var captchaWidgetmpFrm97ece3fc107b4bfd9cd2ba9d5a13f45e;
                        
                        var mpCurrentScriptmpFrm97ece3fc107b4bfd9cd2ba9d5a13f45eContainer = document.currentScript.parentNode;
                        (function () {
                            var containerDiv = document.createElement('div');
                            containerDiv.id = "mpFrm97ece3fc107b4bfd9cd2ba9d5a13f45e";
                            containerDiv.classList.add("mpForm");
                            containerDiv.setAttribute("data-mpid", "34147");

                            if (window.self !== window.top) {
                                if (document.body) {
                                    document.body.appendChild(containerDiv);
                                } else {
                                    document.addEventListener("DOMContentLoaded", function() {
                                        document.body.appendChild(containerDiv);
                                    });
                                }
                                mpFormmpFrm97ece3fc107b4bfd9cd2ba9d5a13f45eFind();
                            } 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);
                                mpFormmpFrm97ece3fc107b4bfd9cd2ba9d5a13f45eFind();
                            }
                        })();

                        function mpFormmpFrm97ece3fc107b4bfd9cd2ba9d5a13f45eFind() {
                            if(!mpCurrentScriptmpFrm97ece3fc107b4bfd9cd2ba9d5a13f45eContainer) return;
                            if (mpCurrentScriptmpFrm97ece3fc107b4bfd9cd2ba9d5a13f45eContainer && mpCurrentScriptmpFrm97ece3fc107b4bfd9cd2ba9d5a13f45eContainer.nodeName && mpCurrentScriptmpFrm97ece3fc107b4bfd9cd2ba9d5a13f45eContainer.nodeName.toLowerCase() === "head") {
                                var mpFind = document.querySelectorAll("[data-mpid='34147']");
                                if (mpFind.length && !mpFind[0].innerHTML) {
                                    mpFind[0].id = "mpFrm97ece3fc107b4bfd9cd2ba9d5a13f45e"
                                }
                            } else {
                                var mpFound = false;
                                Array.from(mpCurrentScriptmpFrm97ece3fc107b4bfd9cd2ba9d5a13f45eContainer.children).forEach(c => {
                                    if (c.id === "mpFrm97ece3fc107b4bfd9cd2ba9d5a13f45e") mpFound = true;
                                })
                                if (!mpFound) {
                                    var mpOthers = Array.from(mpCurrentScript26ef880bfce74b27978aba12d907c56cContainer.children).filter(e => e.dataset && e.dataset.mpid === "34147");
                                    if (mpOthers.length === 1) {
                                        mpOthers[0].id = "mpFrm97ece3fc107b4bfd9cd2ba9d5a13f45e";
                                    }
                                }
                            }
                            
                        }

                        function mpForm26ef880bfce74b27978aba12d907c56cCheck()
                        {
                            let checkBoxes = document.getElementById("mpform-26ef880bfce74b27978aba12d907c56c").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 mpForm26ef880bfce74b27978aba12d907c56cSubmit(event)
                        {
                            event.preventDefault();
                            let msgHlder = document.getElementById("mpform-26ef880bfce74b27978aba12d907c56c").querySelector('[id=mpmessageholder]');
                            let mpMsg = document.getElementById("mpform-26ef880bfce74b27978aba12d907c56c").querySelector('[id=mpmessage]');

                            let checkBoxes = document.getElementById("mpform-26ef880bfce74b27978aba12d907c56c").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-26ef880bfce74b27978aba12d907c56c')),
                                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: getTrackingId26ef880bfce74b27978aba12d907c56c()
                                })
                            }
                            catch(err){}
                            
                            //check valid telnos
                            var failed = "";
                            if(msgHlder)
                            {
                                msgHlder.style.display = "none";
                            }

                            let telInputs = document.getElementById("mpform-26ef880bfce74b27978aba12d907c56c").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-26ef880bfce74b27978aba12d907c56c").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=34147", true);
                            
                            xhr.onreadystatechange = function () {
                                if (xhr.readyState === 4 && xhr.status === 200) {
                                    mpForm26ef880bfce74b27978aba12d907c56cCheck();
                                    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-26ef880bfce74b27978aba12d907c56c').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-26ef880bfce74b27978aba12d907c56c").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-26ef880bfce74b27978aba12d907c56c').innerHTML = response.form
                                        }
                                    }
                                    grecaptcha.reset(captchaWidgetmpFrm97ece3fc107b4bfd9cd2ba9d5a13f45e);
                                }
                                else
                                {
            
                                    mpForm26ef880bfce74b27978aba12d907c56cCheck();
                                    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 mpmRecaptchaLoaded26ef880bfce74b27978aba12d907c56c()
                        {
                            captchaWidgetmpFrm97ece3fc107b4bfd9cd2ba9d5a13f45e = grecaptcha.render('mpmRecaptchampFrm97ece3fc107b4bfd9cd2ba9d5a13f45e', {
                                'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2'
                            });
                        }
                        
                    
                        function getTrackingId26ef880bfce74b27978aba12d907c56c() {
                            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 mpmFormInit26ef880bfce74b27978aba12d907c56c ()
                        {
                            var subscriberData = undefined;
                            var form = '<style>.mpm-field-error {border-color: red !important;}</style><form name="mpForm-26ef880bfce74b27978aba12d907c56c" method="post" id="mpform-26ef880bfce74b27978aba12d907c56c" class="mpform" onSubmit="mpForm26ef880bfce74b27978aba12d907c56cSubmit(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: Open Sans;                        src: url(https://cdn1.ourmailsender.com/fonts/opensans/OpenSans-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>.mpm-container a {color:#00135d; text-decoration:underline; }.mpm-container h1 {color:#000000; font-size:40px; font-style:normal; text-align:left; font-family:Open Sans,sans-serif; 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:Open Sans,sans-serif; 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:Open Sans,sans-serif; 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:Open Sans,sans-serif; 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: Open Sans,sans-serif; 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: Open Sans,sans-serif; 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="companyName" type="text" style="color: #000000; width: 100%; display: block; font-size: 16px; box-sizing: border-box; margin-top: 10px; font-family: Open Sans,sans-serif; 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: Open Sans,sans-serif; 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="Job Title"/></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: Open Sans,sans-serif; 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; 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: Open Sans,sans-serif; 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%" placeholder="Phone Number"/></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: Open Sans,sans-serif; 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; " 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 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 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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="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: Open Sans,sans-serif; font-weight: normal; "><span style="font-size: 10px;" data-mce-style="font-size: 10px;">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. 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