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class="col-sm-12"><sup>*</sup> New password</label> <div class="col-sm-12"><input class="form-control" type="password" id="password" name="password" value=""></div> </div><!-- /.form-group --> <div class="form-group"> <label class="col-sm-12"><sup>*</sup> Confirm your new password</label> <div class="col-sm-12"><input class="form-control" type="password" id="password2" name="password2" value=""></div> </div><!-- /.form-group --> <div class="clearfix"></div><hr /> <div class="form-group"> <label class="col-sm-12"><sup>*</sup> Function</label> <div class="col-sm-12"><input class="form-control" type="text" id="tx_etim_jobtitle" name="tx_etim_jobtitle" value=""></div> </div><!-- /.form-group --> <div class="form-group"> <label class="col-sm-12"><sup>*</sup> Department</label> <div class="col-sm-12"><input class="form-control" type="text" id="tx_etim_department" name="tx_etim_department" value=""></div> </div><!-- /.form-group --> <div class="form-group"> <label class="col-sm-12"><sup>*</sup> Company</label> <div class="col-sm-12"><input class="form-control" type="text" id="company" name="company" value=""></div> </div><!-- /.form-group --> <div class="form-group"> <label class="col-sm-12"><sup>*</sup> Address</label> <div class="col-sm-12"><input class="form-control" type="text" id="address" name="address" value=""></div> </div><!-- /.form-group --> <div class="form-group"> <label class="col-sm-12">Address 2</label> <div class="col-sm-12"><input class="form-control" type="text" id="tx_etim_address2" name="tx_etim_address2" value=""></div> </div><!-- /.form-group --> <div class="form-group"> <label class="col-sm-12">Address 3</label> <div class="col-sm-12"><input class="form-control" type="text" id="tx_etim_address3" name="tx_etim_address3" value="" ></div> </div><!-- /.form-group --> <div class="form-group"> <label class="col-sm-12"><sup>*</sup> Postcode</label> <div class="col-sm-12"><input class="form-control" type="text" id="zip" name="zip" value="" ></div> </div><!-- /.form-group --> <div class="form-group"> <label class="col-sm-12"><sup>*</sup> City</label> <div class="col-sm-12"><input class="form-control" type="text" id="city" name="city" value="" ></div> </div><!-- /.form-group --> <div class="form-group"> <label class="col-sm-12"><sup>*</sup> Country</label> <div class="col-sm-12"> <select class="form-control" id="country" name="country" > <option value=""></option> <option value="31" rel="press" >Andorra</option><option value="36" rel="press" >Austria</option><option value="207" rel="press" >Belarus</option><option value="41" rel="press" >Belgium</option><option value="121" rel="press" >Bosnia herzegovina</option><option value="51" rel="press" >Bulgaria</option><option value="285" rel="press" >Channel islands</option><option value="75" rel="press" >Croatia</option><option value="12" rel="press" >Czech republic</option><option value="70" rel="press" >Denmark</option><option value="2" rel="press" >Estonia</option><option value="23" rel="press" >Faroe islands</option><option value="81" rel="press" >Finland</option><option value="83" rel="press" >France</option><option value="3" rel="press" >Georgia</option><option value="86" rel="press" >Germany</option><option value="88" rel="press" >Gibraltar</option><option value="89" rel="press" >Greece</option><option value="90" rel="press" >Greenland</option><option value="97" rel="press" >Hungary</option><option value="99" rel="press" >Iceland</option><option value="22" rel="press" >Ireland</option><option value="105" rel="press" >Israel</option><option value="106" rel="press" >Italy</option><option value="5" rel="press" >Latvia</option><option value="117" rel="press" >Liechtenstein</option><option value="6" rel="press" >Lithuania</option><option value="122" rel="press" >Luxembourg</option><option value="19" rel="press" >Macedonia</option><option value="129" rel="press" >Malta</option><option value="298" rel="press" >Man, isle of</option><option value="7" rel="press" >Moldova</option><option value="134" rel="press" >Monaco</option><option value="139" rel="press" >Netherlands</option><option value="144" rel="press" >Norway</option><option value="152" rel="press" >Poland</option><option value="153" rel="press" >Portugal</option><option value="158" rel="press" >Romania</option><option value="8" rel="press" >Russia</option><option value="162" rel="press" >San marino</option><option value="18" rel="press" >Serbia</option><option value="13" rel="press" >Slovakia</option><option value="21" rel="press" >Slovenia</option><option value="173" rel="press" >Spain</option><option