mp-design-system 1.2.47 → 1.2.50
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- package/dist/build/js/app.js +1 -1
- package/dist/build/js/app.js.map +1 -1
- package/dist/build/scss/main.css +1 -1
- package/dist/build/scss/main.css.map +1 -1
- package/package.json +1 -1
- package/src/_headers +1 -1
- package/src/_includes/components/accordion/accordion.scss +5 -0
- package/src/_includes/components/card/card.scss +1 -0
- package/src/_redirects +5 -1
- package/src/assets/js/imports/off-canvas.js +0 -2
- package/src/assets/scss/components/form.scss +235 -89
- package/src/assets/scss/utilities/display.scss +4 -0
- package/src/patterns/mp-form.njk +111 -0
- package/src/prototype/events-hub.njk +111 -116
- package/src/prototype/form-altcha.njk +705 -0
- package/src/prototype/form-cloudflare.njk +688 -0
- package/src/prototype/form-hcaptcha.njk +693 -0
- package/src/prototype/forms.njk +0 -3105
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---
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title: Altcha
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tags: prototype
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tagTitle: Ω Altcha
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---
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{% set siteNav %}{% include "navigation/corporate.njk" %}{% endset %}
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{% extends "page.njk" %}
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{% block content %}
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<div class="mp u-wrap u-margin-top-l u-margin-bottom-l-xl">
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<div id="dynamicForm" class="o-grid o-grid--8/3 o-grid--float o-grid--layout">
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<form id="EmailSales" class="mp-dynamicform u-bg-blue-step-3 u-pad-s-l" action="/en/about-us/contact-us/sales" method="post" name="dynamicForm" novalidate="">
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<header class="c-form__header">
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<h1 class="c-form__title">You're almost done...</h1>
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<p class="c-form__lede">Just one more step and our sales team will have everything they need to contact you. Complete the form below and our team will aim to be in touch within 1 business day.</p>
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</header>
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<fieldset class="c-fieldset ">
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<legend class="c-form__section-title">Your enquiry</legend>
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<div class="c-form__row ">
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<div class="c-form__input Product ">
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<div class="c-form__input-wrap">
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<label class="c-label u-pad-xs " for="Product">Product</label>
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<select class="c-input Product c-input--select" id="Product" name="Product">
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<option value=""></option>
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<option value="tcm:50-53380-1024">2830 ZT</option>
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<optgroup label="Aeris range">
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<option value="tcm:50-53238-1024">Aeris range</option>
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<option value="tcm:50-53239-1024">Aeris Cement edition</option>
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<option value="tcm:50-53240-1024">Aeris Metals edition</option>
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<option value="tcm:50-53241-1024">Aeris Minerals edition</option>
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<option value="tcm:50-53242-1024">Aeris Research edition</option>
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</optgroup>
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<optgroup label="ASD range">
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<option value="tcm:50-54668-1024">ASD range</option>
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</optgroup>
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<optgroup label="ASD FieldSpec range">
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<option value="tcm:50-53270-1024">ASD FieldSpec range</option>
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<option value="tcm:50-53272-1024">ASD FieldSpec 4 Hi-Res</option>
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<option value="tcm:50-53271-1024">ASD FieldSpec 4 Hi-Res NG</option>
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<option value="tcm:50-53273-1024">ASD FieldSpec 4 Standard-Res</option>
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</optgroup>
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<optgroup label="ASD LabSpec range">
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<option value="tcm:50-53284-1024">ASD LabSpec range</option>
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<option value="tcm:50-53286-1024">ASD LabSpec 4 Hi-Res</option>
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<option value="tcm:50-53287-1024">ASD LabSpec 4 Standard-Res</option>
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</optgroup>
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<optgroup label="ASD TerraSpec range">
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<option value="tcm:50-53298-1024">ASD TerraSpec range</option>
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<option value="tcm:50-53299-1024">ASD TerraSpec 4 Hi-Res</option>
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</optgroup>
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<option value="tcm:50-53268-1024">Axios FAST</option>
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<optgroup label="Claisse range">
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<option value="tcm:50-53248-1024">Claisse range</option>
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<option value="tcm:50-53250-1024">Claisse Eagon 2</option>
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<option value="tcm:50-99477-1024">Claisse FORJ</option>
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<option value="tcm:50-53256-1024">Claisse LeDoser</option>
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<option value="tcm:50-56242-1024">Claisse LeDoser 12</option>
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<option value="tcm:50-53251-1024">Claisse LeNeo</option>
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<option value="tcm:50-53254-1024">Claisse M4</option>
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</optgroup>
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<optgroup label="CNA range">
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<option value="tcm:50-53306-1024">CNA range</option>
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<option value="tcm:50-53309-1024">CNA 3</option>
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<option value="tcm:50-53307-1024">CNA Nickel</option>
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<option value="tcm:50-53308-1024">CNA Pentos-Cement</option>
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</optgroup>
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<optgroup label="Crystal orientation range">
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<option value="tcm:50-101319-1024">Crystal orientation range</option>
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<option value="tcm:50-101322-1024">DDCOM</option>
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<option value="tcm:50-101320-1024">Omega/Theta XRD</option>
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<option value="tcm:50-101321-1024">SD COM</option>
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<option value="tcm:50-101323-1024">Wafer XRD 200</option>
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<option value="tcm:50-101607-1024">Wafer XRD 300</option>
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<option value="tcm:50-101324-1024">XRD OEM</option>
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</optgroup>
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<optgroup label="Empyrean range">
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<option value="tcm:50-53328-1024">Empyrean range</option>
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<option value="tcm:50-53329-1024">Empyrean</option>
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<option value="tcm:50-53330-1024">Empyrean Alpha 1</option>
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<option value="tcm:50-53331-1024">Empyrean Nano edition</option>
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</optgroup>
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<optgroup label="Epsilon range">
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<option value="tcm:50-55215-1024">Epsilon range</option>
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<option value="tcm:50-53352-1024">Epsilon Xflow</option>
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<option value="tcm:50-98222-1024">Epsilon Xline</option>
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</optgroup>
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<optgroup label="Epsilon 1 range">
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<option value="tcm:50-53336-1024">Epsilon 1 range</option>
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<option value="tcm:50-97495-1024">Epsilon 1 for automotive catalyst recycling</option>
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<option value="tcm:50-53337-1024">Epsilon 1 for Small spot analysis</option>
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<option value="tcm:50-53338-1024">Epsilon 1 Lubricating oils</option>
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<option value="tcm:50-53342-1024">Epsilon 1 Research and education</option>
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<option value="tcm:50-53343-1024">Epsilon 1 Sulfur in fuels</option>
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<option value="tcm:50-70525-1024">Epsilon 1 Ultra Low Sulfur</option>
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<option value="tcm:50-98370-1024">Epsilon 1 wells</option>
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</optgroup>
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<optgroup label="Epsilon 4">
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<option value="tcm:50-54868-1024">Epsilon 4</option>
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</optgroup>
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<optgroup label="Insitec range">
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<option value="tcm:50-9232-1024">Insitec range</option>
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<option value="tcm:50-9233-1024">Insitec Dry</option>
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<option value="tcm:50-9235-1024">Insitec Spray</option>
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<option value="tcm:50-9237-1024">Insitec Wet</option>
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</optgroup>
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<optgroup label="Mastersizer range">
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<option value="tcm:50-9446-1024">Mastersizer range</option>
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<option value="tcm:50-102379-1024">Mastersizer 3000+ Lab</option>
