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</script> <style> html { scroll-behavior: smooth; } #section1 { height: 1136px; } #section2 { height: 1132px; } * { margin: 0; padding: 0; } a { text-decoration: none; } a img { border: none; } .clear { clear: both; } body { color: #232e40; font-family:Arial, Helvetica, sans-serif; font-size: 19px; } p { color: #232e40; font-family: Arial, Helvetica, sans-serif; font-size: 29px; line-height: 36px; } /**** wrapper ****/ .wrapper_main{ width:100%; } .wrapper { margin: 46px auto; width: 1125px; text-align:center; } .wrapper_mid { width: 100%; float: left; } .logo { width: 100%; text-align: center; margin-bottom: 49px; float: left; } .container { width: 100%; float: left; } h1 { color: #232f3f; font-size: 48px; font-family: Arial, Helvetica, sans-serif; margin-bottom: 32px; line-height: 60px; } .content_inner2 { width: 1054px; margin: 66px auto 51px; } .content_inner_left { width: 450px; float: left; } .content_inner_right { width: 510px; float: right; } .inner_img { width: 100%; float: left; 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} .content_box .blue_title { margin-top: 0; margin-bottom: 14px; } /**** wrapper ****/ #con_form .submit input { -webkit-appearance: none; -moz-appearance: none; appearance: none; } .form_sec form.form p.submit input { font-family: Arial, Helvetica, sans-serif; font-weight:bold; } .form_sec_Wrapper h5 { margin-bottom: 13px; } .form_sec form.form input.text { width: 398px; } .main_tops { width: 67%; margin: 0 auto; } #con_form h5 { font-size: 21px !important; margin-bottom: 24px; } #con_form h2 { margin-bottom: 0; } #con_form .unique h5 { color: #232f3f; text-align: center; margin-top: 0; margin-bottom: 25px; line-height: 34px; font-weight: 299; padding-top: 0; font-size: 24px !important; } @media only screen and (max-width: 480px) { img,iframe,video{ max-width:100%; } .wrapper { width: 94%; } #section1 { height: auto; } #section2 { height: auto; } .content_inner2 { width: 100%; } .content_inner_left { width: 100%; } .content_inner_right { width: 100%; } .content_inner3 { width: 100%; } .content_nav ul li { font-size: 15px; 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} .main_title { font-size: 25px; } .content_box .blue_title { font-size: 22px; } .blue_Btns_main { margin: 24px 0 44px; } .benefits-sec { margin: 0; } .blue_wrapper_main .blue_title { font-size: 22px; } .blue_wrapper_main p { font-size: 15px; line-height: 19px; } .boxid5_inner b { font-size: 19px; } .boxid5_inner p { font-size: 15px; line-height: 19px; margin-bottom: 12px; } .q_nav ul li { font-size: 16px; line-height: 24px; } .content_box { margin-bottom: 0px; } .wrapper { width: 94%; margin: 46px auto 0; } .blue_wrapper_main { padding: 21px 0 0; margin-bottom: 28px; } .new1 .blue_Btns { float: none; padding: 12px 30px; } .footer { font-size: 15px; line-height: 18px; margin-bottom: 15px; } .content_inner3 { width: 100%; } .form_sec form.form p.submit input { margin: 8px 0; } .content_nav ul li { font-size: 17px; } .main_tops { width: 100%; } .main_tops .coun_box { width: 44%; } #new .main_title { margin-bottom: 27px; } #section2 .blue_Btns { float: none; } .coun_box_img { margin-bottom: 27px; } } @media only screen and (min-width: 641px) and (max-width: 767px) { img,iframe,video{ max-width:100%; } .wrapper { width: 94%; } #section1 { height: auto; } #section2 { height: auto; } .content_inner2 { width: 100%; } .content_inner_left { width: 48%; } .content_inner_right { width: 48%; } .coun_box { width: 31%; margin: 0px 5px; } .boxes_logos_inner img { width: 100%; margin: 0; } .blue_wrapper { width: 94%; } .form_sec h3 { line-height: 36px; font-size: 30px; } .form_sec form.form input.text { width: 96%; } #pardot-form .text{ float: left; } .form_sec #pardot-form .field-label{ text-align: left !important; padding-bottom: 10px; } .form_sec p select { width: 100% !important; float: left !important; padding: 8px 0 !important; } .form_sec p textarea { width: 97% !important; } .form_sec form.form p.submit input{ width: 100%; font-size: 21px; } #pardot-form .submit{ width: 100%; } .form_sec #pardot-form .field-label { text-align: left !important; padding-bottom: 10px; width: 100%; } .blue_Btns.second{ padding: 10px 28px; font-size: 18px; } .blue_Btns.fourth{ padding: 10px 49px; font-size: 22px; } .form-field.Role_Title.pd-select.required.required-custom { float: left; width: 100%; } .form_sec form.form p { margin-left: 0; float: left; width: 100%; } h1 { font-size: 27px; line-height: 35px; } p { font-size: 25px; line-height: 32px; } h2 { font-size: 31px; } .main_title { font-size: 60px; } .content_inner3 { width: 100%; } .content_nav ul li { font-size: 25px; line-height: 32px; } .blue_Btns { font-size: 17px; } .blue_Btns_main { margin-bottom: 59px; } .blue_wrapper_main .blue_title { font-size: 25px; } .blue_wrapper_main p { font-size: 18px; line-height: 24px; } .blue_wrapper_main { margin-bottom: 48px; } .main_title { font-size: 40px; } .form_sec form.form p.submit input { margin: 8px 0; } .main_tops { width: 100%; } .main_tops .coun_box { width: 48%; } } @media only screen and (min-width: 768px) and (max-width: 990px) { img,iframe,video{ max-width:100%; } .wrapper { width: 94%; } .blue_wrapper { width: 94%; } .coun_box { width: 30%; } .blue_Btns_main { margin-top: 30px; } .form_sec form.form p.submit input { margin-top: 25px; margin-bottom: 19px; } h1 { font-size: 33px; line-height: 43px; } p { font-size: 25px; line-height: 32px; } h2 { font-size: 31px; } .main_title { font-size: 60px; } .content_inner3 { width: 100%; } .content_nav ul li { font-size: 25px; line-height: 32px; } .blue_Btns { font-size: 21px; } .blue_Btns_main { margin-bottom: 59px; } .blue_wrapper_main .blue_title { font-size: 25px; } .blue_wrapper_main p { font-size: 18px; line-height: 24px; } .blue_wrapper_main { margin-bottom: 48px; } .main_title { font-size: 40px; } .form_sec form.form p.submit input { margin: 8px 73px; } .content_inner2 { width: 100%; } .content_inner_left { width: 48%; } .content_inner_right { width: 48%; } .coun_box { width: 27%; } .form_sec_Wrapper { width: 100%; } #section2 { height: auto; } #section1 { height: auto; } .wrapper { width: 94%; margin: 46px auto 0; } .boxes_logos_inner img { margin: 0; } .main_tops { width: 100%; } .main_tops .coun_box { width: 43%; } } @media only screen and (min-width: 991px) and (max-width: 1280px) { img,iframe,video{ max-width:100%; } .wrapper { width: 94%; } h1 { font-size: 33px; line-height: 43px; } p { font-size: 25px; line-height: 32px; } h2 { font-size: 31px; } .main_title { font-size: 60px; } .content_inner3 { width: 100%; } .content_nav ul li { font-size: 25px; line-height: 32px; } .blue_Btns { font-size: 21px; } .blue_Btns_main { margin-bottom: 59px; } .blue_wrapper_main .blue_title { font-size: 25px; } .blue_wrapper_main p { font-size: 18px; line-height: 24px; } .blue_wrapper_main { margin-bottom: 48px; } .main_title { font-size: 40px; } .form_sec form.form p.submit input { margin: 8px 73px; } .content_inner2 { width: 100%; } .content_inner_left { width: 48%; } .content_inner_right { width: 48%; } .coun_box { width: 27%; } .form_sec_Wrapper { width: 76%; } #section2 { height: auto; } #section1 { height: auto; } .wrapper { width: 94%; margin: 46px auto 0; } .boxes_logos_inner img { margin: 0; } .blue_wrapper { width: 94%; } .main_tops { width: 75%; } .main_tops .coun_box { width: 43%; } } @media only screen and (min-width: 1920) and (max-width: 2500px) { img,iframe,video{ max-width:100%; } .wrapper { margin: 0 auto 30px auto; } .blue_Btns_main{ margin-bottom: 44px; } .content_inner2_main{ margin: 0px 0 30px; } } </style> <meta name="robots" content="noindex" /><link rel="stylesheet" type="text/css" href="https://go.thehub-amazon.com/css/form.css?ver=2021-09-20" /> <script type="text/javascript" src="https://go.thehub-amazon.com/js/piUtils.js?ver=2021-09-20"></script><script type="text/javascript"> piAId = '432162'; piCId = '67588'; piHostname = 'pi.pardot.com'; (function() { function async_load(){ var s = document.createElement('script'); s.type = 'text/javascript'; s.src = ('https:' == document.location.protocol ? 