var captchaWidgetmpFrm670e33d4cf584417909e44887b34fb7b;
                        
                        var mpCurrentScriptmpFrm670e33d4cf584417909e44887b34fb7bContainer = document.currentScript.parentNode;
                        (function () {
                            var containerDiv = document.createElement('div');
                            containerDiv.id = "mpFrm670e33d4cf584417909e44887b34fb7b";
                            containerDiv.classList.add("mpForm");
                            containerDiv.setAttribute("data-mpid", "26999");

                            if (window.self !== window.top) {
                                if (document.body) {
                                    document.body.appendChild(containerDiv);
                                } else {
                                    document.addEventListener("DOMContentLoaded", function() {
                                        document.body.appendChild(containerDiv);
                                    });
                                }
                                mpFormmpFrm670e33d4cf584417909e44887b34fb7bFind();
                            } else 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);
                                mpFormmpFrm670e33d4cf584417909e44887b34fb7bFind();
                            }
                        })();

                        function mpFormmpFrm670e33d4cf584417909e44887b34fb7bFind() {
                            if(!mpCurrentScriptmpFrm670e33d4cf584417909e44887b34fb7bContainer) return;
                            if (mpCurrentScriptmpFrm670e33d4cf584417909e44887b34fb7bContainer && mpCurrentScriptmpFrm670e33d4cf584417909e44887b34fb7bContainer.nodeName && mpCurrentScriptmpFrm670e33d4cf584417909e44887b34fb7bContainer.nodeName.toLowerCase() === "head") {
                                var mpFind = document.querySelectorAll("[data-mpid='26999']");
                                if (mpFind.length && !mpFind[0].innerHTML) {
                                    mpFind[0].id = "mpFrm670e33d4cf584417909e44887b34fb7b"
                                }
                            } else {
                                var mpFound = false;
                                Array.from(mpCurrentScriptmpFrm670e33d4cf584417909e44887b34fb7bContainer.children).forEach(c => {
                                    if (c.id === "mpFrm670e33d4cf584417909e44887b34fb7b") mpFound = true;
                                })
                                if (!mpFound) {
                                    var mpOthers = Array.from(mpCurrentScript63a356fa55ab4196a5990258002a662bContainer.children).filter(e => e.dataset && e.dataset.mpid === "26999");
                                    if (mpOthers.length === 1) {
                                        mpOthers[0].id = "mpFrm670e33d4cf584417909e44887b34fb7b";
                                    }
                                }
                            }
                            
                        }

                        function mpForm63a356fa55ab4196a5990258002a662bCheck()
                        {
                            let checkBoxes = document.getElementById("mpform-63a356fa55ab4196a5990258002a662b").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 mpForm63a356fa55ab4196a5990258002a662bSubmit(event)
                        {
                            event.preventDefault();
                            let msgHlder = document.getElementById("mpform-63a356fa55ab4196a5990258002a662b").querySelector('[id=mpmessageholder]');
                            let mpMsg = document.getElementById("mpform-63a356fa55ab4196a5990258002a662b").querySelector('[id=mpmessage]');

                            let checkBoxes = document.getElementById("mpform-63a356fa55ab4196a5990258002a662b").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-63a356fa55ab4196a5990258002a662b')),
                                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: getTrackingId63a356fa55ab4196a5990258002a662b()
                                })
                            }
                            catch(err){}
                            
                            //check valid telnos
                            var failed = "";
                            if(msgHlder)
                            {
                                msgHlder.style.display = "none";
                            }

                            let telInputs = document.getElementById("mpform-63a356fa55ab4196a5990258002a662b").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-63a356fa55ab4196a5990258002a662b").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) {
                                    mpForm63a356fa55ab4196a5990258002a662bCheck();
                                    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-63a356fa55ab4196a5990258002a662b').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-63a356fa55ab4196a5990258002a662b").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-63a356fa55ab4196a5990258002a662b').innerHTML = response.form
                                        }
                                    }
                                    grecaptcha.reset(captchaWidgetmpFrm670e33d4cf584417909e44887b34fb7b);
                                }
                                else
                                {
            
                                    mpForm63a356fa55ab4196a5990258002a662bCheck();
                                    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 mpmRecaptchaLoaded63a356fa55ab4196a5990258002a662b()
                        {
                            captchaWidgetmpFrm670e33d4cf584417909e44887b34fb7b = grecaptcha.render('mpmRecaptchampFrm670e33d4cf584417909e44887b34fb7b', {
                                'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2'
                            });
                        }
                        