value="179" rel="press" >Sweden</option><option value="180" rel="press" >Switzerland</option><option value="191" rel="press" >Turkey</option><option value="10" rel="press" >Ukraine</option><option value="208" rel="press" >United kingdom</option> <option value=""></option> <option value="27" rel="web" >Abu dhabi</option><option value="28" rel="web" >Afghanistan</option><option value="29" rel="web" >Albania</option><option value="30" rel="web" >Algeria</option><option value="279" rel="web" >American samoa</option><option value="32" rel="web" >Angola</option><option value="280" rel="web" >Anguilla</option><option value="33" rel="web" >Antigua</option><option value="34" rel="web" >Argentina</option><option value="104" rel="web" >Armenia</option><option value="281" rel="web" >Aruba</option><option value="35" rel="web" >Australia</option><option value="69" rel="web" >Azerbaijan</option><option value="282" rel="web" >Azores</option><option value="37" rel="web" >Bahamas</option><option value="38" rel="web" >Bahrain</option><option value="39" rel="web" >Bangladesh</option><option value="40" rel="web" >Barbados</option><option value="42" rel="web" >Belize</option><option value="125" rel="web" >Benin</option><option value="43" rel="web" >Bermuda</option><option value="44" rel="web" >Bhutan</option><option value="45" rel="web" >Bissau</option><option value="46" rel="web" >Bolivia</option><option value="47" rel="web" >Borneo</option><option value="48" rel="web" >Botswana</option><option value="49" rel="web" >Brazil</option><option value="283" rel="web" >British indian ocean territories</option><option value="50" rel="web" >Brunei</option><option value="195" rel="web" >Burkina faso</option><option value="54" rel="web" >Burundi</option><option value="53" rel="web" >Cambodia</option><option value="55" rel="web" >Cameroon</option><option value="56" rel="web" >Canada</option><option value="263" rel="web" >Cape verde</option><option value="284" rel="web" >Caroline islands</option><option value="248" rel="web" >Cayman islands</option><option value="58" rel="web" >Cent african rep</option><option value="59" rel="web" >Chad</option><option value="60" rel="web" >Chile</option><option value="61" rel="web" >China</option><option value="286" rel="web" >Christmas island</option><option value="287" rel="web" >Cocos (keeling) islands</option><option value="62" rel="web" >Colombia</option><option value="264" rel="web" >Comoros</option><option value="26" rel="web" >Congo republic</option><option value="288" rel="web" >Cook islands</option><option value="65" rel="web" >Costa rica</option><option value="67" rel="web" >Cuba</option><option value="68" rel="web" >Cyprus</option><option value="289" rel="web" >Democratic republic congo</option><option value="71" rel="web" >Djibouti</option><option value="290" rel="web" >Dominica</option><option value="72" rel="web" >Dominican rep</option><option value="73" rel="web" >Dubai</option><option value="266" rel="web" >East timor</option><option value="291" rel="web" >Easter island</option><option value="74" rel="web" >Ecuador</option><option value="76" rel="web" >Egypt</option><option value="77" rel="web" >El salvador</option><option value="292" rel="web" >Equatorial guinea</option><option value="259" rel="web" >Eritrea</option><option value="78" rel="web" >Ethiopia</option><option value="79" rel="web" >Falkland islands</option><option value="80" rel="web" >Fiji</option><option value="82" rel="web" >Fr guiana</option><option value="293" rel="web" >French guiana</option><option value="253" rel="web" >French polynesia</option><option value="84" rel="web" >Gabon</option><option value="85" rel="web" >Gambia</option><option value="317" rel="web" >Gaza &amp; khan yunis</option><option value="87" rel="web" >Ghana</option><option value="294" rel="web" >Gilbert islands</option><option value="256" rel="web" >Grenada</option><option value="252" rel="web" >Guadeloupe</option><option value="295" rel="web" >Guam</option><option value="91" rel="web" >Guatemala</option><option value="92" rel="web" >Guinea</option><option value="296" rel="web" >Guinea-bissau</option><option value="93" rel="web" >Guyana</option><option value="94" rel="web" >Haiti</option><option value="95" rel="web" >Honduras</option><option value="96" rel="web" >Hong kong</option><option value="100" rel="web" >India</option><option value="101" rel="web" >Indonesia</option><option value="102" rel="web" >Iran</option><option value="103" rel="web" >Iraq</option><option value="107" rel="web" >Ivory coast</option><option value="108" rel="web" >Jamaica</option><option