var captchaWidgetmpFrm99b4647512f542d7b506e6313bfcb061;
                        
                        var mpCurrentScriptmpFrm99b4647512f542d7b506e6313bfcb061Container = document.currentScript.parentNode;
                        (function () {
                            var containerDiv = document.createElement('div');
                            containerDiv.id = "mpFrm99b4647512f542d7b506e6313bfcb061";
                            containerDiv.classList.add("mpForm");
                            containerDiv.setAttribute("data-mpid", "26999");

                            if(document.currentScript && document.currentScript.parentNode && document.currentScript.parentNode.nodeName && document.currentScript.parentNode.nodeName.toLowerCase() === "head") {
                                document.addEventListener("DOMContentLoaded", (event) => {
                                    var bodyHolder = document.getElementsByTagName("body");
                                    if (bodyHolder && bodyHolder[0]) {
                                        bodyHolder[0].appendChild(containerDiv);
                                    }
                                })
                            }
                            else {
                                document.currentScript.parentNode.insertBefore(containerDiv, document.currentScript);
                                mpFormmpFrm99b4647512f542d7b506e6313bfcb061Find();
                            }
                        })();

                        function mpFormmpFrm99b4647512f542d7b506e6313bfcb061Find() {
                            if(!mpCurrentScriptmpFrm99b4647512f542d7b506e6313bfcb061Container) return;
                            if (mpCurrentScriptmpFrm99b4647512f542d7b506e6313bfcb061Container && mpCurrentScriptmpFrm99b4647512f542d7b506e6313bfcb061Container.nodeName && mpCurrentScriptmpFrm99b4647512f542d7b506e6313bfcb061Container.nodeName.toLowerCase() === "head") {
                                var mpFind = document.querySelectorAll("[data-mpid='26999']");
                                if (mpFind.length && !mpFind[0].innerHTML) {
                                    mpFind[0].id = "mpFrm99b4647512f542d7b506e6313bfcb061"
                                }
                            } else {
                                var mpFound = false;
                                Array.from(mpCurrentScriptmpFrm99b4647512f542d7b506e6313bfcb061Container.children).forEach(c => {
                                    if (c.id === "mpFrm99b4647512f542d7b506e6313bfcb061") mpFound = true;
                                })
                                if (!mpFound) {
                                    var mpOthers = Array.from(mpCurrentScriptdb84a791a4e74df2ae76f756403c3fbeContainer.children).filter(e => e.dataset && e.dataset.mpid === "26999");
                                    if (mpOthers.length === 1) {
                                        mpOthers[0].id = "mpFrm99b4647512f542d7b506e6313bfcb061";
                                    }
                                }
                            }
                            
                        }

                        function mpFormdb84a791a4e74df2ae76f756403c3fbeCheck()
                        {
                            let checkBoxes = document.getElementById("mpform-db84a791a4e74df2ae76f756403c3fbe").querySelectorAll('input[type="checkbox"]');
                            if(checkBoxes)
                            {
                                for(var i = 0; i < checkBoxes.length; i++) {
                                    let checkBox = checkBoxes[i];
                                    var attr = checkBox.getAttribute('data-prevval');
                                    if (typeof attr !== typeof undefined && attr !== false) 
                                    {
                                        checkBox.value = checkBox.getAttribute("data-prevval");
                                        checkBox.removeAttribute("data-prevval");
                                        checkBox.removeAttribute("checked");
                                    }
                                }
                            }
                        }

                        function mpFormdb84a791a4e74df2ae76f756403c3fbeSubmit(event)
                        {
                            event.preventDefault();
                            let msgHlder = document.getElementById("mpform-db84a791a4e74df2ae76f756403c3fbe").querySelector('[id=mpmessageholder]');
                            let mpMsg = document.getElementById("mpform-db84a791a4e74df2ae76f756403c3fbe").querySelector('[id=mpmessage]');