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<option value="tcm:50-102381-1024">Mastersizer 3000+ Pro</option>
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<option value="tcm:50-102380-1024">Mastersizer 3000+ Ultra</option>
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</optgroup>
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<optgroup label="MicroCal range">
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<option value="tcm:50-23486-1024">MicroCal range</option>
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</optgroup>
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<optgroup label="MicroCal DSC range">
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<option value="tcm:50-23489-1024">MicroCal DSC range</option>
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<option value="tcm:50-33644-1024">MicroCal PEAQ-DSC</option>
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<option value="tcm:50-33643-1024">MicroCal PEAQ-DSC Automated</option>
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</optgroup>
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<optgroup label="MicroCal ITC range">
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<option value="tcm:50-23498-1024">MicroCal ITC range</option>
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</optgroup>
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<optgroup label="MicroCal PEAQ-ITC range">
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<option value="tcm:50-27011-1024">MicroCal PEAQ-ITC range</option>
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<option value="tcm:50-27012-1024">MicroCal PEAQ-ITC</option>
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<option value="tcm:50-27013-1024">MicroCal PEAQ-ITC Automated</option>
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</optgroup>
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<optgroup label="Morphologi range">
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<option value="tcm:50-21515-1024">Morphologi range</option>
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<option value="tcm:50-54679-1024">Morphologi 4</option>
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<option value="tcm:50-54680-1024">Morphologi 4-ID</option>
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</optgroup>
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<optgroup label="NanoSight range">
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<option value="tcm:50-19628-1024">NanoSight range</option>
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<option value="tcm:50-100090-1024">NanoSight Pro</option>
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</optgroup>
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<option value="tcm:50-26497-1024">OMNISEC system</option>
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<option value="tcm:50-99960-1024">On-line XRD</option>
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<optgroup label="Parsum range">
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<option value="tcm:50-9290-1024">Parsum range</option>
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<option value="tcm:50-9291-1024">Parsum IPP 70-S</option>
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<option value="tcm:50-9293-1024">Parsum IPP 70-SE</option>
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<option value="tcm:50-26558-1024">Parsum IPP 80-P</option>
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</optgroup>
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<option value="tcm:50-103182-1024">Revontium</option>
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<option value="tcm:50-9324-1024">Spraytec</option>
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<optgroup label="WAVEsystem">
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<option value="tcm:50-96168-1024">WAVEsystem</option>
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<option value="tcm:50-100125-1024">WAVE Chip</option>
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</optgroup>
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<optgroup label="X'Pert3 range">
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<option value="tcm:50-54077-1024">X'Pert3 range</option>
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<option value="tcm:50-54078-1024">X'Pert3 MRD</option>
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<option value="tcm:50-54079-1024">X'Pert3 MRD (XL)</option>
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</optgroup>
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<option value="tcm:50-54270-1024">XRD Software</option>
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<option value="tcm:50-54271-1024">XRF Software</option>
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<optgroup label="Zetasizer range">
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<option value="tcm:50-9618-1024">Zetasizer range</option>
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</optgroup>
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<optgroup label="Zetasizer Advance Range">
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<option value="tcm:50-66656-1024">Zetasizer Advance Range</option>
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<option value="tcm:50-66658-1024">Zetasizer Lab</option>
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<option value="tcm:50-56449-1024">Zetasizer Pro</option>
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<option value="tcm:50-56450-1024">Zetasizer Ultra</option>
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</optgroup>
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<optgroup label="Zetium">
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<option value="tcm:50-53366-1024">Zetium</option>
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<option value="tcm:50-53367-1024">The Cement edition of Zetium</option>
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<option value="tcm:50-53368-1024">The Metals edition of Zetium</option>
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<option value="tcm:50-53369-1024">The Minerals edition of Zetium</option>
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<option value="tcm:50-53370-1024">The Petro edition of Zetium</option>
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<option value="tcm:50-53371-1024">The Polymers edition of Zetium</option>
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<option value="tcm:50-53372-1024">The Ultimate edition of Zetium</option>
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</optgroup>
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</select>
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</div>
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</div>
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<div class="c-form__input PardotVisitorId ">
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<input id="PardotVisitorId" name="PardotVisitorId" type="hidden" value="">
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</div>
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</div>
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<div class="c-form__row o-grid o-grid--of-two">
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<div class="c-form__input FirstName required ">
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<div class="c-form__input-wrap">
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<label class="c-label u-pad-xs c-label--required" for="FirstName">First name</label>
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<input type="text" class="c-input" name="FirstName" value="" placeholder="" id="FirstName" required="">
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</div>
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<div class="c-input-message c-form__messages-wrap">
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<div class="errorFirstName u-display-none">
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Please enter your first name.
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</div>
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</div>
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</div>
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<div class="c-form__input LastName required ">
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<div class="c-form__input-wrap">
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<label class="c-label u-pad-xs c-label--required" for="LastName">Last name</label>
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<input type="text" class="c-input" name="LastName" value="" placeholder="" id="LastName" required="">
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</div>
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<div class="c-input-message c-form__messages-wrap">
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<div class="errorLastName u-display-none">
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Please enter your last name.
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</div>
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</div>
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</div>
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</div>
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<div class="c-form__row ">
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<div class="c-form__input EmailAddress required ">
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<div class="c-form__input-wrap">
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<label class="c-label u-pad-xs c-label--required" for="EmailAddress">Email address</label>
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<input type="email" class="c-input" name="EmailAddress" value="" placeholder="" id="EmailAddress" required="">
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</div>
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<div class="c-input-message c-form__messages-wrap">
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<div class="errorEmailAddress u-display-none">
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Please enter an email address.
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</div>
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<div class="errorValidEmailAddress u-display-none">
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Please enter a valid email address
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</div>
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</div>
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</div>
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</div>
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<div class="c-form__row ">
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<div class="c-form__input Telephone required ">
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<div class="c-form__input-wrap">
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<label class="c-label u-pad-xs c-label--required" for="Telephone">Telephone</label>
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<input type="tel" class="c-input" name="Telephone" value="" placeholder="" id="Telephone" required="">
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</div>
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<div class="c-input-message c-form__messages-wrap">
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<div class="errorTelephone u-display-none">
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Please enter your telephone.