value="109" rel="web" >Japan</option><option value="110" rel="web" >Jordan</option><option value="4" rel="web" >Kazakhstan</option><option value="111" rel="web" >Kenya</option><option value="112" rel="web" >Kiribati</option><option value="316" rel="web" >Kosovo</option><option value="113" rel="web" >Kuwait</option><option value="14" rel="web" >Kyrgyzstan</option><option value="114" rel="web" >Laos</option><option value="115" rel="web" >Lebanon</option><option value="116" rel="web" >Leeward islands</option><option value="118" rel="web" >Lesotho</option><option value="119" rel="web" >Liberia</option><option value="120" rel="web" >Libya</option><option value="25" rel="web" >Macau</option><option value="123" rel="web" >Madagascar</option><option value="126" rel="web" >Malawi</option><option value="127" rel="web" >Malaysia</option><option value="249" rel="web" >Maldives</option><option value="128" rel="web" >Mali</option><option value="267" rel="web" >Marshall islands</option><option value="257" rel="web" >Martinique</option><option value="130" rel="web" >Mauritania</option><option value="131" rel="web" >Mauritius</option><option value="299" rel="web" >Mayotte</option><option value="132" rel="web" >Mexico</option><option value="268" rel="web" >Micronesia, federated states of</option><option value="135" rel="web" >Mongolia</option><option value="192" rel="web" >Montenegro</option><option value="300" rel="web" >Montserrat</option><option value="136" rel="web" >Morocco</option><option value="137" rel="web" >Mozambique</option><option value="52" rel="web" >Myanmar</option><option value="161" rel="web" >Namibia</option><option value="269" rel="web" >Nauru</option><option value="138" rel="web" >Nepal</option><option value="262" rel="web" >Netherlands antilles</option><option value="20" rel="web" >New caledonia</option><option value="140" rel="web" >New zealand</option><option value="141" rel="web" >Nicaragua</option><option value="142" rel="web" >Niger</option><option value="143" rel="web" >Nigeria</option><option value="301" rel="web" >Niue</option><option value="260" rel="web" >Norfolk island</option><option value="17" rel="web" >North korea</option><option value="302" rel="web" >Northern mariana islands</option><option value="145" rel="web" >Oman</option><option value="146" rel="web" >Pakistan</option><option value="270" rel="web" >Palau</option><option value="24" rel="web" >Palestine</option><option value="147" rel="web" >Panama</option><option value="148" rel="web" >Papua new guinea</option><option value="149" rel="web" >Paraguay</option><option value="150" rel="web" >Peru</option><option value="151" rel="web" >Philippines</option><option value="303" rel="web" >Phoenix islands</option><option value="304" rel="web" >Pitcairn islands</option><option value="154" rel="web" >Puerto rico</option><option value="155" rel="web" >Qatar</option><option value="156" rel="web" >Ras al khaimah</option><option value="255" rel="web" >Reunion</option><option value="157" rel="web" >Rhodesia</option><option value="305" rel="web" >Rodrigues</option><option value="159" rel="web" >Rwanda</option><option value="271" rel="web" >Saint kitts and nevis</option><option value="261" rel="web" >Saint lucia</option><option value="272" rel="web" >Saint vincent and the genadines</option><option value="273" rel="web" >Samoa</option><option value="274" rel="web" >Sao tome and principe</option><option value="164" rel="web" >Saudi arabia</option><option value="165" rel="web" >Senegal</option><option value="166" rel="web" >Seychelles</option><option value="167" rel="web" >Sharjah</option><option value="169" rel="web" >Sierra leone</option><option value="170" rel="web" >Singapore</option><option value="306" rel="web" >Society islands</option><option value="258" rel="web" >Solomon islands</option><option value="171" rel="web" >Somalia</option><option value="160" rel="web" >South africa</option><option value="16" rel="web" >South korea</option><option value="318" rel="web" >South sudan</option><option value="174" rel="web" >Sri lanka</option><option value="175" rel="web" >St helena</option><option value="308" rel="web" >St kitts-nevis</option><option value="309" rel="web" >St lucia</option><option value="310" rel="web" >St vincent and grenadines</option><option value="176" rel="web" >Sudan</option><option value="177" rel="web" >Surinam</option><option value="254" rel="web" >Suriname</option><option value="178" rel="web" >Swaziland</option><option value="181" rel="web" >Syria</option><option value="182" rel="web" >Taiwan</option><option value="15" rel="web" >Tajikistan</option><option