'https://pi' : 'http://cdn') + '.pardot.com/pd.js'; var c = document.getElementsByTagName('script')[0]; c.parentNode.insertBefore(s, c); } if(window.attachEvent) { window.attachEvent('onload', async_load); } else { window.addEventListener('load', async_load, false); } })(); </script></head> <body>  <div class="wrapper_main"> <div class="wrapper"> <div class="wrapper_mid"> <div class="logo"><a href="#"><img src="https://storage.pardot.com/431162/216195/logo.jpg"></a></div> <div class="container"> <div class="boxid1" id="section1"> <h1>Turn your location into <br/> an Amazon Hub destination.</h1> <p>Amazon Hub is looking for partners with physical locations to host Locker or Counter, allowing Amazon customers to pick up and return their Amazon packages. The program is free to qualified hosts.</p> <div class="content_inner2_main"> <div class="content_inner2"> <div class="content_inner_left"> <div class="inner_img"><img src="https://storage.pardot.com/431162/216197/icon1.jpg"></div> <h2>Amazon Hub Locker</h2> <p>Secure, self-service kiosks where customers can pick up and return their Amazon packages.</p> </div> <div class="content_inner_right"> <div class="inner_img"><img src="https://storage.pardot.com/431162/216199/icon2.jpg"></div> <h2>Amazon Hub Counter </h2> <p>The newest way for Amazon customers to pick up their packages in-store and shop at a partner location. </p> </div> <div class="clear"></div> </div> </div> <div class="blue_Btns_main"><a class="blue_Btns3">Apply now!</a></div> <div class="blue_Btns_main2"><a class="top"><img src="https://storage.pardot.com/431162/216201/arrow.jpg"></a></div> </div> <div class="boxid2 middle" id="section2"> <h2 class="main_title">Benefits Of Hosting</h2> <div class="content_inner2_main benefits-sec"> <div class="content_inner3"> <div class="content_box"> <h2 class="blue_title">Increased Foot Traffic</h2> <p>90% of Amazon Hub Locker users will be brand new to your location. This gives you a great opportunity to:</p> <div class="content_nav"> <ul> <li>Create brand exposure</li> <li>Establish a relationship with customers</li> <li>Produce long-term revenue stream</li> </ul> </div> </div> <div class="content_box"> <h2 class="blue_title">Drive Sales</h2> <p class="text1">Customers picking up their packages will engage with your staff, enabling them to discuss promotions or the latest in-store specials.</p> <p>*20-30% of Locker users tend to convert with an average basket size of $5 to $6.</p> </div> <div class="content_box"> <h2 class="blue_title">Monetize Unused space</h2> <p>An Amazon Hub Locker requires very little space and comes in a variety of Locker sizes that work with your business space.</p> </div> <div class="clear"></div> </div> </div> <p></p> <div class="blue_Btns_main"><a class="blue_Btns qualify-cta">Yes, I would like to see if I qualify.</a></div> <div class="blue_Btns_main2"><a class="second"><img src="https://storage.pardot.com/431162/216201/arrow.jpg"></a></div> </div> </div>  </div> <div class="clear"></div> </div> </div>   <div class="blue_wrapper_main"> <div class="blue_wrapper"> <div class="blue_wrapper_mid"> <h2 class="main_title bottom" id="blue_wrapper_main">How it Works</h2> <div class="inner_img"><img src="https://storage.pardot.com/431162/216203/img1.jpg"></div> <p>Amazon customers will now be able <br/>to choose your store as a pickup location.</p> <h1 class="blue_title">Locker</h1> <div class="coun_box_main"> <div class="main_tops"> <div class="coun_box"> <div class="coun_box_img"><img src="https://storage.pardot.com/431162/216489/1.jpg"></div> <h2 class="blue_title">Delivery to Locker</h2> <p>Drivers will deliver packages to your Locker, usually about once a day.