                            let checkBoxes = document.getElementById("mpform-db84a791a4e74df2ae76f756403c3fbe").querySelectorAll('input[type="checkbox"]');
                            if(checkBoxes)
                            {
                                for(var i = 0; i < checkBoxes.length; i++) {
                                    let checkBox = checkBoxes[i];
                                    if( checkBox.checked == true ) {
                                        if(checkBox.getAttribute('data-prevval'))
                                        {
                                            checkBox.value = checkBox.getAttribute('data-prevval');
                                        } else {
                                            checkBox.value = 1;
                                        }
                                    } else {
                                        checkBox.setAttribute('data-prevval',checkBox.value);
                                        checkBox.value = 0;
                                    }
                                }
                            }
                            
                            let form_data = Array.from(
                                new FormData(document.getElementById('mpform-db84a791a4e74df2ae76f756403c3fbe')),
                                function(e) { 
    
                                    return {
                                        name: e[0],
                                        value: e[1]
                                    } 
                                }
                            )

                            try
                            {
                                for(var i = 0; i < checkBoxes.length; i++) {
                                    let checkBox = checkBoxes[i];
                                    let found = form_data.find(f=>f.name == checkBox.name)
                                    if(!found)
                                    {
                                        form_data.push({name: checkBox.name, value: checkBox.checked ? checkBox.value : "0"})
                                    }
                                }
                            }
                            catch(err){}

                            try
                            {
                                form_data.push({
                                    name: "mpTrkH",
                                    value: document.location.host
                                })
                                form_data.push({
                                    name: "mpTrkO",
                                    value: document.location.origin
                                })
                                form_data.push({
                                    name: "mpTrkP",
                                    value: document.location.pathname
                                })
                                form_data.push({
                                    name: "mpTrkQ",
                                    value: document.location.search
                                })
                                form_data.push({
                                    name: "mpTrkUUID",
                                    value: getTrackingIddb84a791a4e74df2ae76f756403c3fbe()
                                })
                            }
                            catch(err){}
                            
                            //check valid telnos
                            var failed = "";
                            if(msgHlder)
                            {
                                msgHlder.style.display = "none";
                            }

                            let telInputs = document.getElementById("mpform-db84a791a4e74df2ae76f756403c3fbe").querySelectorAll('input[type=TELNO]');
                            if(telInputs)
                            {
                                for(var i = 0; i < telInputs.length; i++) {
                                    let telInput = telInputs[i];
                                    var iti = window.intlTelInputGlobals.getInstance(telInput);
                                    telInput.classList.remove("mpm-field-error");
                                    if(iti.isValidNumber() == false && telInput.value && telInput.value.length)
                                    {
                                        telInput.classList.add("mpm-field-error");
                                        failed = "Please enter a valid telephone number";
                                    }
                                    // } else {
                                    //     let found = form_data.find(f=> f.name == telInput.name);
                                    //     if (found) {
                                    //         found.value = iti.getNumber(); // intenationally formatted version of the number
                                    //     }
                                    // }
                                }
                            }
                            
                            if(failed != "")
                            {
                                mpMsg.innerHTML = failed;
                                msgHlder.style.display = "block";
                                return;
                            }
                            
                            let button = document.getElementById("mpform-db84a791a4e74df2ae76f756403c3fbe").querySelector('button');
                            if(button)
                            {
                                button.disabled = true;
                                button.opacity = "0.5";
                            }

                            mpMsg.innerHTML = 'Sending your details...';
                            

                            var xhr = new XMLHttpRequest();
                            xhr.open("POST", "https://api.transpond.io/form?am=34793&fid=26999", true);
                            
                            xhr.onreadystatechange = function () {
                                if (xhr.readyState === 4 && xhr.status === 200) {
                                    mpFormdb84a791a4e74df2ae76f756403c3fbeCheck();
                                    button.disabled = false;
                                    button.style.opacity = "1";
                                    mpMsg.innerHTML = "";
                                    msgHlder.style.display = "block";
        
                                    let response = JSON.parse(xhr.responseText);
                                    if (!response || (!response.download && !response.downloads)) {
                                        try {
                                            document.getElementById('mpform-db84a791a4e74df2ae76f756403c3fbe').reset();
                                        } catch(e) {}
                                    }
                                    