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</div>
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</div>
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</div>
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</div>
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</fieldset>
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<fieldset class="c-fieldset ">
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<legend class="c-form__section-title">About your company or institution</legend>
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<div class="c-form__row ">
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<div class="c-form__input CompanyName required ">
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<div class="c-form__input-wrap">
|
|
244
|
+
<label class="c-label u-pad-xs c-label--required" for="CompanyName">Company / institution</label>
|
|
245
|
+
<input type="text" class="c-input" name="CompanyName" value="" placeholder="" id="CompanyName" required="">
|
|
246
|
+
</div>
|
|
247
|
+
<div class="c-input-message c-form__messages-wrap">
|
|
248
|
+
<div class="errorCompanyName u-display-none">
|
|
249
|
+
Please enter your company.
|
|
250
|
+
</div>
|
|
251
|
+
</div>
|
|
252
|
+
</div>
|
|
253
|
+
</div>
|
|
254
|
+
<div class="c-form__row o-grid o-grid--of-two">
|
|
255
|
+
<div class="c-form__input City required ">
|
|
256
|
+
<div class="c-form__input-wrap">
|
|
257
|
+
<label class="c-label u-pad-xs c-label--required" for="City">City</label>
|
|
258
|
+
<input type="text" class="c-input" name="City" value="" placeholder="" id="City" required="">
|
|
259
|
+
</div>
|
|
260
|
+
<div class="c-input-message c-form__messages-wrap">
|
|
261
|
+
<div class="errorCity u-display-none">
|
|
262
|
+
Please enter your city.
|
|
263
|
+
</div>
|
|
264
|
+
</div>
|
|
265
|
+
</div>
|
|
266
|
+
<div class="c-form__input Country required ">
|
|
267
|
+
<div class="c-form__input-wrap">
|
|
268
|
+
<label class="c-label u-pad-xs c-label--required" for="Country">Country</label>
|
|
269
|
+
<select class="c-input c-input--select Country" name="Country" id="Country" required="">
|
|
270
|
+
<option value=""></option>
|
|
271
|
+
<option value="tcm:50-4994-1024">United States</option>
|
|
272
|
+
<option value="tcm:50-4993-1024">United Kingdom</option>
|
|
273
|
+
<option value="tcm:50-4995-1024">Afghanistan</option>
|
|
274
|
+
<option value="tcm:50-4996-1024">Albania</option>
|
|
275
|
+
<option value="tcm:50-4997-1024">Algeria</option>
|
|
276
|
+
<option value="tcm:50-4999-1024">Andorra</option>
|
|
277
|
+
<option value="tcm:50-5000-1024">Angola</option>
|
|
278
|
+
<option value="tcm:50-5001-1024">Anguilla</option>
|
|
279
|
+
<option value="tcm:50-5002-1024">Antarctica</option>
|
|
280
|
+
<option value="tcm:50-5003-1024">Antigua and Barbuda</option>
|
|
281
|
+
<option value="tcm:50-5004-1024">Argentina</option>
|
|
282
|
+
<option value="tcm:50-5005-1024">Armenia</option>
|
|
283
|
+
<option value="tcm:50-5006-1024">Aruba</option>
|
|
284
|
+
<option value="tcm:50-5007-1024">Australia</option>
|
|
285
|
+
<option value="tcm:50-5008-1024">Austria</option>
|
|
286
|
+
<option value="tcm:50-5009-1024">Azerbaijan</option>
|
|
287
|
+
<option value="tcm:50-5190-1024">Bahamas</option>
|
|
288
|
+
<option value="tcm:50-5010-1024">Bahrain</option>
|
|
289
|
+
<option value="tcm:50-5011-1024">Bangladesh</option>
|
|
290
|
+
<option value="tcm:50-5012-1024">Barbados</option>
|
|
291
|
+
<option value="tcm:50-5014-1024">Belgium</option>
|
|
292
|
+
<option value="tcm:50-5015-1024">Belize</option>
|
|
293
|
+
<option value="tcm:50-5016-1024">Benin</option>
|
|
294
|
+
<option value="tcm:50-5017-1024">Bermuda</option>
|
|
295
|
+
<option value="tcm:50-5018-1024">Bhutan</option>
|
|
296
|
+
<option value="tcm:50-5019-1024">Bolivia</option>
|
|
297
|
+
<option value="tcm:50-5020-1024">Bosnia and Herzegovina</option>
|
|
298
|
+
<option value="tcm:50-5021-1024">Botswana</option>
|
|
299
|
+
<option value="tcm:50-15011-1024">Bouvet Islands</option>
|
|
300
|
+
<option value="tcm:50-5022-1024">Brazil</option>
|
|
301
|
+
<option value="tcm:50-14999-1024">British Indian Ocean Territory</option>
|
|
302
|
+
<option value="tcm:50-5023-1024">British Virgin Islands</option>
|
|
303
|
+
<option value="tcm:50-5024-1024">Brunei Darussalam</option>
|
|
304
|
+
<option value="tcm:50-5025-1024">Bulgaria</option>
|
|
305
|
+
<option value="tcm:50-5026-1024">Burkina Faso</option>
|
|
306
|
+
<option value="tcm:50-5027-1024">Burundi</option>
|
|
307
|
+
<option value="tcm:50-5028-1024">Cambodia</option>
|
|
308
|
+
<option value="tcm:50-5029-1024">Cameroon</option>
|
|
309
|
+
<option value="tcm:50-4990-1024">Canada</option>
|
|
310
|
+
<option value="tcm:50-5030-1024">Cape Verde</option>
|
|
311
|
+
<option value="tcm:50-5031-1024">Cayman Islands</option>
|
|
312
|
+
<option value="tcm:50-5032-1024">Central African Republic</option>
|
|
313
|
+
<option value="tcm:50-5033-1024">Chad</option>
|
|
314
|
+
<option value="tcm:50-5034-1024">Chile</option>
|
|
315
|
+
<option value="tcm:50-5035-1024">China</option>
|
|
316
|
+
<option value="tcm:50-5036-1024">Christmas Island</option>
|
|
317
|
+
<option value="tcm:50-5038-1024">Colombia</option>
|
|
318
|
+
<option value="tcm:50-5039-1024">Comoros</option>
|
|
319
|
+
<option value="tcm:50-5042-1024">Cook Islands</option>
|
|
320
|
+
<option value="tcm:50-5043-1024">Costa Rica</option>
|
|
321
|
+
<option value="tcm:50-5044-1024">Cote d'Ivoire</option>
|
|
322
|
+
<option value="tcm:50-5045-1024">Croatia</option>
|
|
323
|
+