value="183" rel="web" >Tanzania</option><option value="184" rel="web" >Thailand</option><option value="185" rel="web" >Tibet</option><option value="186" rel="web" >Timor</option><option value="187" rel="web" >Tobago</option><option value="188" rel="web" >Togo</option><option value="311" rel="web" >Tokelau</option><option value="275" rel="web" >Tonga</option><option value="189" rel="web" >Trinidad and tobago</option><option value="190" rel="web" >Tunisia</option><option value="11" rel="web" >Turkmenistan</option><option value="312" rel="web" >Turks and caicos islands</option><option value="276" rel="web" >Tuvalu</option><option value="193" rel="web" >Uganda</option><option value="194" rel="web" >United arab em s</option><option value="0" rel="web" >Unknown</option><option value="247" rel="web" >Unknown</option><option value="196" rel="web" >Uruguay</option><option value="197" rel="web" >Usa</option><option value="9" rel="web" >Uzbekistan</option><option value="277" rel="web" >Vanuatu</option><option value="278" rel="web" >Vatican city</option><option value="198" rel="web" >Venezuela</option><option value="199" rel="web" >Vietnam</option><option value="250" rel="web" >Virgin islands</option><option value="313" rel="web" >Wake island</option><option value="314" rel="web" >Wallis and futuna</option><option value="200" rel="web" >West indies</option><option value="172" rel="web" >Western sahara</option><option value="201" rel="web" >Windward islands</option><option value="202" rel="web" >Yemen</option><option value="204" rel="web" >Zaire</option><option value="205" rel="web" >Zambia</option><option value="315" rel="web" >Zanzibar</option><option value="206" rel="web" >Zimbabwe</option><option value="27" rel="web" >Abu dhabi</option><option value="28" rel="web" >Afghanistan</option><option value="29" rel="web" >Albania</option><option value="30" rel="web" >Algeria</option><option value="279" rel="web" >American samoa</option><option value="31" rel="web" >Andorra</option><option value="32" rel="web" >Angola</option><option value="280" rel="web" >Anguilla</option><option value="33" rel="web" >Antigua</option><option value="34" rel="web" >Argentina</option><option value="104" rel="web" >Armenia</option><option value="281" rel="web" >Aruba</option><option value="35" rel="web" >Australia</option><option value="36" rel="web" >Austria</option><option value="69" rel="web" >Azerbaijan</option><option value="282" rel="web" >Azores</option><option value="37" rel="web" >Bahamas</option><option value="38" rel="web" >Bahrain</option><option value="39" rel="web" >Bangladesh</option><option value="40" rel="web" >Barbados</option><option value="207" rel="web" >Belarus</option><option value="41" rel="web" >Belgium</option><option value="42" rel="web" >Belize</option><option value="125" rel="web" >Benin</option><option value="43" rel="web" >Bermuda</option><option value="44" rel="web" >Bhutan</option><option value="45" rel="web" >Bissau</option><option value="46" rel="web" >Bolivia</option><option value="47" rel="web" >Borneo</option><option value="121" rel="web" >Bosnia herzegovina</option><option value="48" rel="web" >Botswana</option><option value="49" rel="web" >Brazil</option><option value="283" rel="web" >British indian ocean territories</option><option value="50" rel="web" >Brunei</option><option value="51" rel="web" >Bulgaria</option><option value="195" rel="web" >Burkina faso</option><option value="54" rel="web" >Burundi</option><option value="53" rel="web" >Cambodia</option><option value="55" rel="web" >Cameroon</option><option value="56" rel="web" >Canada</option><option value="263" rel="web" >Cape verde</option><option value="284" rel="web" >Caroline islands</option><option value="248" rel="web" >Cayman islands</option><option value="58" rel="web" >Cent african rep</option><option value="59" rel="web" >Chad</option><option value="285" rel="web" >Channel islands</option><option value="60" rel="web" >Chile</option><option value="61" rel="web" >China</option><option value="286" rel="web" >Christmas island</option><option value="287" rel="web" >Cocos (keeling) islands</option><option value="62" rel="web" >Colombia</option><option value="264" rel="web" >Comoros</option><option value="26" rel="web" >Congo republic</option><option value="288" rel="web" >Cook islands</option><option value="65" rel="web" >Costa rica</option><option value="75" rel="web" >Croatia</option><option value="67" rel="web" >Cuba</option><option value="68" rel="web" >Cyprus</option><option value="12" rel="web" >Czech republic</option><option value="289" rel="web" >Democratic republic congo</option><option