                                    if(response)
                                    {
                                        if (response.redirect) {
                                            window.location.href = response.redirect;
                                        } 
                                        else if (response.message) 
                                        {
                                            if (response.download) window.open(response.download, '_blank');
                                            if (response.downloads && response.downloads.length) {
                                                const parent = button.parentElement;
                                                
                                                response.downloads.forEach(link => {
                                                    const hiddenButton = document.getElementById("mpform-db84a791a4e74df2ae76f756403c3fbe").querySelector("a[href='" + link.replace + "']");
                                                    if (hiddenButton) {
                                                        hiddenButton.href = link.link;
                                                        hiddenButton.closest('[data-type="FORMFILE"]').style.display = 'block';
                                                    }
                                                });
                                                parent.style.display = "none";
                                            }
                                            mpMsg.innerHTML = response.message;
                                        }
                                        else if (response.replace)
                                        {
                                            document.getElementById('mpform-db84a791a4e74df2ae76f756403c3fbe').innerHTML = response.form
                                        }
                                    }
                                    grecaptcha.reset(captchaWidgetmpFrm99b4647512f542d7b506e6313bfcb061);
                                }
                                else
                                {
            
                                    mpFormdb84a791a4e74df2ae76f756403c3fbeCheck();
                                    button.disabled = false;
                                    button.style.opacity = "1";
                                    mpMsg.innerHTML = "";
                                    msgHlder.style.display = "block";
                                    var error = "Error submitting form";
                                    if (xhr.responseText) {
                                        const errorJson = JSON.parse(xhr.responseText);
                                        if(errorJson.error && typeof errorJson.error === 'string') {
                                            error = errorJson.error;
                                        }
                                    }
                                    mpMsg.innerHTML = error;
                                    grecaptcha.reset();
                                }
                            };

                            let urlEncodedDataPairs = [];
                            form_data.forEach((m, i) => {
                                let name = m.name;
                                if (name === 'capsule_note') {
                                    name += '_' + i;
                                }
                                urlEncodedDataPairs.push(encodeURIComponent(name)+ "=" + encodeURIComponent(m.value));
                            });
                            const urlEncodedData = urlEncodedDataPairs.join('&').replace(/%20/g, '+');
                            xhr.setRequestHeader('Content-type', 'application/x-www-form-urlencoded');
                            xhr.send(urlEncodedData);
                            
                            return;
                        }
                        
                        
                        function mpmRecaptchaLoadeddb84a791a4e74df2ae76f756403c3fbe()
                        {
                            captchaWidgetmpFrm99b4647512f542d7b506e6313bfcb061 = grecaptcha.render('mpmRecaptchampFrm99b4647512f542d7b506e6313bfcb061', {
                                'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2'
                            });
                        }
                        
                    
                        function getTrackingIddb84a791a4e74df2ae76f756403c3fbe() {
                            try {
                                let uuid = document.cookie.match('(^|;)\s*mpz\s*=\s*([^;]+)')?.pop() || '';
                                if(!uuid) {
                                    let found = document.cookie.split(';').find(c => c.indexOf('mpz=') > -1);
                                    if (found) uuid = found.split('=')[1];
                                }
                                return uuid;
                            } catch(e) { }
                        };