<option value="tcm:50-15007-1024">Cuba</option>
|
|
324
|
+
<option value="tcm:50-53469-1024">Curacao</option>
|
|
325
|
+
<option value="tcm:50-5046-1024">Cyprus</option>
|
|
326
|
+
<option value="tcm:50-5047-1024">Czech Republic</option>
|
|
327
|
+
<option value="tcm:50-5041-1024">Democratic Republic of the Congo</option>
|
|
328
|
+
<option value="tcm:50-5048-1024">Denmark</option>
|
|
329
|
+
<option value="tcm:50-5049-1024">Djibouti</option>
|
|
330
|
+
<option value="tcm:50-5050-1024">Dominica</option>
|
|
331
|
+
<option value="tcm:50-5051-1024">Dominican Republic</option>
|
|
332
|
+
<option value="tcm:50-5133-1024">Dutch Antilles</option>
|
|
333
|
+
<option value="tcm:50-5192-1024">East Timor</option>
|
|
334
|
+
<option value="tcm:50-5052-1024">Ecuador</option>
|
|
335
|
+
<option value="tcm:50-5053-1024">Egypt</option>
|
|
336
|
+
<option value="tcm:50-5054-1024">El Salvador</option>
|
|
337
|
+
<option value="tcm:50-5055-1024">Equatorial Guinea</option>
|
|
338
|
+
<option value="tcm:50-5056-1024">Eritrea</option>
|
|
339
|
+
<option value="tcm:50-5057-1024">Estonia</option>
|
|
340
|
+
<option value="tcm:50-5058-1024">Ethiopia</option>
|
|
341
|
+
<option value="tcm:50-5060-1024">Falkland Islands</option>
|
|
342
|
+
<option value="tcm:50-5061-1024">Faroe Islands</option>
|
|
343
|
+
<option value="tcm:50-5063-1024">Fiji</option>
|
|
344
|
+
<option value="tcm:50-5064-1024">Finland</option>
|
|
345
|
+
<option value="tcm:50-4991-1024">France</option>
|
|
346
|
+
<option value="tcm:50-5065-1024">French Guyana</option>
|
|
347
|
+
<option value="tcm:50-5066-1024">French Polynesia</option>
|
|
348
|
+
<option value="tcm:50-53471-1024">French Southern Territory</option>
|
|
349
|
+
<option value="tcm:50-5067-1024">Gabon</option>
|
|
350
|
+
<option value="tcm:50-5191-1024">Gambia</option>
|
|
351
|
+
<option value="tcm:50-5068-1024">Georgia</option>
|
|
352
|
+
<option value="tcm:50-5069-1024">Germany</option>
|
|
353
|
+
<option value="tcm:50-5070-1024">Ghana</option>
|
|
354
|
+
<option value="tcm:50-5071-1024">Gibraltar</option>
|
|
355
|
+
<option value="tcm:50-5072-1024">Greece</option>
|
|
356
|
+
<option value="tcm:50-5073-1024">Greenland</option>
|
|
357
|
+
<option value="tcm:50-5074-1024">Grenada</option>
|
|
358
|
+
<option value="tcm:50-5075-1024">Guadeloupe</option>
|
|
359
|
+
<option value="tcm:50-5076-1024">Guam</option>
|
|
360
|
+
<option value="tcm:50-5077-1024">Guatemala</option>
|
|
361
|
+
<option value="tcm:50-5078-1024">Guinea</option>
|
|
362
|
+
<option value="tcm:50-5079-1024">Guinea-Bissau</option>
|
|
363
|
+
<option value="tcm:50-5080-1024">Guyana</option>
|
|
364
|
+
<option value="tcm:50-5081-1024">Haiti</option>
|
|
365
|
+
<option value="tcm:50-15012-1024">Heard and McDonald Islands</option>
|
|
366
|
+
<option value="tcm:50-5082-1024">Honduras</option>
|
|
367
|
+
<option value="tcm:50-5084-1024">Hungary</option>
|
|
368
|
+
<option value="tcm:50-5085-1024">Iceland</option>
|
|
369
|
+
<option value="tcm:50-5086-1024">India</option>
|
|
370
|
+
<option value="tcm:50-5087-1024">Indonesia</option>
|
|
371
|
+
<option value="tcm:50-5088-1024">Iraq</option>
|
|
372
|
+
<option value="tcm:50-5089-1024">Ireland</option>
|
|
373
|
+
<option value="tcm:50-5090-1024">Israel</option>
|
|
374
|
+
<option value="tcm:50-5091-1024">Italy</option>
|
|
375
|
+
<option value="tcm:50-5092-1024">Jamaica</option>
|
|
376
|
+
<option value="tcm:50-5093-1024">Japan</option>
|
|
377
|
+
<option value="tcm:50-5094-1024">Jordan</option>
|
|
378
|
+
<option value="tcm:50-5095-1024">Kazakhstan</option>
|
|
379
|
+
<option value="tcm:50-5096-1024">Kenya</option>
|
|
380
|
+
<option value="tcm:50-5097-1024">Kiribati</option>
|
|
381
|
+
<option value="tcm:50-53473-1024">Kosovo</option>
|
|
382
|
+
<option value="tcm:50-5098-1024">Kuwait</option>
|
|
383
|
+
<option value="tcm:50-5099-1024">Kyrgyzstan</option>
|
|
384
|
+
<option value="tcm:50-5100-1024">Laos</option>
|
|
385
|
+
<option value="tcm:50-5101-1024">Latvia</option>
|
|
386
|
+
<option value="tcm:50-5102-1024">Lebanon</option>
|
|
387
|
+
<option value="tcm:50-5103-1024">Lesotho</option>
|
|
388
|
+
<option value="tcm:50-5104-1024">Liberia</option>
|
|
389
|
+
<option value="tcm:50-15014-1024">Libya</option>
|
|
390
|
+
<option value="tcm:50-5105-1024">Liechtenstein</option>
|
|
391
|
+
<option value="tcm:50-5106-1024">Lithuania</option>
|
|
392
|
+
<option value="tcm:50-5107-1024">Luxembourg</option>
|
|
393
|
+
<option value="tcm:50-5059-1024">Macedonia</option>
|
|
394
|
+
<option value="tcm:50-5109-1024">Madagascar</option>
|
|
395
|
+
<option value="tcm:50-5110-1024">Malawi</option>
|
|
396
|
+
<option value="tcm:50-5111-1024">Malaysia</option>
|
|
397
|
+
<option value="tcm:50-5112-1024">Maldives</option>
|
|
398
|
+
<option value="tcm:50-5113-1024">Mali</option>
|
|
399
|
+
<option value="tcm:50-5114-1024">Malta</option>
|
|
400
|
+
<option value="tcm:50-5115-1024">Marshall Islands</option>
|
|
401
|
+
<option value="tcm:50-5116-1024">Martinique</option>
|
|
402
|
+
<option value="tcm:50-5117-1024">Mauritania</option>
|
|
403
|
+
<option value="tcm:50-5119-1024">Mayotte</option>
|
|
404
|
+
<option value="tcm:50-5120-1024">Mexico</option>
|
|
405
|
+
<option value="tcm:50-5062-1024">Micronesia</option>
|
|
406
|
+
<option value="tcm:50-5122-1024">Monaco</option>
|
|
407
|
+
<option value="tcm:50-5123-1024">Mongolia</option>
|
|
408
|
+
<option value="tcm:50-53475-1024">Montenegro</option>
|
|
409
|
+
<option value="tcm:50-5125-1024">Montserrat</option>
|
|
410
|
+
<option value="tcm:50-5126-1024">Morocco</option>
