparel</option> <option value="Steel & Metal">19. Steel & Metal </option> <option value="Printing">20. Printing </option> <option value="Foam">21. Foam </option> <option value="other">22. Other(please specify)</option> </select> <label for="exampleInputEmail2" id="otherproduct1" style="display:none;" >If your company's main activity is "Other" please specify:</label> <input style="width: 100% !important; display:none;" type="text" class="form-control" id="otherproduct" name="otherproduct" placeholder="Enter your other production activity"> </div> <div style="" class="form-group col-md-12"> <label for="exampleInputName2">Which of the following products, services and / or technologies do you currently or plan to approve, specify, recommend, purchase or influence the purchase of? 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