value="70" rel="web" >Denmark</option><option value="71" rel="web" >Djibouti</option><option value="290" rel="web" >Dominica</option><option value="72" rel="web" >Dominican rep</option><option value="73" rel="web" >Dubai</option><option value="266" rel="web" >East timor</option><option value="291" rel="web" >Easter island</option><option value="74" rel="web" >Ecuador</option><option value="76" rel="web" >Egypt</option><option value="77" rel="web" >El salvador</option><option value="292" rel="web" >Equatorial guinea</option><option value="259" rel="web" >Eritrea</option><option value="2" rel="web" >Estonia</option><option value="78" rel="web" >Ethiopia</option><option value="79" rel="web" >Falkland islands</option><option value="23" rel="web" >Faroe islands</option><option value="80" rel="web" >Fiji</option><option value="81" rel="web" >Finland</option><option value="82" rel="web" >Fr guiana</option><option value="83" rel="web" >France</option><option value="293" rel="web" >French guiana</option><option value="253" rel="web" >French polynesia</option><option value="84" rel="web" >Gabon</option><option value="85" rel="web" >Gambia</option><option value="317" rel="web" >Gaza &amp; khan yunis</option><option value="3" rel="web" >Georgia</option><option value="86" rel="web" >Germany</option><option value="87" rel="web" >Ghana</option><option value="88" rel="web" >Gibraltar</option><option value="294" rel="web" >Gilbert islands</option><option value="89" rel="web" >Greece</option><option value="90" rel="web" >Greenland</option><option value="256" rel="web" >Grenada</option><option value="252" rel="web" >Guadeloupe</option><option value="295" rel="web" >Guam</option><option value="91" rel="web" >Guatemala</option><option value="92" rel="web" >Guinea</option><option value="296" rel="web" >Guinea-bissau</option><option value="93" rel="web" >Guyana</option><option value="94" rel="web" >Haiti</option><option value="95" rel="web" >Honduras</option><option value="96" rel="web" >Hong kong</option><option value="97" rel="web" >Hungary</option><option value="99" rel="web" >Iceland</option><option value="100" rel="web" >India</option><option value="101" rel="web" >Indonesia</option><option value="102" rel="web" >Iran</option><option value="103" rel="web" >Iraq</option><option value="22" rel="web" >Ireland</option><option value="105" rel="web" >Israel</option><option value="106" rel="web" >Italy</option><option value="107" rel="web" >Ivory coast</option><option value="108" rel="web" >Jamaica</option><option value="109" rel="web" >Japan</option><option value="110" rel="web" >Jordan</option><option value="4" rel="web" >Kazakhstan</option><option value="111" rel="web" >Kenya</option><option value="112" rel="web" >Kiribati</option><option value="316" rel="web" >Kosovo</option><option value="113" rel="web" >Kuwait</option><option value="14" rel="web" >Kyrgyzstan</option><option value="114" rel="web" >Laos</option><option value="5" rel="web" >Latvia</option><option value="115" rel="web" >Lebanon</option><option value="116" rel="web" >Leeward islands</option><option value="118" rel="web" >Lesotho</option><option value="119" rel="web" >Liberia</option><option value="120" rel="web" >Libya</option><option value="117" rel="web" >Liechtenstein</option><option value="6" rel="web" >Lithuania</option><option value="122" rel="web" >Luxembourg</option><option value="25" rel="web" >Macau</option><option value="19" rel="web" >Macedonia</option><option value="123" rel="web" >Madagascar</option><option value="126" rel="web" >Malawi</option><option value="127" rel="web" >Malaysia</option><option value="249" rel="web" >Maldives</option><option value="128" rel="web" >Mali</option><option value="129" rel="web" >Malta</option><option value="298" rel="web" >Man, isle of</option><option value="267" rel="web" >Marshall islands</option><option value="257" rel="web" >Martinique</option><option value="130" rel="web" >Mauritania</option><option value="131" rel="web" >Mauritius</option><option value="299" rel="web" >Mayotte</option><option value="132" rel="web" >Mexico</option><option value="268" rel="web" >Micronesia, federated states of</option><option value="7" rel="web" >Moldova</option><option value="134" rel="web" >Monaco</option><option value="135" rel="web" >Mongolia</option><option value="192" rel="web" >Montenegro</option><option value="300" rel="web" >Montserrat</option><option value="136" rel="web" >Morocco</option><option value="137" rel="web" >Mozambique</option><option value="52" rel="web" >Myanmar</option><option value="161" rel="web" >Namibia</option><option value="269" rel="web" >Nauru</option><option