|
|
411
|
+
<option value="tcm:50-5127-1024">Mozambique</option>
|
|
412
|
+
<option value="tcm:50-5128-1024">Myanmar</option>
|
|
413
|
+
<option value="tcm:50-5129-1024">Namibia</option>
|
|
414
|
+
<option value="tcm:50-5130-1024">Nauru</option>
|
|
415
|
+
<option value="tcm:50-5131-1024">Nepal</option>
|
|
416
|
+
<option value="tcm:50-5132-1024">Netherlands</option>
|
|
417
|
+
<option value="tcm:50-5134-1024">New Caledonia</option>
|
|
418
|
+
<option value="tcm:50-5135-1024">New Zealand</option>
|
|
419
|
+
<option value="tcm:50-5136-1024">Nicaragua</option>
|
|
420
|
+
<option value="tcm:50-5137-1024">Niger</option>
|
|
421
|
+
<option value="tcm:50-5138-1024">Nigeria</option>
|
|
422
|
+
<option value="tcm:50-5140-1024">Norfolk Islands</option>
|
|
423
|
+
<option value="tcm:50-5141-1024">North Mariana Islands</option>
|
|
424
|
+
<option value="tcm:50-5142-1024">Norway</option>
|
|
425
|
+
<option value="tcm:50-5143-1024">Oman</option>
|
|
426
|
+
<option value="tcm:50-5144-1024">Pakistan</option>
|
|
427
|
+
<option value="tcm:50-5145-1024">Palau</option>
|
|
428
|
+
<option value="tcm:50-5146-1024">Palestine</option>
|
|
429
|
+
<option value="tcm:50-5147-1024">Panama</option>
|
|
430
|
+
<option value="tcm:50-5148-1024">Papua New Guinea</option>
|
|
431
|
+
<option value="tcm:50-5149-1024">Paraguay</option>
|
|
432
|
+
<option value="tcm:50-5150-1024">Peru</option>
|
|
433
|
+
<option value="tcm:50-5151-1024">Philippines</option>
|
|
434
|
+
<option value="tcm:50-5152-1024">Pitcairn Islands</option>
|
|
435
|
+
<option value="tcm:50-5153-1024">Poland</option>
|
|
436
|
+
<option value="tcm:50-5154-1024">Portugal</option>
|
|
437
|
+
<option value="tcm:50-5155-1024">Puerto Rico</option>
|
|
438
|
+
<option value="tcm:50-5156-1024">Qatar</option>
|
|
439
|
+
<option value="tcm:50-5157-1024">Reunion</option>
|
|
440
|
+
<option value="tcm:50-5158-1024">Romania</option>
|
|
441
|
+
<option value="tcm:50-5160-1024">Rwanda</option>
|
|
442
|
+
<option value="tcm:50-5179-1024">Saint Kitts and Nevis</option>
|
|
443
|
+
<option value="tcm:50-5162-1024">Samoa</option>
|
|
444
|
+
<option value="tcm:50-5163-1024">San Marino</option>
|
|
445
|
+
<option value="tcm:50-5164-1024">Sao Tome and Principe</option>
|
|
446
|
+
<option value="tcm:50-5165-1024">Saudi Arabia</option>
|
|
447
|
+
<option value="tcm:50-5166-1024">Senegal</option>
|
|
448
|
+
<option value="tcm:50-53477-1024">Serbia</option>
|
|
449
|
+
<option value="tcm:50-5168-1024">Seychelles</option>
|
|
450
|
+
<option value="tcm:50-5169-1024">Sierra Leone</option>
|
|
451
|
+
<option value="tcm:50-4992-1024">Singapore</option>
|
|
452
|
+
<option value="tcm:50-53479-1024">Sint Maarten</option>
|
|
453
|
+
<option value="tcm:50-5170-1024">Slovakia</option>
|
|
454
|
+
<option value="tcm:50-5171-1024">Slovenia</option>
|
|
455
|
+
<option value="tcm:50-5172-1024">Solomon Islands</option>
|
|
456
|
+
<option value="tcm:50-5173-1024">Somalia</option>
|
|
457
|
+
<option value="tcm:50-5174-1024">South Africa</option>
|
|
458
|
+
<option value="tcm:50-15018-1024">South Georgia and the Southern Sandwich Islands</option>
|
|
459
|
+
<option value="tcm:50-5175-1024">South Korea</option>
|
|
460
|
+
<option value="tcm:50-5176-1024">Spain</option>
|
|
461
|
+
<option value="tcm:50-5177-1024">Sri Lanka</option>
|
|
462
|
+
<option value="tcm:50-5180-1024">St. Lucia</option>
|
|
463
|
+
<option value="tcm:50-15010-1024">Sudan</option>
|
|
464
|
+
<option value="tcm:50-5182-1024">Suriname</option>
|
|
465
|
+
<option value="tcm:50-5184-1024">Sweden</option>
|
|
466
|
+
<option value="tcm:50-5185-1024">Switzerland</option>
|
|
467
|
+
<option value="tcm:50-15008-1024">Syria</option>
|
|
468
|
+
<option value="tcm:50-5186-1024">Taiwan</option>
|
|
469
|
+
<option value="tcm:50-5187-1024">Tajikistan</option>
|
|
470
|
+
<option value="tcm:50-5188-1024">Tanzania</option>
|
|
471
|
+
<option value="tcm:50-5189-1024">Thailand</option>
|
|
472
|
+
<option value="tcm:50-5193-1024">Togo</option>
|
|
473
|
+
<option value="tcm:50-5194-1024">Tokelau Islands</option>
|
|
474
|
+
<option value="tcm:50-5195-1024">Tonga</option>
|
|
475
|
+
<option value="tcm:50-5196-1024">Trinidad and Tobago</option>
|
|
476
|
+
<option value="tcm:50-5197-1024">Tunisia</option>
|
|
477
|
+
<option value="tcm:50-5198-1024">Turkey</option>
|
|
478
|
+
<option value="tcm:50-5199-1024">Turkmenistan</option>
|
|
479
|
+
<option value="tcm:50-5200-1024">Turks and Caicos Islands</option>
|
|
480
|
+
<option value="tcm:50-5201-1024">Tuvalu</option>
|
|
481
|
+
<option value="tcm:50-5203-1024">Uganda</option>
|
|
482
|
+
<option value="tcm:50-5205-1024">United Arab Emirates</option>
|
|
483
|
+
<option value="tcm:50-4993-1024">United Kingdom</option>
|
|
484
|
+
<option value="tcm:50-4994-1024">United States</option>
|
|
485
|
+
<option value="tcm:50-5206-1024">Uruguay</option>
|
|
486
|
+
<option value="tcm:50-5207-1024">Uzbekistan</option>
|
|
487
|
+
<option value="tcm:50-5208-1024">Vanuatu</option>
|
|
488
|
+
<option value="tcm:50-5210-1024">Venezuela</option>
|
|
489
|
+
<option value="tcm:50-5211-1024">Vietnam</option>
|
|
490
|
+
<option value="tcm:50-5212-1024">Wallis and Futuna Islands</option>
|
|
491
|
+
<option value="tcm:50-5213-1024">Yemen</option>
|
|
492
|
+
<option value="tcm:50-5214-1024">Zambia</option>
|
|
493
|
+
<option value="tcm:50-5215-1024">Zimbabwe</option>
|
|
494
|
+
</select>
|
|
495
|
+
</div>
|
|
496
|
+
<div class="c-input-message c-form__messages-wrap">
|
|
497
|
+
<div class="errorCountry u-display-none">
|
|
498
|
+
Please select your country.
