{"id":739463,"date":"2019-07-04T09:12:21","date_gmt":"2019-07-04T08:12:21","guid":{"rendered":"http:\/\/exelio.be\/contact-us\/"},"modified":"2025-10-15T09:58:04","modified_gmt":"2025-10-15T08:58:04","slug":"contact-us","status":"publish","type":"page","link":"https:\/\/exelio.be\/en\/contact-us\/","title":{"rendered":"Contact us"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"739463\" class=\"elementor elementor-739463 elementor-735183\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e0fe712 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"e0fe712\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;46c6b16&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:&quot;1&quot;,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;]}]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-bff6878 elementor-invisible\" data-id=\"bff6878\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeIn&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-49e0b22 elementor-widget elementor-widget-spacer\" data-id=\"49e0b22\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6adbeb4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6adbeb4\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;86fc4d2&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:&quot;1&quot;,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;]}]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-b2c6438\" data-id=\"b2c6438\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a6f78ed elementor-tablet-align-center elementor-align-left elementor-widget elementor-widget-raven-heading\" data-id=\"a6f78ed\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"raven-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"raven-widget-wrapper\"><h4 class=\"raven-heading raven-heading-h4\"><span class=\"raven-heading-title \">Contact<\/span><\/h4><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9ffd1fe elementor-widget elementor-widget-spacer\" data-id=\"9ffd1fe\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-28fd924 elementor-tablet-align-center elementor-align-left elementor-widget elementor-widget-raven-heading\" data-id=\"28fd924\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"raven-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"raven-widget-wrapper\"><h3 class=\"raven-heading raven-heading-h3\"><span class=\"raven-heading-title \">Address<\/span><\/h3><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-42590c4 elementor-widget elementor-widget-text-editor\" data-id=\"42590c4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Rue du Roua 32 B-4140 Sprimont (Belgium)<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4dc34f6 elementor-tablet-align-center elementor-align-left elementor-widget elementor-widget-raven-heading\" data-id=\"4dc34f6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"raven-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"raven-widget-wrapper\"><h3 class=\"raven-heading raven-heading-h3\"><span class=\"raven-heading-title \">Phone<\/span><\/h3><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ce40034 elementor-widget elementor-widget-text-editor\" data-id=\"ce40034\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>+32(0)4 278 02 28<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-45a7b22 elementor-tablet-align-center elementor-align-left elementor-widget elementor-widget-raven-heading\" data-id=\"45a7b22\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"raven-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"raven-widget-wrapper\"><h3 class=\"raven-heading raven-heading-h3\"><span class=\"raven-heading-title \">Email address<\/span><\/h3><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4a66480 elementor-widget elementor-widget-text-editor\" data-id=\"4a66480\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><a href=\"mailto:info@exelio.be\">info@exelio.be<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7b0ff45\" data-id=\"7b0ff45\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-80de520 elementor-widget__width-initial elementor-widget elementor-widget-html\" data-id=\"80de520\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<!DOCTYPE html>\n<html lang=\"en\">\n<head>\n    <meta charset=\"UTF-8\">\n    <meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n    <title>Contact Exelio<\/title>\n    <!-- Cache busting meta tags -->\n    <meta http-equiv=\"Cache-Control\" content=\"no-cache, no-store, must-revalidate\">\n    <meta http-equiv=\"Pragma\" content=\"no-cache\">\n    <meta http-equiv=\"Expires\" content=\"0\">\n    <meta name=\"cache-version\" content=\"1760518500\">\n    \n    <style>\n        * {\n            margin: 0;\n            padding: 0;\n            box-sizing: border-box;\n        }\n\n        body {\n            font-family: 'Inter', -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, sans-serif;\n            background: #ffffff;\n            min-height: 100vh;\n            color: #333333;\n        }\n\n        h1{\n            text-transform: uppercase;\n        }\n\n        .form-container {\n            max-width: 500px;\n            margin: 0 auto;\n            background: white;\n        }\n\n        .form-header {\n            text-align: left;\n            margin-bottom: 30px;\n        }\n\n        .form-header h1 {\n            font-size: 1.8rem;\n            font-weight: 500;\n            margin-bottom: 8px;\n            color: #333333;\n        }\n\n        .form-header p {\n            font-size: 0.9rem;\n            color: #666666;\n            font-weight: 400;\n        }\n\n        .form-content {\n            padding: 0;\n        }\n\n        .form-group {\n            margin-bottom: 20px;\n            position: relative;\n        }\n\n        .form-group