</p> </div> <div class="coun_box"> <div class="coun_box_img"><img src="https://storage.pardot.com/431162/216491/2.jpg"></div> <h2 class="blue_title">Package pickup</h2> <p>Customer scans their phone, then retrieves their package. </p> </div> </div> </div> <hr class="hor_line"> <h1 class="blue_title">Counter</h1> <div class="coun_box_main"> <div class="coun_box"> <div class="coun_box_img"><img src="https://storage.pardot.com/431162/216493/counter_1.jpg"></div> <h2 class="blue_title">Scan packages in</h2> <p>When a driver arrives, scan all packages for your locations; this sends a pickup code to your customers.</p> </div> <div class="coun_box"> <div class="coun_box_img"><img src="https://storage.pardot.com/431162/216495/counter_2.jpg"></div> <h2 class="blue_title">Scan pickup codes</h2> <p>When a customer or driver arrives to collect packages, scan or enter their pickup code. The code is available in an email, SMS, or in a notification from the Amazon app.</p> </div> <div class="coun_box"> <div class="coun_box_img"><img src="https://storage.pardot.com/431162/216497/counter_3.jpg"></div> <h2 class="blue_title">Scan packages out</h2> <p>Scan packages and hand them to the customer.</p> </div> </div> </div> <div class="clear"></div> </div> </div>   <div class="wrapper_main"> <div class="wrapper"> <div class="wrapper_mid"> <div class="blue_Btns_main2"><a class="third"><img src="https://storage.pardot.com/431162/216201/arrow.jpg"></a></div> <div class="container"> <div class="boxid2 last" id="new"> <p></p> <h2 class="main_title">For Companies of All Sizes</h2> <p>Small, medium, and large companies can benefit from Amazon Hub. Qualification is based on a complex algorithm that estimates pick ups.</p> <p></p> <div class="boxes_logos"> <p></p> </div> </div> <p></p> <div class="blue_Btns_main new1"><a class="blue_Btns">Apply now!</a></div> <p></p> <div class="blue_Btns_main2"><a class="fourth"><img src="https://storage.pardot.com/431162/216201/arrow.jpg"></a></div> </div> <div class="boxid5 faq" id="faq"> <h2 class="main_title">Frequently Asked Questions</h2> <p></p> <div class="boxid5_inner"> <b>What is an Amazon Hub Locker?</b> <p>A fully automated package kiosk designed as a convenient way for Amazon customers to receive and return Amazon orders.</p> <b>Who can use Amazon Hub Lockers and Counter?</b> <p>Both Locker and Counter are free for both Prime and Non-Prime Amazon Customers where they can select their pick-up location during check-out.</p> <b>What's the difference between Counter and Locker?</b><br> <p>Counter locations are attended locations in stores where customers can pick up their Amazon packages and interact with a store associate. Lockers are completely self-sevice.</p> <b>What are the customer use cases?</b> <p>It's a safe and secure package delivery site. Customers can receive packages while traveling. The pick-up locations and times are convenient, and Lockers help with hassle-free returns.</p> <b>How much does it cost to become a host?</b> <p>It's free for host partners.</p> <b>How would hosting an Amazon Locker or Counter benefit my business?</b> <div class="q_nav"> <ul> <li><b>Increased foot traffic-</b>On average, an increased foot traffic up to 600 new store visits per month at locations with an Amazon Locker.</li> <li><b>Drive sales - </b>Customers are increasingly purchasing in-store from hosts while retrieving their packages.</li> <li><b>Expand your customer base - </b>The majority of customers pick a Locker due to its proximity to work, home or school.</li> </ul> </div> <br/> <b>Do people know about these products?</b> <p>Yes, the Amazon Hub charter is about providing alternate delivery for customers. The program is 10 years old and there are over 7,000 Lockers throughout the US alone. Counter is active in over 4,000 US locations since launching in 2019. We are expanding globally at a rapid pace. </p> </div>  <div class="form_sec" id="con_form"> <p></p> <div class="blue_Btns_main2"><a class="fourth"><img src="https://storage.pardot.com/431162/216201/arrow.jpg"></a></div> <p></p> <h2 class="main_title">Find out how to get started.