|
|
499
|
+
</div>
|
|
500
|
+
</div>
|
|
501
|
+
</div>
|
|
502
|
+
</div>
|
|
503
|
+
<div class="c-form__row o-grid o-grid--of-two">
|
|
504
|
+
<div class="c-form__input State u-hidden required">
|
|
505
|
+
<div class="c-form__input-wrap">
|
|
506
|
+
<label class="c-label u-pad-xs c-label--required" for="State">State</label>
|
|
507
|
+
<select class="c-input c-input--select State" name="State" id="State" data-dependency="showif(Country%4994-1024)" required="" tabindex="-1" data-action="showif" data-parent="Country" data-value="4994-1024">
|
|
508
|
+
<option value=""></option>
|
|
509
|
+
<option value="tcm:50-4939-1024">Alabama</option>
|
|
510
|
+
<option value="tcm:50-4940-1024">Alaska</option>
|
|
511
|
+
<option value="tcm:50-4941-1024">Arizona</option>
|
|
512
|
+
<option value="tcm:50-4942-1024">Arkansas</option>
|
|
513
|
+
<option value="tcm:50-4943-1024">California</option>
|
|
514
|
+
<option value="tcm:50-4944-1024">Colorado</option>
|
|
515
|
+
<option value="tcm:50-4945-1024">Connecticut</option>
|
|
516
|
+
<option value="tcm:50-4946-1024">Delaware</option>
|
|
517
|
+
<option value="tcm:50-4947-1024">District of Columbia</option>
|
|
518
|
+
<option value="tcm:50-4948-1024">Florida</option>
|
|
519
|
+
<option value="tcm:50-4949-1024">Georgia</option>
|
|
520
|
+
<option value="tcm:50-4950-1024">Hawaii</option>
|
|
521
|
+
<option value="tcm:50-4951-1024">Idaho</option>
|
|
522
|
+
<option value="tcm:50-4952-1024">Illinois</option>
|
|
523
|
+
<option value="tcm:50-4953-1024">Indiana</option>
|
|
524
|
+
<option value="tcm:50-4954-1024">Iowa</option>
|
|
525
|
+
<option value="tcm:50-4955-1024">Kansas</option>
|
|
526
|
+
<option value="tcm:50-4956-1024">Kentucky</option>
|
|
527
|
+
<option value="tcm:50-4957-1024">Louisiana</option>
|
|
528
|
+
<option value="tcm:50-4958-1024">Maine</option>
|
|
529
|
+
<option value="tcm:50-4959-1024">Maryland</option>
|
|
530
|
+
<option value="tcm:50-4960-1024">Massachusetts</option>
|
|
531
|
+
<option value="tcm:50-4961-1024">Michigan</option>
|
|
532
|
+
<option value="tcm:50-4962-1024">Minnesota</option>
|
|
533
|
+
<option value="tcm:50-4963-1024">Mississippi</option>
|
|
534
|
+
<option value="tcm:50-4964-1024">Missouri</option>
|
|
535
|
+
<option value="tcm:50-4965-1024">Montana</option>
|
|
536
|
+
<option value="tcm:50-4966-1024">Nebraska</option>
|
|
537
|
+
<option value="tcm:50-4967-1024">Nevada</option>
|
|
538
|
+
<option value="tcm:50-4968-1024">New Hampshire</option>
|
|
539
|
+
<option value="tcm:50-4969-1024">New Jersey</option>
|
|
540
|
+
<option value="tcm:50-4970-1024">New Mexico</option>
|
|
541
|
+
<option value="tcm:50-4971-1024">New York</option>
|
|
542
|
+
<option value="tcm:50-4972-1024">North Carolina</option>
|
|
543
|
+
<option value="tcm:50-4973-1024">North Dakota</option>
|
|
544
|
+
<option value="tcm:50-4974-1024">Ohio</option>
|
|
545
|
+
<option value="tcm:50-4975-1024">Oklahoma</option>
|
|
546
|
+
<option value="tcm:50-4976-1024">Oregon</option>
|
|
547
|
+
<option value="tcm:50-4977-1024">Pennsylvania</option>
|
|
548
|
+
<option value="tcm:50-4978-1024">Rhode Island</option>
|
|
549
|
+
<option value="tcm:50-4979-1024">South Carolina</option>
|
|
550
|
+
<option value="tcm:50-4980-1024">South Dakota</option>
|
|
551
|
+
<option value="tcm:50-4981-1024">Tennessee</option>
|
|
552
|
+
<option value="tcm:50-4982-1024">Texas</option>
|
|
553
|
+
<option value="tcm:50-4983-1024">Utah</option>
|
|
554
|
+
<option value="tcm:50-4984-1024">Vermont</option>
|
|
555
|
+
<option value="tcm:50-4985-1024">Virginia</option>
|
|
556
|
+
<option value="tcm:50-4986-1024">Washington</option>
|
|
557
|
+
<option value="tcm:50-4987-1024">West Virginia</option>
|
|
558
|
+
<option value="tcm:50-4988-1024">Wisconsin</option>
|
|
559
|
+
<option value="tcm:50-4989-1024">Wyoming</option>
|
|
560
|
+
</select>
|
|
561
|
+
</div>
|
|
562
|
+
<div class="c-input-message c-form__messages-wrap">
|
|
563
|
+
<div class="errorState u-display-none"></div>
|
|
564
|
+
</div>
|
|
565
|
+
</div>
|
|
566
|
+
</div>
|
|
567
|
+
<div class="c-form__row o-grid o-grid--of-two">
|
|
568
|
+
<div class="c-form__input Province u-hidden required">
|
|
569
|
+
<div class="c-form__input-wrap">
|
|
570
|
+
<label class="c-label u-pad-xs c-label--required" for="Province">Province</label>
|
|
571
|
+
<select class="c-input c-input--select Province" name="Province" id="Province" data-dependency="showif(Country%4990-1024)" required="" tabindex="-1" data-action="showif" data-parent="Country" data-value="4990-1024">
|
|
572
|
+
<option value=""></option>
|
|
573
|
+
<option value="tcm:50-4875-1024">Alberta</option>
|
|
574
|
+
<option value="tcm:50-4876-1024">British Columbia</option>
|
|
575
|
+
<option value="tcm:50-4877-1024">Manitoba</option>
|
|
576
|
+
<option value="tcm:50-4878-1024">New Brunswick</option>
|
|
577
|
+
<option value="tcm:50-4879-1024">Newfoundland and Labrador</option>
|
|
578
|
+
<option value="tcm:50-4880-1024">Northwest Territories</option>
|
|
579
|
+
<option value="tcm:50-4881-1024">Nova Scotia</option>
|
|
580
|
+
<option value="tcm:50-4882-1024">Nunavut</option>
|
|
581
|
+
<option value="tcm:50-4883-1024">Ontario</option>
|
|
582
|
+
<option value="tcm:50-4884-1024">Prince Edward Island</option>
|
|
583
|
+
<option value="tcm:50-4885-1024">Quebec</option>