                        function mpmFormInitdb84a791a4e74df2ae76f756403c3fbe ()
                        {
                            var subscriberData = undefined;
                            var form = '<style>.mpm-field-error {border-color: red !important;}</style><form name="mpForm-db84a791a4e74df2ae76f756403c3fbe" method="post" id="mpform-db84a791a4e74df2ae76f756403c3fbe" class="mpform" onSubmit="mpFormdb84a791a4e74df2ae76f756403c3fbeSubmit(event)"><div style="width: 100%; height: 100%; padding: 0px; box-sizing: border-box; background-size: cover; background-color: transparent; background-image: url(); background-repeat: no-repeat; background-position: center;" class="mpm-container"><div style="margin: 0 auto; max-width: 100%; border-style: none; border-width: 2px; border-radius: 10px; background-size: cover; background-color: #FFFFFF; background-image: url(); background-repeat: no-repeat; background-position: center;" id="mpmInnerForm"><div style="padding: 20px;" class="mpm-row"><div style="display: flex; position: relative; flex-direction: column;" class="mpm-col-xs-12"><input placeholder="First name" required="required" width="100%" style="color: #000000; width: 100%; display: block; font-size: 16px; box-sizing: border-box; margin-top: 10px; font-family: Calibri; font-weight: normal; margin-left: 0; padding-top: 10px; border-color: #c2c2c2; border-style: solid; border-width: 1px; margin-right: 0; padding-left: 15px; border-radius: 3px; margin-bottom: 10px; padding-right: 15px; padding-bottom: 10px; background-color: #f1f1f1; -webkit-appearance: none;" type="TEXT" name="customField-662710"></div><div style="display: flex; position: relative; flex-direction: column;" class="mpm-col-xs-12"><input placeholder="Last name" required="required" width="100%" style="color: #000000; width: 100%; display: block; font-size: 16px; box-sizing: border-box; margin-top: 10px; font-family: Calibri; font-weight: normal; margin-left: 0; padding-top: 10px; border-color: #c2c2c2; border-style: solid; border-width: 1px; margin-right: 0; padding-left: 15px; border-radius: 3px; margin-bottom: 10px; padding-right: 15px; padding-bottom: 10px; background-color: #f1f1f1; -webkit-appearance: none;" type="TEXT" name="customField-662711"></div><div style="display: flex; position: relative; flex-direction: column;" class="mpm-col-xs-12"><input placeholder="Business email address" required="required" width="100%" style="color: #000000; width: 100%; display: block; font-size: 16px; box-sizing: border-box; margin-top: 10px; font-family: Calibri; font-weight: normal; margin-left: 0; padding-top: 10px; border-color: #c2c2c2; border-style: solid; border-width: 1px; margin-right: 0; padding-left: 15px; border-radius: 3px; margin-bottom: 10px; padding-right: 15px; padding-bottom: 10px; background-color: #f1f1f1; -webkit-appearance: none;" type="text" name="emailAddress"></div><div style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px;" class="mpm-col-xs-12"><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: normal;">*To ensure a prompt response, please use a business email address (personal accounts like Gmail, Outlook, Yahoo, or Proton may not receive a reply).</div></div><div style="display: flex; position: relative; flex-direction: column;" class="mpm-col-xs-12"><input placeholder="Phone number" required="required" width="100%" style="color: #000000; width: 100%; display: block; font-size: 16px; box-sizing: border-box; margin-top: 10px; font-family: Calibri; font-weight: normal; margin-left: 0; padding-top: 10px; border-color: #c2c2c2; border-style: solid; border-width: 1px; margin-right: 0; padding-left: 15px; border-radius: 3px; margin-bottom: 10px; padding-right: 15px; padding-bottom: 10px; background-color: #f1f1f1; -webkit-appearance: none;" type="TELNO" name="customField-662727"></div><div style="display: flex; position: relative; flex-direction: column;" class="mpm-col-xs-12"><input placeholder="Company Name" required="required" width="100%" style="color: #000000; width: 100%; display: block; font-size: 16px; box-sizing: border-box; margin-top: 10px; font-family: Calibri; font-weight: normal; margin-left: 0; padding-top: 10px; border-color: #c2c2c2; border-style: solid; border-width: 1px; margin-right: 0; padding-left: 15px; border-radius: 3px; margin-bottom: 10px; padding-right: 15px; padding-bottom: 10px; background-color: #f1f1f1; -webkit-appearance: none;" type="text" name="companyName"></div><div style="display: flex; position: relative; flex-direction: column;" class="mpm-col-xs-12"><input placeholder="Job title" required="required" width="100%" style="color: #000000; width: 100%; display: block; font-size: 16px; box-sizing: border-box; margin-top: 10px; font-family: Calibri; font-weight: normal; margin-left: 0; padding-top: 10px; border-color: #e9e7e8; border-style: solid; border-width: 1px; margin-right: 0; padding-left: 15px; border-radius: 3px; margin-bottom: 10px; padding-right: 15px; padding-bottom: 10px; background-color: #f1f1f1; -webkit-appearance: none;" type="TEXT" name="customField-662713"></div><div style="display: flex; position: relative; flex-direction: column;" class="mpm-col-xs-12"><select required="required" style="color: #000000; width: 100%; display: block; font-size: 16px; box-sizing: border-box; margin-top: 10px; font-family: Calibri; padding-top: 10px; border-color: #e9e7e8; border-style: solid; border-width: 1px; padding-left: 15px; border-radius: 3px; margin-bottom: 10px; padding-right: 15px; padding-bottom: 10px; background-color: #f1f1f1; -webkit-appearance: none;" name="customField-662720"><option selected="selected" disabled="disabled" value="" style="color: #80808b;">Country</option><option value="Afghanistan">Afghanistan</option><option value="Åland Islands">Åland Islands</option><option value="Albania">Albania</option><option value="Algeria">Algeria</option><option value="American Samoa">American Samoa</option><option value="Andorra">Andorra</option><option value="Angola">Angola</option><option value="Anguilla">Anguilla</option><option value="Antarctica">Antarctica</option><option value="Antigua and Barbuda">Antigua and Barbuda</option><option value="Argentina">Argentina</option><option value="Armenia">Armenia</option><option value="Aruba">Aruba</option><option value="Australia">Australia</option><option value="Austria">Austria</option><option value="Azerbaijan">Azerbaijan</option><option value="Bahamas">Bahamas</option><option value="Bahrain">Bahrain</option><option value="Bangladesh">Bangladesh</option><option value="Barbados">Barbados</option><option value="Belarus">Belarus</option><option value="Belgium">Belgium</option><option value="Belize">Belize</option><option value="Benin">Benin</option><option value="Bermuda">Bermuda</option><option value="Bhutan">Bhutan</option><option value="Bolivia, Plurinational State of">Bolivia, Plurinational State of</option><option value="Bonaire, Sint Eustatius and Saba">Bonaire, Sint Eustatius and Saba</option><option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Botswana">Botswana</option><option value="Bouvet Island">Bouvet Island</option><option value="Brazil">Brazil</option><option value="British Indian Ocean Territory">British Indian Ocean Territory</option><option value="Brunei Darussalam">Brunei Darussalam</option><option value="Bulgaria">Bulgaria</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Cambodia">Cambodia</option><option value="Cameroon">Cameroon</option><option value="Canada">Canada</option><option value="Cape Verde">Cape Verde</option><option value="Cayman Islands">Cayman Islands</option><option value="Central African Republic">Central African Republic</option><option value="Chad">Chad</option><option value="Chile">Chile</option><option value="China">China</option><option value="Christmas Island">Christmas Island</option><option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option><option value="Colombia">Colombia</option><option value="Comoros">Comoros</option><option value="Congo">Congo</option><option value="Congo, Democratic Republic of the">Congo, Democratic Republic of the</option><option value="Cook Islands">Cook Islands</option><option value="Costa Rica">Costa Rica</option><option value="Côte d\'Ivoire">Côte d\'Ivoire</option><option value="Croatia">Croatia</option><option value="Cuba">Cuba</option><option value="Curaçao">Curaçao</option><option value="Cyprus">Cyprus</option><option value="Czech Republic">Czech Republic</option><option value="Denmark">Denmark</option><option value="Djibouti">Djibouti</option><option value="Dominica">Dominica</option><option value="Dominican Republic">Dominican Republic</option><option value="Ecuador">Ecuador</option><option value="Egypt">Egypt</option><option value="El Salvador">El Salvador</option><option value="Equatorial Guinea">Equatorial Guinea</option><option value="Eritrea">Eritrea</option><option value="Estonia">Estonia</option><option value="Ethiopia">Ethiopia</option><option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option><option