</h2> <div class="form_sec_Wrapper unique"><form accept-charset="UTF-8" method="post" action="https://go.thehub-amazon.com/amazon-hub-locker" class="form" id="pardot-form"> <style type="text/css"> form.form p label { color: #000000; } form.form p.required label, form.form span.required label { background: none; padding-left: 0px; } </style> <h5>Fill out the form below and an Amazon representative will reach out to you shortly.</h5> <p class="form-field first_name pd-text required required-custom "> <label class="field-label" for="431162_425523pi_431162_425523">First Name: *</label> <input type="text" name="431162_425523pi_431162_425523" id="431162_425523pi_431162_425523" value="" class="text" size="30" maxlength="40" onchange="" onfocus="" /> </p> <div id="error_for_431162_425523pi_431162_425523" style="display:none"></div> <p class="form-field last_name pd-text required required-custom "> <label class="field-label" for="431162_425525pi_431162_425525">Last Name: *</label> <input type="text" name="431162_425525pi_431162_425525" id="431162_425525pi_431162_425525" value="" class="text" size="30" maxlength="80" onchange="" onfocus="" /> </p> <div id="error_for_431162_425525pi_431162_425525" style="display:none"></div> <p class="form-field email pd-text required required-custom "> <label class="field-label" for="431162_425527pi_431162_425527">Email: *</label> <input type="text" name="431162_425527pi_431162_425527" id="431162_425527pi_431162_425527" value="" class="text" size="30" maxlength="255" onchange="" onfocus="" /> </p> <div id="error_for_431162_425527pi_431162_425527" style="display:none"></div> <p class="form-field company pd-text required required-custom "> <label class="field-label" for="431162_425529pi_431162_425529">Company: *</label> <input type="text" name="431162_425529pi_431162_425529" id="431162_425529pi_431162_425529" value="" class="text" size="30" maxlength="255" onchange="" onfocus="" /> </p> <div id="error_for_431162_425529pi_431162_425529" style="display:none"></div> <p class="form-field phone pd-text required required-custom "> <label class="field-label" for="431162_425531pi_431162_425531">Phone *</label> <input type="text" name="431162_425531pi_431162_425531" id="431162_425531pi_431162_425531" value="" class="text" size="30" maxlength="40" onchange="" onfocus="" /> </p> <div id="error_for_431162_425531pi_431162_425531" style="display:none"></div> <p class="form-field address_one pd-text required required-custom "> <label class="field-label" for="431162_425533pi_431162_425533">Address *</label> <input type="text" name="431162_425533pi_431162_425533" id="431162_425533pi_431162_425533" value="" class="text" size="30" maxlength="255" onchange="" onfocus="" /> </p> <div id="error_for_431162_425533pi_431162_425533" style="display:none"></div> <p class="form-field city pd-text required required-custom "> <label class="field-label" for="431162_425535pi_431162_425535">City *</label> <input type="text" name="431162_425535pi_431162_425535" id="431162_425535pi_431162_425535" value="" class="text" size="30" maxlength="40" onchange="" onfocus="" /> </p> <div id="error_for_431162_425535pi_431162_425535" style="display:none"></div> <p class="form-field state pd-select required required-custom "> <label class="field-label" for="431162_425537pi_431162_425537">State *</label> <select name="431162_425537pi_431162_425537" id="431162_425537pi_431162_425537" class="select" onchange=""><option value="5173993" selected="selected"></option> <option value="5173995">AB</option> <option value="5173997">AK</option> <option value="5173999">AL</option> <option value="5174001">AR</option> <option value="5174003">AZ</option> <option value="5174005">BC</option> <option