<!– Begin Mailchimp Signup Form –>
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<div id=”mc_embed_signup”>
<form action=”https://ionetic.us17.list-manage.com/subscribe/post?u=fd1b57bd576c1bff45a0a7131&id=e2740d0857&f_id=001159e0f0″ method=”post” id=”mc-embedded-subscribe-form” name=”mc-embedded-subscribe-form” class=”validate” target=”_blank” novalidate>
<div id=”mc_embed_signup_scroll”>
<h2>Sign up to our mailing list</h2>
<div class=”indicates-required”><span class=”asterisk”>*</span> indicates required</div>
<div class=”mc-field-group”>
<label for=”mce-EMAIL”>Email Address <span class=”asterisk”>*</span>
</label>
<input type=”email” value=”” name=”EMAIL” class=”required email” id=”mce-EMAIL” required>
<span id=”mce-EMAIL-HELPERTEXT” class=”helper_text”></span>
</div>
<div class=”mc-field-group”>
<label for=”mce-FNAME”>First Name <span class=”asterisk”>*</span>
</label>
<input type=”text” value=”” name=”FNAME” class=”required” id=”mce-FNAME” required>
<span id=”mce-FNAME-HELPERTEXT” class=”helper_text”></span>
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<div class=”mc-field-group”>
<label for=”mce-LNAME”>Last Name <span class=”asterisk”>*</span>
</label>
<input type=”text” value=”” name=”LNAME” class=”required” id=”mce-LNAME” required>
<span id=”mce-LNAME-HELPERTEXT” class=”helper_text”></span>
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<div class=”mc-field-group”>
<label for=”mce-MMERGE6″>Company </label>
<input type=”text” value=”” name=”MMERGE6″ class=”” id=”mce-MMERGE6″>
<span id=”mce-MMERGE6-HELPERTEXT” class=”helper_text”></span>
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<div class=”mc-field-group”>
<label for=”mce-MMERGE7″>Job Title </label>
<input type=”text” value=”” name=”MMERGE7″ class=”” id=”mce-MMERGE7″>
<span id=”mce-MMERGE7-HELPERTEXT” class=”helper_text”></span>
</div>
<div class=”mc-field-group”>
<label for=”mce-MMERGE8″>Why are you signing up? <span class=”asterisk”>*</span>
</label>
<select name=”MMERGE8″ class=”required” id=”mce-MMERGE8″ required>
<option value=””></option>
<option value=”I’m a potential supplier”>I’m a potential supplier</option>
<option value=”I’m a potential customer”>I’m a potential customer</option>
<option value=”I’m a competitor”>I’m a competitor</option>
<option value=”I’m just interested”>I’m just interested</option>
<option value=”I’m a potential investor”>I’m a potential investor</option>
</select>
<span id=”mce-MMERGE8-HELPERTEXT” class=”helper_text”></span>
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<div id=”mce-responses” class=”clear”>
<div class=”response” id=”mce-error-response” style=”display:none”></div>
<div class=”response” id=”mce-success-response” style=”display:none”></div>
</div> <!– real people should not fill this in and expect good things – do not remove this or risk form bot signups–>
<div style=”position: absolute; left: -5000px;” aria-hidden=”true”><input type=”text” name=”b_fd1b57bd576c1bff45a0a7131_e2740d0857″ tabindex=”-1″ value=””></div>
<div class=”clear”><input type=”submit” value=”Subscribe” name=”subscribe” id=”mc-embedded-subscribe” class=”button”></div>
</div>
</form>
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