|
|
584
|
+
<option value="tcm:50-4886-1024">Saskatchewan</option>
|
|
585
|
+
<option value="tcm:50-4887-1024">Yukon Territory</option>
|
|
586
|
+
</select>
|
|
587
|
+
</div>
|
|
588
|
+
<div class="c-input-message c-form__messages-wrap">
|
|
589
|
+
<div class="errorProvince u-display-none"></div>
|
|
590
|
+
</div>
|
|
591
|
+
</div>
|
|
592
|
+
</div>
|
|
593
|
+
<div class="c-form__row o-grid o-grid--of-two">
|
|
594
|
+
<div class="c-form__input callbackDay u-hidden">
|
|
595
|
+
<fieldset class="u-flow--s">
|
|
596
|
+
<label class="c-label u-pad-xs " for="CallbackDay">Request a callback (optional)</label>
|
|
597
|
+
<span class="radio-item u-display-block">
|
|
598
|
+
<input class="c-radio" data-dependency="showif(Country%4994-1024,4990-1024,5093-1024,5175-1024,4993-1024,5069-1024,5008-1024,5185-1024,5048-1024,5142-1024,5184-1024,5064-1024,5120-1024,5035-1024,5007-1024,5135-1024,5086-1024,4991-1024)" id="callbackDay" name="callbackDay" type="radio" value="" tabindex="-1" data-action="showif" data-parent="Country" data-value="4994-1024,4990-1024,5093-1024,5175-1024,4993-1024,5069-1024,5008-1024,5185-1024,5048-1024,5142-1024,5184-1024,5064-1024,5120-1024,5035-1024,5007-1024,5135-1024,5086-1024,4991-1024">
|
|
599
|
+
<label for="callbackDay_Monday" id="callbackDay_Monday">Monday</label>
|
|
600
|
+
</span>
|
|
601
|
+
<span class="radio-item u-display-block">
|
|
602
|
+
<input class="c-radio" data-dependency="showif(Country%4994-1024,4990-1024,5093-1024,5175-1024,4993-1024,5069-1024,5008-1024,5185-1024,5048-1024,5142-1024,5184-1024,5064-1024,5120-1024,5035-1024,5007-1024,5135-1024,5086-1024,4991-1024)" id="callbackDay" name="callbackDay" type="radio" value="Tuesday" tabindex="-1" data-action="showif" data-parent="Country" data-value="4994-1024,4990-1024,5093-1024,5175-1024,4993-1024,5069-1024,5008-1024,5185-1024,5048-1024,5142-1024,5184-1024,5064-1024,5120-1024,5035-1024,5007-1024,5135-1024,5086-1024,4991-1024">
|
|
603
|
+
<label for="callbackDay_Tuesday" id="callbackDay_Tuesday">Tuesday</label>
|
|
604
|
+
</span>
|
|
605
|
+
<span class="radio-item u-display-block">
|
|
606
|
+
<input class="c-radio" data-dependency="showif(Country%4994-1024,4990-1024,5093-1024,5175-1024,4993-1024,5069-1024,5008-1024,5185-1024,5048-1024,5142-1024,5184-1024,5064-1024,5120-1024,5035-1024,5007-1024,5135-1024,5086-1024,4991-1024)" id="callbackDay" name="callbackDay" type="radio" value="Wednesday" tabindex="-1" data-action="showif" data-parent="Country" data-value="4994-1024,4990-1024,5093-1024,5175-1024,4993-1024,5069-1024,5008-1024,5185-1024,5048-1024,5142-1024,5184-1024,5064-1024,5120-1024,5035-1024,5007-1024,5135-1024,5086-1024,4991-1024">
|
|
607
|
+
<label for="callbackDay_Wednesday" id="callbackDay_Wednesday">Wednesday</label>
|
|
608
|
+
</span>
|
|
609
|
+
<span class="radio-item u-display-block">
|
|
610
|
+
<input class="c-radio" data-dependency="showif(Country%4994-1024,4990-1024,5093-1024,5175-1024,4993-1024,5069-1024,5008-1024,5185-1024,5048-1024,5142-1024,5184-1024,5064-1024,5120-1024,5035-1024,5007-1024,5135-1024,5086-1024,4991-1024)" id="callbackDay" name="callbackDay" type="radio" value="Thursday" tabindex="-1" data-action="showif" data-parent="Country" data-value="4994-1024,4990-1024,5093-1024,5175-1024,4993-1024,5069-1024,5008-1024,5185-1024,5048-1024,5142-1024,5184-1024,5064-1024,5120-1024,5035-1024,5007-1024,5135-1024,5086-1024,4991-1024">
|
|
611
|
+
<label for="callbackDay_Thursday" id="callbackDay_Thursday">Thursday</label>
|
|
612
|
+
</span>
|
|
613
|
+
<span class="radio-item u-display-block">
|
|
614
|
+
<input class="c-radio" data-dependency="showif(Country%4994-1024,4990-1024,5093-1024,5175-1024,4993-1024,5069-1024,5008-1024,5185-1024,5048-1024,5142-1024,5184-1024,5064-1024,5120-1024,5035-1024,5007-1024,5135-1024,5086-1024,4991-1024)" id="callbackDay" name="callbackDay" type="radio" value="Friday" tabindex="-1" data-action="showif" data-parent="Country" data-value="4994-1024,4990-1024,5093-1024,5175-1024,4993-1024,5069-1024,5008-1024,5185-1024,5048-1024,5142-1024,5184-1024,5064-1024,5120-1024,5035-1024,5007-1024,5135-1024,5086-1024,4991-1024">
|
|
615
|
+
<label for="callbackDay_Friday" id="callbackDay_Friday">Friday</label>
|
|
616
|
+
</span>
|
|
617
|
+
<button class="c-button--reset u-link u-step--1" type="button" onclick="clearRadioButtons(this)" tabindex="-1">
|
|
618
|
+
Clear
|
|
619
|
+
</button>
|
|
620
|
+
</fieldset>
|
|
621
|
+
</div>
|
|
622
|
+
<div class="c-form__input callbackTime u-hidden">
|
|
623
|
+
<fieldset class="u-flow--s">
|
|
624
|
+
<label class="c-label u-pad-xs " for="CallbackTime">Time slot (optional)</label>
|
|
625
|
+
<span class="radio-item u-display-block">
|
|
626
|
+
<input class="c-radio" data-dependency="showif(Country%4994-1024,4990-1024,5093-1024,5175-1024,4993-1024,5069-1024,5008-1024,5185-1024,5048-1024,5142-1024,5184-1024,5064-1024,5120-1024,5035-1024,5007-1024,5135-1024,5086-1024,4991-1024)" id="callbackTime" name="callbackTime" type="radio" value="" tabindex="-1" data-action="showif" data-parent="Country" data-value="4994-1024,4990-1024,5093-1024,5175-1024,4993-1024,5069-1024,5008-1024,5185-1024,5048-1024,5142-1024,5184-1024,5064-1024,5120-1024,5035-1024,5007-1024,5135-1024,5086-1024,4991-1024">
|
|
627
|
+
<label for="callbackTime_9am-11am" id="callbackTime_9am-11am">9am - 11am</label>