value="138" rel="web" >Nepal</option><option value="139" rel="web" >Netherlands</option><option value="262" rel="web" >Netherlands antilles</option><option value="20" rel="web" >New caledonia</option><option value="140" rel="web" >New zealand</option><option value="141" rel="web" >Nicaragua</option><option value="142" rel="web" >Niger</option><option value="143" rel="web" >Nigeria</option><option value="301" rel="web" >Niue</option><option value="260" rel="web" >Norfolk island</option><option value="17" rel="web" >North korea</option><option value="302" rel="web" >Northern mariana islands</option><option value="144" rel="web" >Norway</option><option value="145" rel="web" >Oman</option><option value="146" rel="web" >Pakistan</option><option value="270" rel="web" >Palau</option><option value="24" rel="web" >Palestine</option><option value="147" rel="web" >Panama</option><option value="148" rel="web" >Papua new guinea</option><option value="149" rel="web" >Paraguay</option><option value="150" rel="web" >Peru</option><option value="151" rel="web" >Philippines</option><option value="303" rel="web" >Phoenix islands</option><option value="304" rel="web" >Pitcairn islands</option><option value="152" rel="web" >Poland</option><option value="153" rel="web" >Portugal</option><option value="154" rel="web" >Puerto rico</option><option value="155" rel="web" >Qatar</option><option value="156" rel="web" >Ras al khaimah</option><option value="255" rel="web" >Reunion</option><option value="157" rel="web" >Rhodesia</option><option value="305" rel="web" >Rodrigues</option><option value="158" rel="web" >Romania</option><option value="8" rel="web" >Russia</option><option value="159" rel="web" >Rwanda</option><option value="271" rel="web" >Saint kitts and nevis</option><option value="261" rel="web" >Saint lucia</option><option value="272" rel="web" >Saint vincent and the genadines</option><option value="273" rel="web" >Samoa</option><option value="162" rel="web" >San marino</option><option value="274" rel="web" >Sao tome and principe</option><option value="164" rel="web" >Saudi arabia</option><option value="165" rel="web" >Senegal</option><option value="18" rel="web" >Serbia</option><option value="166" rel="web" >Seychelles</option><option value="167" rel="web" >Sharjah</option><option value="169" rel="web" >Sierra leone</option><option value="170" rel="web" >Singapore</option><option value="13" rel="web" >Slovakia</option><option value="21" rel="web" >Slovenia</option><option value="306" rel="web" >Society islands</option><option value="258" rel="web" >Solomon islands</option><option value="171" rel="web" >Somalia</option><option value="160" rel="web" >South africa</option><option value="16" rel="web" >South korea</option><option value="318" rel="web" >South sudan</option><option value="173" rel="web" >Spain</option><option value="174" rel="web" >Sri lanka</option><option value="175" rel="web" >St helena</option><option value="308" rel="web" >St kitts-nevis</option><option value="309" rel="web" >St lucia</option><option value="310" rel="web" >St vincent and grenadines</option><option value="176" rel="web" >Sudan</option><option value="177" rel="web" >Surinam</option><option value="254" rel="web" >Suriname</option><option value="178" rel="web" >Swaziland</option><option value="179" rel="web" >Sweden</option><option value="180" rel="web" >Switzerland</option><option value="181" rel="web" >Syria</option><option value="182" rel="web" >Taiwan</option><option value="15" rel="web" >Tajikistan</option><option value="183" rel="web" >Tanzania</option><option value="184" rel="web" >Thailand</option><option value="185" rel="web" >Tibet</option><option value="186" rel="web" >Timor</option><option value="187" rel="web" >Tobago</option><option value="188" rel="web" >Togo</option><option value="311" rel="web" >Tokelau</option><option value="275" rel="web" >Tonga</option><option value="189" rel="web" >Trinidad and tobago</option><option value="190" rel="web" >Tunisia</option><option value="191" rel="web" >Turkey</option><option value="11" rel="web" >Turkmenistan</option><option value="312" rel="web" >Turks and caicos islands</option><option value="276" rel="web" >Tuvalu</option><option value="193" rel="web" >Uganda</option><option value="10" rel="web" >Ukraine</option><option value="194" rel="web" >United arab em s</option><option value="208" rel="web" >United kingdom</option><option value="0" rel="web" >Unknown</option><option value="247" rel="web" >Unknown</option><option value="196" rel="web" >Uruguay</option><option value="197" rel="web" >Usa</option><option