value="Faroe Islands">Faroe Islands</option><option value="Fiji">Fiji</option><option value="Finland">Finland</option><option value="France">France</option><option value="French Guiana">French Guiana</option><option value="French Polynesia">French Polynesia</option><option value="French Southern Territories">French Southern Territories</option><option value="Gabon">Gabon</option><option value="Gambia">Gambia</option><option value="Georgia">Georgia</option><option value="Germany">Germany</option><option value="Ghana">Ghana</option><option value="Gibraltar">Gibraltar</option><option value="Greece">Greece</option><option value="Greenland">Greenland</option><option value="Grenada">Grenada</option><option value="Guadeloupe">Guadeloupe</option><option value="Guam">Guam</option><option value="Guatemala">Guatemala</option><option value="Guernsey">Guernsey</option><option value="Guinea">Guinea</option><option value="Guinea-Bissau">Guinea-Bissau</option><option value="Guyana">Guyana</option><option value="Haiti">Haiti</option><option value="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option><option value="Holy See (Vatican City State)">Holy See (Vatican City State)</option><option value="Honduras">Honduras</option><option value="Hong Kong">Hong Kong</option><option value="Hungary">Hungary</option><option value="Iceland">Iceland</option><option value="India">India</option><option value="Indonesia">Indonesia</option><option value="Iran, Islamic Republic of">Iran, Islamic Republic of</option><option value="Iraq">Iraq</option><option value="Ireland">Ireland</option><option value="Isle of Man">Isle of Man</option><option value="Israel">Israel</option><option value="Italy">Italy</option><option value="Jamaica">Jamaica</option><option value="Japan">Japan</option><option value="Jersey">Jersey</option><option value="Jordan">Jordan</option><option value="Kazakhstan">Kazakhstan</option><option value="Kenya">Kenya</option><option value="Kiribati">Kiribati</option><option value="Korea, Democratic People\'s Republic of">Korea, Democratic People\'s Republic of</option><option value="Korea, Republic of">Korea, Republic of</option><option value="Kuwait">Kuwait</option><option value="Kyrgyzstan">Kyrgyzstan</option><option value="Lao People\'s Democratic Republic">Lao People\'s Democratic Republic</option><option value="Latvia">Latvia</option><option value="Lebanon">Lebanon</option><option value="Lesotho">Lesotho</option><option value="Liberia">Liberia</option><option value="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option><option value="Liechtenstein">Liechtenstein</option><option value="Lithuania">Lithuania</option><option value="Luxembourg">Luxembourg</option><option value="Macao">Macao</option><option value="North Macedonia">North Macedonia</option><option value="Madagascar">Madagascar</option><option value="Malawi">Malawi</option><option value="Malaysia">Malaysia</option><option value="Maldives">Maldives</option><option value="Mali">Mali</option><option value="Malta">Malta</option><option value="Marshall Islands">Marshall Islands</option><option value="Martinique">Martinique</option><option value="Mauritania">Mauritania</option><option value="Mauritius">Mauritius</option><option value="Mayotte">Mayotte</option><option value="Mexico">Mexico</option><option value="Micronesia, Federated States of">Micronesia, Federated States of</option><option value="Moldova">Moldova</option><option value="Monaco">Monaco</option><option value="Mongolia">Mongolia</option><option value="Montenegro">Montenegro</option><option value="Montserrat">Montserrat</option><option value="Morocco">Morocco</option><option value="Mozambique">Mozambique</option><option value="Myanmar">Myanmar</option><option value="Namibia">Namibia</option><option value="Nauru">Nauru</option><option value="Nepal">Nepal</option><option value="Netherlands">Netherlands</option><option value="Netherlands Antilles">Netherlands Antilles</option><option value="New Caledonia">New Caledonia</option><option value="New Zealand">New Zealand</option><option value="Nicaragua">Nicaragua</option><option value="Niger">Niger</option><option value="Nigeria">Nigeria</option><option value="Niue">Niue</option><option value="Norfolk Island">Norfolk Island</option><option value="Northern Mariana Islands">Northern Mariana Islands</option><option value="Norway">Norway</option><option value="Oman">Oman</option><option value="Pakistan">Pakistan</option><option value="Palau">Palau</option><option