value="5174007">CA</option> <option value="5174009">CO</option> <option value="5174011">CT</option> <option value="5174013">DC</option> <option value="5174015">DE</option> <option value="5174017">FL</option> <option value="5174019">GA</option> <option value="5174021">HI</option> <option value="5174023">IA</option> <option value="5174025">ID</option> <option value="5174027">IL</option> <option value="5174029">IN</option> <option value="5174031">KS</option> <option value="5174033">KY</option> <option value="5174035">LA</option> <option value="5174037">MA</option> <option value="5174039">MB</option> <option value="5174041">MD</option> <option value="5174043">ME</option> <option value="5174045">MI</option> <option value="5174047">MN</option> <option value="5174049">MO</option> <option value="5174051">MS</option> <option value="5174053">MT</option> <option value="5174055">NB</option> <option value="5174057">NC</option> <option value="5174059">ND</option> <option value="5174061">NE</option> <option value="5174063">NF</option> <option value="5174065">NH</option> <option value="5174067">NJ</option> <option value="5174069">NM</option> <option value="5174071">NS</option> <option value="5174073">NT</option> <option value="5174075">NU</option> <option value="5174077">NV</option> <option value="5174079">NY</option> <option value="5174081">OH</option> <option value="5174083">OK</option> <option value="5174085">ON</option> <option value="5174087">OR</option> <option value="5174089">PA</option> <option value="5174091">PE</option> <option value="5174093">QC</option> <option value="5174095">RI</option> <option value="5174097">SC</option> <option value="5174099">SD</option> <option value="5174101">SK</option> <option value="5174103">TN</option> <option value="5174105">TX</option> <option value="5174107">UT</option> <option value="5174109">VA</option> <option value="5174111">VT</option> <option value="5174113">WA</option> <option value="5174115">WI</option> <option value="5174117">WV</option> <option value="5174119">WY</option> <option value="5174121">YT</option> </select> </p> <div id="error_for_431162_425537pi_431162_425537" style="display:none"></div> <p class="form-field zip pd-text required required-custom "> <label class="field-label" for="431162_425539pi_431162_425539">Zip *</label> <input type="text" name="431162_425539pi_431162_425539" id="431162_425539pi_431162_425539" value="" class="text" size="30" maxlength="32" onchange="" onfocus="" /> </p> <div id="error_for_431162_425539pi_431162_425539" style="display:none"></div> <p class="form-field Country_Code pd-select required required-custom "> <label class="field-label" for="431162_425541pi_431162_425541">Country *</label> <select name="431162_425541pi_431162_425541" id="431162_425541pi_431162_425541" class="select" onchange=""><option value="" selected="selected"></option> <option value="5224905">IT</option> <option value="5224907">FR</option> <option value="5224909">ES</option> <option value="5224911">DE</option> <option value="5224913">US</option> <option value="5224915">GB</option> <option value="5224917">AT</option> <option value="5224919">JP</option> <option value="5224921">AE</option> <option value="5224923">CA</option> </select> </p> <div id="error_for_431162_425541pi_431162_425541" style="display:none"></div> <p class="form-field Under_Construction pd-select required required-custom "> <label class="field-label" for="431162_425543pi_431162_425543">Is this location under construction? *</label> <select name="431162_425543pi_431162_425543" id="431162_425543pi_431162_425543" class="select" onchange=""><option value="" selected="selected"></option> <option value="5174609">Yes</option> <option value="5174611">No</option> </select> </p> <div id="error_for_431162_425543pi_431162_425543" style="display:none"></div> <p class="form-field Construction_Completion_Date pd-date "> <label class="field-label" for="431162_425545pi_431162_425545">Construction