                    
                        function getTrackingId63a356fa55ab4196a5990258002a662b() {
                            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 mpmFormInit63a356fa55ab4196a5990258002a662b ()
                        {
                            var subscriberData = undefined;
                            var form = '<style>.mpm-field-error {border-color: red !important;}</style><form name="mpForm-63a356fa55ab4196a5990258002a662b" method="post" id="mpform-63a356fa55ab4196a5990258002a662b" class="mpform" onSubmit="mpForm63a356fa55ab4196a5990258002a662bSubmit(event)"><style type="text/css">                     @font-face {                        font-family: Hind;                        src: url(https://cdn1.ourmailsender.com/fonts/hind/Hind-Regular.ttf);                      }                      </style>                    <style type="text/css">                     @font-face {                        font-family: Inter;                        src: url(https://cdn1.ourmailsender.com/fonts/inter/Inter-Regular.ttf);                      }                      </style>                    <style type="text/css">                     @font-face {                        font-family: Montserrat;                        src: url(https://cdn1.ourmailsender.com/fonts/montserrat/Montserrat-Regular.ttf);                      }                      </style>                    <style type="text/css">                     @font-face {                        font-family: Play;                        src: url(https://cdn1.ourmailsender.com/fonts/play/Play-Regular.ttf);                      }                      </style>                    <style type="text/css">                     @font-face {                        font-family: Prompt;                        src: url(https://cdn1.ourmailsender.com/fonts/prompt/Prompt-Regular.ttf);                      }                      </style>                    <style>.mpm-container a {color:#00135d; text-decoration:underline; }.mpm-container h1 {color:#000000; font-size:40px; font-style:normal; text-align:left; font-family:arial; font-weight:bold; line-height:150%; letter-spacing:normal; }.mpm-container h2 {color:#c2c2c2; font-size:30px; font-style:normal; text-align:left; font-family:arial; font-weight:bold; line-height:150%; letter-spacing:normal; }.mpm-container h3 {color:#000000; font-size:20px; font-style:normal; text-align:left; font-family:arial; font-weight:bold; line-height:150%; letter-spacing:normal; }.mpm-container h4 {color:#000000; font-size:14px; font-style:italic; text-align:left; font-family:arial; font-weight:bold; line-height:100%; letter-spacing:normal; }#mpmInnerForm input::placeholder {color:#80808b; }#mpmInnerForm textarea::placeholder {color:#80808b; opacity:1; }#mpmInnerForm input::-moz-placeholder {color:#80808b; }#mpmInnerForm textarea::-moz-placeholder {color:#80808b; opacity:1; }.mpm-container a[x-apple-data-detectors] {color:inherit!important; font-size:inherit !important; font-family:inherit !important; font-weight:inherit !important; line-height:inherit !important; text-decoration:none !important; }#mpmInnerForm input:-ms-input-placeholder {color:#80808b; }#mpmInnerForm input::webkit-input-placeholder {color:#80808b; }.mpm-container  a[href^=tel], .mpm-container  [href^=sms] {color:inherit; cursor:default; text-decoration:none; }.mpm-container h1,  .mpm-container h2, .mpm-container h3, .mpm-container h4, .mpm-container h5,  .mpm-container h6 {margin:0; display:block; padding:0; }</style><div class="mpm-container" 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; "><div id="mpmInnerForm" 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; "><div class="mpm-row" style="padding: 20px; "><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-662710" type="TEXT" 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; " width="100%" required="required" placeholder="First name"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-662711" type="TEXT" 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; " width="100%" required="required" placeholder="Last name"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="emailAddress" type="text" 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; " width="100%" required="required" placeholder="Business email address"/></div><div class="mpm-col-xs-12" 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; "><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: normal; "><span style="font-size: 10px;">*To ensure a prompt response, please use a business email address (personal accounts like Gmail, Outlook, Yahoo, or Proton may not receive a reply).</span></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-662727" type="TELNO" 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; " width="100%" required="required" placeholder="Phone number"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="companyName" type="text" 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; " width="100%" required="required" placeholder="Company Name"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-662713" type="TEXT" 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; " width="100%" required="required" placeholder="Job title"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><select name="customField-662720" style="color: #000000; width: 100%; display: block; font-size: 16px; box-sizing: border-box; margin-top: 10px; font-family: Calibri; margin-left: 0px; padding-top: 10px; border-color: #e9e7e8; border-style: solid; border-width: 1px; margin-right: 0px; padding-left: 15px; border-radius: 3px; margin-bottom: 10px; padding-right: 15px; padding-bottom: 10px; background-color: #f1f1f1; -webkit-appearance: none; " required="required"><option style="color: #80808b; " value="" disabled="disabled" selected="selected">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 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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 class="mpm-col-xs-12" 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; "><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 class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><select name="customField-698522" style="color: #000000; width: 100%; display: block; font-size: 16px; box-sizing: border-box; margin-top: 10px; font-family: Calibri; margin-left: 0px; padding-top: 10px; border-color: #e9e7e8; border-style: solid; border-width: 1px; 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class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-716068" type="TEXT" 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; " width="100%" placeholder=""/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-739319" type="TEXT" 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; " width="100%" required="required" placeholder="Where did you hear about us?"/></div><div class="mpm-col-xs-12" 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; "><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: normal; "><span style="font-size: 10px;">Speeki is committed to protecting and respecting your privacy, and we&rsquo;ll only use your personal information to administer your account and to provide the products and services you requested from us. 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