value="9" rel="web" >Uzbekistan</option><option value="277" rel="web" >Vanuatu</option><option value="278" rel="web" >Vatican city</option><option value="198" rel="web" >Venezuela</option><option value="199" rel="web" >Vietnam</option><option value="250" rel="web" >Virgin islands</option><option value="313" rel="web" >Wake island</option><option value="314" rel="web" >Wallis and futuna</option><option value="200" rel="web" >West indies</option><option value="172" rel="web" >Western sahara</option><option value="201" rel="web" >Windward islands</option><option value="202" rel="web" >Yemen</option><option value="204" rel="web" >Zaire</option><option value="205" rel="web" >Zambia</option><option value="315" rel="web" >Zanzibar</option><option value="206" rel="web" >Zimbabwe</option> </select> </div> </div><!-- /.form-group --> <div class="form-group"> <label class="col-sm-12"><sup>*</sup> Phone number</label> <div class="col-sm-12"><input class="form-control" type="text" id="telephone" name="telephone" value=""></div> </div><!-- 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Engineering</option> <option value="104" >Other Engineering</option> <option value="105" >Purchasing or Procurement</option> <option value="106" >Others not mentioned</option> </select> </div> <div class="clearfix"></div><br /> <label class="col-sm-12"><sup>*</sup> Company Size</label> <div class="col-sm-12"> <select class="form-control" id="question2" name="question2" > <option value=""></option> <option value="107" >Up to 24</option> <option value="108" >25 to 49</option> <option value="109" >50 to 249</option> <option value="110" >250 to 499</option> <option value="111" >500 and more</option> </select> </div> <div class="clearfix"></div><br /> <label class="col-sm-12"><sup>*</sup> Primary End Product</label> <div class="col-sm-12"> <select class="form-control" id="question3" name="question3" > <option value=""></option> <option value="112" >Fabricated Metal Products</option> <option value="113" >Machinery (except electrical) and Equipment</option> <option value="114" >Electric 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Prods</option> <option value="130" >Others not mentioned above</option> </select> </div> <div class="clearfix"></div><br /> <div class="clearfix"></div> <input type="submit" class="btn btn-red btn-large submitSubscribeRenewForm" value="Next >" /> <div class="clearfix"></div> </div><!-- /.content --> </div><!-- /#professionalInfo --> <div role="tabpanel" class="tab-pane" id="topicals"> <div class="content"> <label class="col-sm-12">IEN Europe regularly sends newsletters relating to specific topics and product groups.<br />Please select from the list below the subjects that might be of interest to you:<br /><br /></label> <div class="col-sm-12"> <div class="form-group"> <input type="checkbox" value="100001" name="sli[]" id="sli_100001" > <label for="sli_100001" class="cursorPointer fw400">Automation</label> </div> <div class="form-group"> <input type="checkbox" value="100012" name="sli[]" id="sli_100012" > <label for="sli_100012" class="cursorPointer fw400">Industry 4.0</label> </div> 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id="sli_100013" > <label for="sli_100013" class="cursorPointer fw400">Energy Efficiency</label> </div> <div class="form-group"> <input type="checkbox" value="100003" name="sli[]" id="sli_100003" > <label for="sli_100003" class="cursorPointer fw400">Electronics &amp; Electricity</label> </div> <div class="form-group"> <input type="checkbox" value="100002" name="sli[]" id="sli_100002" > <label for="sli_100002" class="cursorPointer fw400">Hydraulics &amp; Pneumatics</label> </div> <div class="form-group"> <input type="checkbox" value="100004" name="sli[]" id="sli_100004" > <label for="sli_100004" class="cursorPointer fw400">Industrial Equipment &amp; Supplies</label> </div> <div class="form-group"> <input type="checkbox" value="100023" name="sli[]" id="sli_100023" > <label for="sli_100023" class="cursorPointer fw400">Covid-19</label> </div> <div class="form-group"> <input type="checkbox" value="100099" name="sli[]" id="sli_100099" > <label for="sli_100099" class="cursorPointer 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"Validation" = we are called from the validation click (next) in stead of a click on tabs verifyEmailAddress( 'validation' ); } else { // No erros / can go to next tab ? if( formValidationResult ) gotoNextTab(); } } // fct validateSubscriptionForm // Handler function verifyEmailAddress( caller, tabNumber ) { // Loading $('#tabiewsSpinningWheel').fadeIn( 300, function() { // Hit $.ajax({ async: true, type: 'GET', url: globalVar_commonValidationSettings.formObject.attr( 'action' ) + '&b=verifyEmail&email=' + $.trim( $('#email').val() ) + '&csrf=' + globalVar_csrf, success: function( data ){ // Set global var globalVar_emailValidated = ( $.trim( data ) == 'true' ) ? true : false; // Finished $('#tabiewsSpinningWheel').hide(); // Warn if( !globalVar_emailValidated ) { triggerAccountAlreadyExistsErrorMessage(); $('#email').addClass('error').focus(); } // All good and we are called from the validation click (next) in stead of a click on tabs ? if( globalVar_emailValidated && caller == 'validation' ) { gotoNextTab(); } // Failed and we are called from the tabs click in stead of a next button ? if( globalVar_emailValidated && caller == 'tabs' ) { globalVar_clickEvent.preventDefault(); if( parseInt( globalVar_currentTabNumber ) != parseInt( tabNumber ) ) gotoTab( parseInt( tabNumber - 1 ) ); } } // success }); // $.ajax }); // $.fadeIn } // fct verifyEmailAddress // Switch function gotoTab( tabNumber ) { // Tab $( '#ulTabsContainer li' ).removeClass('active'); $( '#ulTabsContainer li:eq( ' + tabNumber + ' )' ).addClass('active'); // Tab container $( '.tab-pane' ).removeClass('active'); $( '.tab-pane:eq( ' + tabNumber + ' )' ).addClass('active'); // Body background click areas (otherwise taken into account when sliding) $('.right-bg-advert, .left-bg-advert').hide(); // Focus / fix $.scrollTo( ( parseInt( $('.dynamicForm').position().top ) - 150 ), 500 ); // Body background click areas (otherwise taken into account when sliding) $('.right-bg-advert, .left-bg-advert').show(); // Done return; } // fct gotoTab // Switch function gotoNextTab( e ) { // Define globalVar_currentTabNumber = parseInt( getCurrentTabNumber() ); // Not already on last tab ? if( globalVar_currentTabNumber < 4 ) gotoTab( globalVar_currentTabNumber ); } // fct gotoNextTab // Get current tab number function getCurrentTabNumber(){ toReturn = 1; $.each( $('#ulTabsContainer li'), function( k,v ) { if( $( this ).hasClass('active') ) toReturn = parseInt( parseInt( k ) + 1 ); }); return toReturn; } function triggerAccountAlreadyExistsErrorMessage() { // Focus on first tab gotoTab( 0 ); // Do open modal box / overlay layer new jBox( 'Modal') .setTitle('<i class="fa fa-warning"></i> Warning') .setContent('<p><b>An account with this e-mail address already exists.</b><br /><br />1. Please <a href="/my-ien-europe/?email=' + $.trim( $('#email').val() ) + '" target="_blank">connect first</a> before you renew your subscription.<br />2. Have you forgotten your password ? <a target="_blank" href="/my-ien-europe/forgot-password/">Click here</a> to recover it.</p>') .open() ; } // fct triggerAccountAlreadyExistsErrorMessage function submitRegisterHandler() { // Make sure we're on the last tab gotoTab( 3 ); // 001 - Texts for account creation var confirmationTexts = { title : '<i class="fa fa-check"></i> Thank you for subscribing to the IEN Europe magazine', content : '<p class="hideForMobile"><a href="/index.php?id=312" target="_blank" class="hideForMobile"><img loading="lazy" src="/cdn/websites/ien/img/magazine.jpg" style="float:right; margin:0 0 20px 20px; max-width:140px; border:1px solid #aaa" /></a><b>Your subscription to our magazine has been taken into account, thank you.</b><br /><br /><span class="errorBox padding10 displayInlineBlock textAlignLeft">We sent you an email on <b>' + $.trim( $('#email').val() ) + '</b> to verify your identity.<br />Please open it and click on the verification link to fully activate 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Industry news articles<br />&nbsp;&nbsp;&nbsp;- Application stories<br />&nbsp;&nbsp;&nbsp;- And much more!<br /><br /><br /><b>Your username is: ' + $.trim( $('#email').val() ) + '</b><br />You can manage your account online at any time, by logging in at <a href="/" target="_blank">www.ien.eu</a>.<br /><br />Please do not hesitate to contact us if you would like to receive more information about our website and services.<br /><br />Best regards,<br />Registration Service, IEN Europe<br /></p>' }; } // 002 - Texts for renewal // 003 - Inject confirmation in page $('#misc .content') .empty() .css({padding: "0 20px"}) .html( '<label class="error">' + confirmationTexts.title + '</label><br /><br />' + confirmationTexts.content ); // 004 - Disable tabs clicks $( '#tabiewsContainer' ).off( 'show.bs.tab' ).on( 'show.bs.tab', 'a[data-toggle="tab"]', function ( e ) { e.preventDefault(); }); // 005 - Do open modal box / overlay layer new jBox( 'Modal').setTitle( confirmationTexts.title 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