Completion Date</label> <input type="text" name="431162_425545pi_431162_425545" id="431162_425545pi_431162_425545" value="" class="date" size="12" maxlength="10" onchange="" placeholder="yyyy-mm-dd" /> </p> <div id="error_for_431162_425545pi_431162_425545" style="display:none"></div> <p class="form-field Days_Per_Week_Open_Core pd-select required required-custom "> <label class="field-label" for="431162_425547pi_431162_425547">How many days a week is your business or store open? *</label> <select name="431162_425547pi_431162_425547" id="431162_425547pi_431162_425547" class="select" onchange=""><option value="" selected="selected"></option> <option value="5174613">1</option> <option value="5174615">2</option> <option value="5174617">3</option> <option value="5174619">4</option> <option value="5174621">5</option> <option value="5174623">6</option> <option value="5174625">7</option> </select> </p> <div id="error_for_431162_425547pi_431162_425547" style="display:none"></div> <p class="form-field Company_Owned_Locations pd-select required required-custom "> <label class="field-label" for="431162_425549pi_431162_425549">How many total locations do you manage or own that could host an Amazon Locker? *</label> <select name="431162_425549pi_431162_425549" id="431162_425549pi_431162_425549" class="select" onchange=""><option value="" selected="selected"></option> <option value="5174627">0</option> <option value="5174629">1-10</option> <option value="5174631">11-49</option> <option value="5174633">50-499</option> <option value="5174635">500+</option> </select> </p> <div id="error_for_431162_425549pi_431162_425549" style="display:none"></div> <p class="form-field Franchisee_Location pd-select required required-custom "> <label class="field-label" for="431162_425551pi_431162_425551">Are you a franchisee location? *</label> <select name="431162_425551pi_431162_425551" id="431162_425551pi_431162_425551" class="select" onchange=""><option value="" selected="selected"></option> <option value="5174637">Yes</option> <option value="5174639">No</option> </select> </p> <div id="error_for_431162_425551pi_431162_425551" style="display:none"></div> <p class="form-field Parent_Company pd-text "> <label class="field-label" for="431162_425553pi_431162_425553">What is the name of your Parent Company or Parent Group?</label> <input type="text" name="431162_425553pi_431162_425553" id="431162_425553pi_431162_425553" value="" class="text" size="30" maxlength="65535" onchange="" onfocus="" /> </p> <div id="error_for_431162_425553pi_431162_425553" style="display:none"></div> <p class="form-field Amazon_Hub_Product pd-select required required-custom "> <label class="field-label" for="431162_428121pi_431162_428121">Product requested *</label> <select name="431162_428121pi_431162_428121" id="431162_428121pi_431162_428121" class="select" onchange=""><option value="" selected="selected"></option> <option value="5222671">Amazon Locker</option> <option value="5222673">Amazon Counter</option> </select> </p> <div id="error_for_431162_428121pi_431162_428121" style="display:none"></div> <p class="form-field comments pd-textarea "> <label class="field-label" for="431162_425555pi_431162_425555">Comments:</label> <textarea name="431162_425555pi_431162_425555" id="431162_425555pi_431162_425555" onchange="" cols="40" rows="10" class="standard"></textarea> </p> <div id="error_for_431162_425555pi_431162_425555" style="display:none"></div> <p style="position:absolute; width:190px; left:-9999px; top: -9999px;visibility:hidden;"> <label for="pi_extra_field">Comments</label> <input type="text" name="pi_extra_field" id="pi_extra_field"/> </p>  <input name="_utf8" type="hidden" value="☃" /> <p class="submit"> <input type="submit" accesskey="s" value="Submit Now" /> </p> <script type="text/javascript"> //<![CDATA[ var anchors = document.getElementsByTagName("a"); for 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