value="Palestinian Territory, Occupied">Palestinian Territory, Occupied</option><option value="Panama">Panama</option><option value="Papua New Guinea">Papua 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value="Tuvalu">Tuvalu</option><option value="Uganda">Uganda</option><option value="Ukraine">Ukraine</option><option value="United Arab Emirates">United Arab Emirates</option><option value="United Kingdom">United Kingdom</option><option value="United States">United States</option><option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option><option value="Uruguay">Uruguay</option><option value="Uzbekistan">Uzbekistan</option><option value="Vanuatu">Vanuatu</option><option value="Venezuela, Bolivarian Republic of">Venezuela, Bolivarian Republic of</option><option value="Vietnam">Vietnam</option><option value="Virgin Islands, British">Virgin Islands, British</option><option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option><option value="Wallis and Futuna">Wallis and Futuna</option><option value="Western Sahara">Western Sahara</option><option value="Yemen">Yemen</option><option value="Zambia">Zambia</option><option value="Zimbabwe">Zimbabwe</option></select></div><div style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px;" class="mpm-col-xs-12"><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: normal;">Please select the category that best describes your request:</div></div><div style="display: flex; position: relative; flex-direction: column;" class="mpm-col-xs-12"><select required="required" style="color: #000000; width: 100%; display: block; font-size: 16px; box-sizing: border-box; margin-top: 10px; font-family: Calibri; padding-top: 10px; border-color: #e9e7e8; border-style: solid; border-width: 1px; padding-left: 15px; border-radius: 3px; margin-bottom: 10px; padding-right: 15px; padding-bottom: 10px; background-color: #f1f1f1; -webkit-appearance: none;" name="customField-698522"><option selected="selected" disabled="disabled" value="" style="color: #80808b;"></option><option value="Carbon accounting management">Carbon accounting management</option><option value="Consulting/advisory">Consulting/advisory</option><option value="Corporate due diligence">Corporate due diligence</option><option value="ESG reporting assurance">ESG reporting assurance</option><option value="ISO certifications">ISO certifications</option><option value="Sustainability management">Sustainability management</option><option value="Training">Training</option><option value="Whistleblowing tool">Whistleblowing tool</option><option value="Other">Other</option></select></div><div style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px;" class="mpm-col-xs-12"><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: normal;">Do you have a budget allocated for this initiative?</div></div><div style="display: flex; position: relative; flex-direction: column;" class="mpm-col-xs-12"><select style="color: #000000; width: 100%; display: block; font-size: 16px; box-sizing: border-box; margin-top: 10px; font-family: Calibri; padding-top: 10px; border-color: #e9e7e8; border-style: solid; border-width: 1px; padding-left: 15px; border-radius: 3px; margin-bottom: 10px; padding-right: 15px; padding-bottom: 10px; background-color: #f1f1f1; -webkit-appearance: none;" name="customField-856506"><option selected="selected" disabled="disabled" value="" style="color: #80808b;"></option><option value="Yes">Yes</option><option value="No">No</option></select></div><div style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px;" class="mpm-col-xs-12"><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: normal;">When are you looking to begin or implement this initiative?</div></div><div style="display: flex; position: relative; flex-direction: column;" class="mpm-col-xs-12"><select style="color: #000000; width: 100%; display: block; font-size: 16px; box-sizing: border-box; margin-top: 10px; font-family: Calibri; padding-top: 10px; border-color: #e9e7e8; border-style: solid; border-width: 1px; padding-left: 15px; border-radius: 3px; margin-bottom: 10px; padding-right: 15px; padding-bottom: 10px; background-color: #f1f1f1; -webkit-appearance: none;" name="customField-856507"><option selected="selected" disabled="disabled" value="" style="color: #80808b;"></option><option value="0-6 months">0-6 months</option><option value="6-12 months">6-12 months</option><option value="Beyond 12 months">Beyond 12 months</option></select></div><div