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<input name="formsubmissionid" id="formsubmissionid-req" type="hidden" value="0">
<input name="timestamp" id="timestamp" type="hidden" value="20250116114747.1737046067">
<input name="IP" id="IP" type="hidden" value="3.23.101.241">
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<div id="agenda-form-inputposition"><div class="Section"><div class="row"><div class="Form__field col-md-6"><label>First Name</label><input name="firstname" id="firstname-req" value="" title="Enter your first name" type="text" placeholder="Enter your first name" onBlur="checkField(this);" pattern="[a-zA-Z0-9 \.'\-]{2,30}$" data-parse="propercase" required>
</div><div class="Form__field col-md-6"><label>Last Name</label><input name="lastname" id="lastname-req" value="" title="Enter your last name" type="text" placeholder="Enter your last name" onBlur="checkField(this);" pattern="[a-zA-Z0-9 \.'\-]{2,30}$" data-parse="propercase" required>
</div><div class="Form__field col-md-6"><label>Email</label><input name="email" id="email-req" value="" title="Enter your email" type="email" placeholder="Enter your email" onBlur="checkEmail(this);" required>
</div><div class="Form__field col-md-6"><label>Company</label><input name="company" id="company-req" value="" title="Enter your company" type="text" placeholder="Enter your company" onBlur="checkField(this);" pattern="[a-zA-Z0-9 \.'\-]{2,30}$" data-parse="propercase" required>
</div><div class="Form__field col-md-6"><label>Job Title</label><select name="jobtitle" id="jobtitle-req" title="Select your job title" placeholder="Select your job title" required><option selected value ="">Select your job title</option>
<option value="Chief Executive Officer">Chief Executive Officer</option><option value="Chief Finance Officer">Chief Finance Officer</option><option value="Chief Marketing Officer">Chief Marketing Officer</option><option value="Chief Operating Officer">Chief Operating Officer</option><option value="Chief Revenue Officer">Chief Revenue Officer</option><option value="Chief Sales Officer">Chief Sales Officer</option><option value="Controller">Controller</option><option value="Director">Director</option><option value="Director, Business Development">Director, Business Development</option><option value="Director, Customer Service">Director, Customer Service</option><option value="Director, Finance">Director, Finance</option><option value="Director, Inside Sales">Director, Inside Sales</option><option value="Director, Marketing">Director, Marketing</option><option value="Director, Sales">Director, Sales</option><option value="Director, Sales &amp; Marketing">Director, Sales &amp; Marketing</option><option value="Director, Sales Enablement">Director, Sales Enablement</option><option value="Director, Sales Operations">Director, Sales Operations</option><option value="Director, Sales Training">Director, Sales Training</option><option value="District Sales Manager">District Sales Manager</option><option value="Executive Vice President">Executive Vice President</option><option value="General Manager">General Manager</option><option value="Manager, Business Development">Manager, Business Development</option><option value="Manager, Compensation">Manager, Compensation</option><option value="Manager, Customer Service">Manager, Customer Service</option><option value="Manager, Inside Sales">Manager, Inside Sales</option><option value="Manager, Marketing">Manager, Marketing</option><option value="Manager, Sales">Manager, Sales</option><option value="Manager, Sales &amp; Marketing">Manager, Sales &amp; Marketing</option><option value="Manager, Sales Enablement">Manager, Sales Enablement</option><option value="Manager, Sales Operations">Manager, Sales Operations</option><option value="Manager, Sales Training">Manager, Sales Training</option><option value="National Sales Director">National Sales Director</option><option value="National Sales Manager">National Sales Manager</option><option value="National Sales Vice President">National Sales Vice President</option><option value="Other">Other</option><option value="President">President</option><option value="Regional/Area Sales Director">Regional/Area Sales Director</option><option value="Regional/Area Sales Manager">Regional/Area Sales Manager</option><option value="Regional/Area Sales VP">Regional/Area Sales VP</option><option value="Sales Support">Sales Support</option><option value="Salesperson/Account Executive">Salesperson/Account Executive</option><option value="Senior Manager, Inside Sales">Senior Manager, Inside Sales</option><option value="Senior Vice President">Senior Vice President</option><option value="SVP, Business Development">SVP, Business Development</option><option value="SVP, Customer Service">SVP, Customer Service</option><option value="SVP, Marketing">SVP, Marketing</option><option value="SVP, Sales">SVP, Sales</option><option value="SVP, Sales &amp; Marketing">SVP, Sales &amp; Marketing</option><option value="SVP, Sales Enablement">SVP, Sales Enablement</option><option value="SVP, Sales Operations">SVP, Sales Operations</option><option value="SVP, Sales Training">SVP, Sales Training</option><option value="Vice President">Vice President</option><option value="VP, Business Development">VP, Business Development</option><option value="VP, Customer Service">VP, Customer Service</option><option value="VP, Finance">VP, Finance</option><option value="VP, Inside Sales">VP, Inside Sales</option><option value="VP, Marketing">VP, Marketing</option><option value="VP, Sales">VP, Sales</option><option value="VP, Sales &amp; Marketing">VP, Sales &amp; Marketing</option><option value="VP, Sales Enablement">VP, Sales Enablement</option><option value="VP, Sales Operations">VP, Sales Operations</option><option value="VP, Sales Training">VP, Sales Training</option></select>
</div><div class="Form__field col-md-6"><label>Company Size</label><select name="companysize" id="companysize-req" title="Select your company size" placeholder="Select your company size" required><option selected value="">Select your company size</option>
<option value="1-25 employees">1-25 employees</option><option value="26-100 employees">26-100 employees</option><option value="101-500 employees">101-500 employees</option><option value="501-999 employees">501-999 employees</option><option value="1000+ employees">1000+ employees</option></select>