|
|
628
|
+
</span>
|
|
629
|
+
<span class="radio-item u-display-block">
|
|
630
|
+
<input class="c-radio" data-dependency="showif(Country%4994-1024,4990-1024,5093-1024,5175-1024,4993-1024,5069-1024,5008-1024,5185-1024,5048-1024,5142-1024,5184-1024,5064-1024,5120-1024,5035-1024,5007-1024,5135-1024,5086-1024,4991-1024)" id="callbackTime" name="callbackTime" type="radio" value="11am - 1pm" tabindex="-1" data-action="showif" data-parent="Country" data-value="4994-1024,4990-1024,5093-1024,5175-1024,4993-1024,5069-1024,5008-1024,5185-1024,5048-1024,5142-1024,5184-1024,5064-1024,5120-1024,5035-1024,5007-1024,5135-1024,5086-1024,4991-1024">
|
|
631
|
+
<label for="callbackTime_11am-1pm" id="callbackTime_11am-1pm">11am - 1pm</label>
|
|
632
|
+
</span>
|
|
633
|
+
<span class="radio-item u-display-block">
|
|
634
|
+
<input class="c-radio" data-dependency="showif(Country%4994-1024,4990-1024,5093-1024,5175-1024,4993-1024,5069-1024,5008-1024,5185-1024,5048-1024,5142-1024,5184-1024,5064-1024,5120-1024,5035-1024,5007-1024,5135-1024,5086-1024,4991-1024)" id="callbackTime" name="callbackTime" type="radio" value="1pm - 3pm" tabindex="-1" data-action="showif" data-parent="Country" data-value="4994-1024,4990-1024,5093-1024,5175-1024,4993-1024,5069-1024,5008-1024,5185-1024,5048-1024,5142-1024,5184-1024,5064-1024,5120-1024,5035-1024,5007-1024,5135-1024,5086-1024,4991-1024">
|
|
635
|
+
<label for="callbackTime_1pm-3pm" id="callbackTime_1pm-3pm">1pm - 3pm</label>
|
|
636
|
+
</span>
|
|
637
|
+
<span class="radio-item u-display-block">
|
|
638
|
+
<input class="c-radio" data-dependency="showif(Country%4994-1024,4990-1024,5093-1024,5175-1024,4993-1024,5069-1024,5008-1024,5185-1024,5048-1024,5142-1024,5184-1024,5064-1024,5120-1024,5035-1024,5007-1024,5135-1024,5086-1024,4991-1024)" id="callbackTime" name="callbackTime" type="radio" value="3pm - 5pm" tabindex="-1" data-action="showif" data-parent="Country" data-value="4994-1024,4990-1024,5093-1024,5175-1024,4993-1024,5069-1024,5008-1024,5185-1024,5048-1024,5142-1024,5184-1024,5064-1024,5120-1024,5035-1024,5007-1024,5135-1024,5086-1024,4991-1024">
|
|
639
|
+
<label for="callbackTime_3pm-5pm" id="callbackTime_3pm-5pm">3pm - 5pm</label>
|
|
640
|
+
</span>
|
|
641
|
+
<button class="c-button--reset u-link u-step--1" type="button" onclick="clearRadioButtons(this)" tabindex="-1">
|
|
642
|
+
Clear
|
|
643
|
+
</button>
|
|
644
|
+
</fieldset>
|
|
645
|
+
<input type="hidden" id="RequestCallback" name="RequestCallback">
|
|
646
|
+
</div>
|
|
647
|
+
</div>
|
|
648
|
+
</fieldset>
|
|
649
|
+
<fieldset class="c-fieldset ">
|
|
650
|
+
<legend class="c-form__section-title">More details</legend>
|
|
651
|
+
<div class="c-form__row ">
|
|
652
|
+
<div class="c-form__input ApplicationDetails ">
|
|
653
|
+
<div class="c-form__input-wrap">
|
|
654
|
+
<label class="c-label u-flex-1 u-pad-xs " for="ApplicationDetails">Please give more details about your requirements / application (optional)</label>
|
|
655
|
+
<textarea class="c-input ApplicationDetails c-input--textarea" cols="20" id="ApplicationDetails" name="ApplicationDetails" rows="2"></textarea>
|
|
656
|
+
</div>
|
|
657
|
+
</div>
|
|
658
|
+
</div>
|
|
659
|
+
<div class="c-form__row ">
|
|
660
|
+
<div class="c-form__input emailOptIn ">
|
|
661
|
+
<input class="c-checkbox" id="emailOptIn" name="emailOptIn" type="checkbox" value="true">
|
|
662
|
+
<input name="emailOptIn" type="hidden" value="false">
|
|
663
|
+
<label for="emailOptIn">I wish to receive emails tailored to my personal preferences (you can unsubscribe at any time)
|
|
664
|
+
<br>For more information please read our
|
|
665
|
+
<a class="u-link" href="">Privacy Policy</a>
|
|
666
|
+
</label>
|
|
667
|
+
</div>
|
|
668
|
+
</div>
|
|
669
|
+
</fieldset>
|
|
670
|
+
<div class="submit u-flow--s">
|
|
671
|
+
<altcha-widget
|
|
672
|
+
challengeurl="https://eu.altcha.org/api/v1/challenge?apiKey=ckey_0131d47bf232ee6f4ca23c512c58"
|
|
673
|
+
></altcha-widget>
|
|
674
|
+
<button id="btnSubmit" class="mp c-button c-button--inline">
|
|
675
|
+
Contact sales
|
|
676
|
+
</button>
|
|
677
|
+
<script>
|
|
678
|
+
function submitWithRecaptcha() {}
|
|
679
|
+
function submitForm() {
|
|
680
|
+
document
|
|
681
|
+
.querySelector("#dynamicForm form")
|
|
682
|
+
.submit();
|
|
683
|
+
}
|
|
684
|
+
</script>
|
|
685
|
+
</div>
|
|
686
|
+
</form>
|
|
687
|
+
</div>
|
|
688
|
+
</div>
|
|
689
|
+
{% endblock %}
|
|
690
|
+
|
|
691
|
+
<!--
|
|
692
|
+
{
|
|
693
|
+
"hostname": "brand.malvernpanalytical.com",
|
|
694
|
+
"apiKey": "ckey_0131d47bf232ee6f4ca23c512c58",
|
|
695
|
+
"secret": "csec_e7afd4dd992f012b2d4016c31373adec474be7c6a98f83fa",
|
|
696
|
+
"license": "This API key is provided free of charge. Use of this key or the API it accesses is at your own risk with no warranty or liability. By using this key you agree to properly attribute ALTCHA on your website as described in the documentation (https://altcha.org/docs/api/api_keys#attribution-for-free-api-keys). Terms of Service apply ((https://altcha.org/terms-of-service).",
|
|
697
|
+
"verification": {
|
|
698
|
+
"DNS": {
|
|
699
|
+
"name": "@",
|
|
700
|
+
"type": "TXT",
|
|
701
|
+
"value": "altcha-verification=1e7a58da8a93692e"
|
|
702
|
+
}
|
|
703
|
+
}
|
|
704
|
+
}
|
|
705
|
+
-->
|