style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px;" class="mpm-col-xs-12"><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: normal;">If you selected \'Other\', please share your specific request:</div></div><div style="display: flex; position: relative; flex-direction: column;" class="mpm-col-xs-12"><input placeholder="" width="100%" style="color: #000000; width: 100%; display: block; font-size: 16px; box-sizing: border-box; margin-top: 10px; font-family: Calibri; font-weight: normal; margin-left: 0; padding-top: 10px; border-color: #e9e7e8; border-style: solid; border-width: 1px; margin-right: 0; padding-left: 15px; border-radius: 3px; margin-bottom: 10px; padding-right: 15px; padding-bottom: 10px; background-color: #f1f1f1; -webkit-appearance: none;" type="TEXT" name="customField-716068"></div><div style="display: flex; position: relative; flex-direction: column;" class="mpm-col-xs-12"><input placeholder="Where did you hear about us?" width="100%" style="color: #000000; width: 100%; display: block; font-size: 16px; box-sizing: border-box; margin-top: 10px; font-family: Calibri; font-weight: normal; margin-left: 0; padding-top: 10px; border-color: #e9e7e8; border-style: solid; border-width: 1px; margin-right: 0; padding-left: 15px; border-radius: 3px; margin-bottom: 10px; padding-right: 15px; padding-bottom: 10px; background-color: #f1f1f1; -webkit-appearance: none;" type="TEXT" name="customField-739319"></div><div style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px;" class="mpm-col-xs-12"><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: normal;">Speeki is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick below to say how you would like us to contact you:</div></div><div style="display: flex; position: relative; flex-direction: column;" class="mpm-col-xs-12"><table cellspacing="0" cellpadding="0" style="margin-top: 10px; margin-bottom: 10px;"><tbody><tr><td valign="top" width="25"><input required="required" value="0" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #e9e7e8; border-style: solid; border-width: 1px; border-radius: 3px; background-color: #f1f1f1;" class="mp_checkbox" type="checkbox" name="customField-698567"></td><td valign="top"><div style="color: #000000; font-size: 14px; text-align: left; font-family: arial;">I agree to receive other communications from Speeki</div></td></tr></tbody></table></div><div style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px;" class="mpm-col-xs-12"><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: normal;">You can unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and how we are committed to protecting and respecting your privacy, please review our <a style="color: #00135d;" rel="noopener" href="https://www.speeki.com/legal-stuff/privacy-policy"><span style="color: #00135d;">Privacy Policy</span></a>.<br><br>By clicking submit below, you consent to allow Speeki to store and process the personal information submitted above to provide you the content requested.</div></div><div style="display: flex; position: relative; align-items: center; flex-direction: column;" class="mpm-col-xs-12"><button width="100%" style="color: #FFFFFF; width: 100%; cursor: pointer; display: block; font-size: 16px; box-sizing: border-box; margin-top: 0px; text-align: center; word-break: break-word; font-family: arial; font-weight: normal; margin-left: 0px; padding-top: 10px; border-color: #543881; border-style: solid; border-width: 1px; margin-right: 0px; padding-left: 10px; border-radius: 3px; margin-bottom: 30px; padding-right: 10px; padding-bottom: 10px; background-color: #00135d;" class="">Submit</button></div><div style="display: flex; position: relative; margin-top: 10px; margin-left: 0px; margin-right: 0px; margin-bottom: 10px; flex-direction: column;" class="mpm-col-xs-12"><div style="align-self: center">                        <div data-size="normal" data-theme="light" id=mpmRecaptchampFrm99b4647512f542d7b506e6313bfcb061 class="g-recaptcha"></div>                     </div></div><div style="display: flex; position: relative; margin-top: 0px; margin-left: 0px; margin-right: 0px; margin-bottom: 10px; flex-direction: column;" class="mpm-col-xs-12" id="mpmessageholder"><div style="color: #00135d; position: relative; font-size: 14px; text-align: center; font-family: arial; padding-top: 0px; padding-left: 0px; padding-right: 0px; padding-bottom: 0px;" class="mpmessageholder" id="mpmessage"></div></div></div></div></div></form>';
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