</div><div class="Form__field col-md-6"><label>Company Revenue</label><select name="companyrevenue" id="companyrevenue-req" title="Select your company revenue" placeholder="Select your company revenue" required><option selected value="">Select your company revenue</option>
<option value="$1-99M">$1-99M</option><option value="$100-199M">$100-199M</option><option value="$200-299M">$200-299M</option><option value="$300-399M">$300-399M</option><option value="$400M+">$400M+</option></select>
</div><div class="Form__field col-md-6"><label>Industry</label><select class="FormInput" required name="industry" id="industry-req" title="Select your industry">
<option selected value ="">Select your industry</option>
<option value="Aerospace &amp; Defense">Aerospace &amp; Defense</option><option value="Agriculture &amp; Mining">Agriculture &amp; Mining</option><option value="Automotive">Automotive</option><option value="Business Services">Business Services</option><option value="Computer &amp; Electronics">Computer &amp; Electronics</option><option value="Construction">Construction</option><option value="Consumer Services">Consumer Services</option><option value="Education">Education</option><option value="Energy &amp; Utilities">Energy &amp; Utilities</option><option value="Environmental Services">Environmental Services</option><option value="Financial Services">Financial Services</option><option value="Food &amp; Beverage">Food &amp; Beverage</option><option value="Government">Government</option><option value="Healthcare &amp; Pharmaceutical">Healthcare &amp; Pharmaceutical</option><option value="High-Tech">High-Tech</option><option value="Insurance">Insurance</option><option value="Manufacturing">Manufacturing</option><option value="Media &amp; Entertainment">Media &amp; Entertainment</option><option value="Non-Profit">Non-Profit</option><option value="Other">Other</option><option value="Real Estate">Real Estate</option><option value="Retail &amp; Wholesale">Retail &amp; Wholesale</option><option value="Software &amp; Technology">Software &amp; Technology</option><option value="Telecommunications Services">Telecommunications Services</option><option value="Transportation">Transportation</option><option value="Travel &amp; Leisure">Travel &amp; Leisure</option></select>
</div><div class="Form__field col-md-6"><label>Region</label><select name="region" id="region-req" title="Select your region"  onchange="theSPRegionSelectChange(this.id);theSPStateSelectChange(this.id);" required>
<option selected value="">Select your region</option>
<option value="United States">United States</option><option value="Canada">Canada</option><option value="Central / South America">Central / South America</option><option value="United Kingdom">United Kingdom</option><option value="Europe">Europe</option><option value="Mexico">Mexico</option><option value="Africa">Africa</option><option value="Asia">Asia</option><option value="Other">Other</option></select>
</div><div class="Form__field col-md-6"><label>State</label><select name="state" id="state-req" title="Select your state"  required>
<option selected value="">Select your state</option>
<option value="AL" style="">Alabama</option><option value="AK" style="">Alaska</option><option value="AS" style="">American Samoa</option><option value="AZ" style="">Arizona</option><option value="AR" style="">Arkansas</option><option value="AF" style="">Armed Forces Africa</option><option value="AA" style="">Armed Forces Americas</option><option value="AC" style="">Armed Forces Canada</option><option value="AE" style="">Armed Forces Europe</option><option value="AM" style="">Armed Forces Middle East</option><option value="AP" style="">Armed Forces Pacific</option><option value="CA" style="">California</option><option value="CO" style="">Colorado</option><option value="CT" style="">Connecticut</option><option value="DE" style="">Delaware</option><option value="DC" style="">District of Columbia</option><option value="FM" style="">Federated States Of Micronesia</option><option value="FL" style="">Florida</option><option value="GA" style="">Georgia</option><option value="GU" style="">Guam</option><option value="HI" style="">Hawaii</option><option value="ID" style="">Idaho</option><option value="IL" style="">Illinois</option><option value="IN" style="">Indiana</option><option value="IA" style="">Iowa</option><option value="KS" style="">Kansas</option><option value="KY" style="">Kentucky</option><option value="LA" style="">Louisiana</option><option value="ME" style="">Maine</option><option value="MH" style="">Marshall Islands</option><option value="MD" style="">Maryland</option><option value="MA" style="">Massachusetts</option><option value="MI" style="">Michigan</option><option value="MN" style="">Minnesota</option><option value="MS" style="">Mississippi</option><option value="MO" style="">Missouri</option><option value="MT" style="">Montana</option><option value="NE" style="">Nebraska</option><option value="NV" style="">Nevada</option><option value="NH" style="">New Hampshire</option><option value="NJ" style="">New Jersey</option><option value="NM" style="">New Mexico</option><option value="NY" style="">New York</option><option value="NC" style="">North Carolina</option><option value="ND" style="">North Dakota</option><option value="MP" style="">Northern Mariana Islands</option><option value="OH" style="">Ohio</option><option value="OK" style="">Oklahoma</option><option value="OR" style="">Oregon</option><option value="PW" style="">Palau</option><option value="PA" style="">Pennsylvania</option><option value="PR" style="">Puerto Rico</option><option value="RI" style="">Rhode Island</option><option value="SC" style="">South Carolina</option><option value="SD" style="">South Dakota</option><option value="TN" style="">Tennessee</option><option value="TX" style="">Texas</option><option value="UT" style="">Utah</option><option value="VT" style="">Vermont</option><option value="VI" style="">Virgin Islands</option><option value="VA" style="">Virginia</option><option value="WA" style="">Washington</option><option value="WV" style="">West Virginia</option><option value="WI" style="">Wisconsin</option><option value="WY" style="">Wyoming</option></select>
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