input,\n        .form-group textarea {\n            width: 100%;\n            padding: 12px 16px;\n            border: 1px solid #d1d5db;\n            border-radius: 4px;\n            font-size: 16px;\n            font-family: 'Inter', sans-serif;\n            transition: border-color 0.2s ease;\n            background: white;\n        }\n\n        .form-group textarea {\n            padding: 12px 16px;\n            box-sizing: border-box;\n        }\n\n        .form-group input:focus,\n        .form-group textarea:focus {\n            outline: none;\n            border-color: #67E4C2;\n        }\n\n        .form-group input::placeholder,\n        .form-group textarea::placeholder {\n            color: #9ca3af;\n            font-weight: 400;\n        }\n\n        .form-group textarea {\n            resize: vertical;\n            min-height: 100px;\n            line-height: 1.4;\n            vertical-align: top;\n            color: #333333;\n            text-indent: 0;\n            white-space: pre-wrap;\n        }\n\n        .error-message {\n            color: #e53e3e;\n            font-size: 14px;\n            margin-top: 8px;\n            display: none;\n            font-weight: 500;\n        }\n\n        .checkbox-group {\n            display: flex;\n            align-items: flex-start;\n            gap: 8px;\n            margin: 20px 0;\n        }\n\n        .checkbox-group input[type=\"checkbox\"] {\n            width: 16px;\n            height: 16px;\n            margin: 0;\n            accent-color: #67E4C2;\n            cursor: pointer;\n        }\n\n        .checkbox-group label {\n            color: #333333;\n            font-size: 14px;\n            line-height: 1.4;\n            cursor: pointer;\n            flex: 1;\n        }\n\n        .recaptcha-container {\n            margin: 20px 0;\n            display: flex;\n            justify-content: flex-start;\n        }\n\n        .recaptcha-error {\n            color: #e53e3e;\n            text-align: left;\n            margin-top: 8px;\n            font-size: 14px;\n            display: none;\n        }\n\n        .submit-container {\n            text-align: left;\n            margin-top: 30px;\n        }\n\n        .submit-button {\n            background: #67E4C2;\n            color: white;\n            border: none;\n            padding: 12px 24px;\n            font-size: 16px;\n            font-weight: 500;\n            border-radius: 4px;\n            cursor: pointer;\n            transition: background-color 0.2s ease;\n            min-width: 120px;\n        }\n\n        .submit-button:hover:not(:disabled) {\n            background: #4DD0E1;\n        }\n\n        .submit-button:disabled {\n            background: #cbd5e0;\n            cursor: not-allowed;\n        }\n\n        .toast-container {\n            position: fixed;\n            top: 20px;\n            right: 20px;\n            z-index: 1000;\n        }\n\n        .toast-message {\n            background: #67E4C2;\n            color: white;\n            padding: 12px 20px;\n            border-radius: 4px;\n            margin-bottom: 10px;\n            opacity: 0;\n            transition: opacity 0.3s ease;\n            font-weight: 400;\n        }\n\n        \/* Responsive Design *\/\n        @media (max-width: 768px) {\n            body {\n                padding: 20px 10px;\n            }\n\n            .form-header h1 {\n                font-size: 1.5rem;\n            }\n\n            .form-group input,\n            .form-group textarea {\n                padding: 12px 16px;\n                font-size: 16px;\n            }\n\n            .submit-button {\n                width: 100%;\n                padding: 14px;\n            }\n        }\n    <\/style>\n<\/head>\n<link href=\"https:\/\/fonts.googleapis.com\/css2?family=Inter&display=swap&v=1760518500\" rel=\"stylesheet\"\/>\n<script>\n    document.addEventListener(\"DOMContentLoaded\", function() {\n                \/\/ Function to load box options dynamically\n                function loadBoxOptions() {\n                    var assessmentId = \"3\";\n                    var isCanevas = false;\n                    var schemaUuid = document.getElementById(\"uuidSchema\").value; \/\/ Get schema UUID from hidden input\n                    var timestamp = new Date().getTime(); \/\/ Add timestamp for cache busting\n                    var apiUrl = \"https:\/\/app.catch-up.be\/api\/assessment-template\/\" + assessmentId + \"\/box-options\/\" + schemaUuid + \"\/\" + (isCanevas ? \"1\" : \"0\") + \"?t=\" + timestamp;\n                    fetch(apiUrl)\n                        .then(response => response.json())\n                        .then(data => {\n                            if (data.success) {\n                                data.data.forEach(function(question) {\n                                    var element = document.getElementById(question.question_id.toString());\n                                    if (element) {\n                                        \/\/ Clear existing options except the placeholder\n                                        if (question.question_type == 1) {\n                                            \/\/ Multiple choice - checkboxes\n                                            var container = element;\n                                            \/\/ Keep the title paragraph\n                                            var title = container.querySelector(\"p\");\n                                            container.innerHTML = \"\";\n                                            if (title) container.appendChild(title);\n                                            \/\/ Add checkboxes\n                                            question.options.forEach(function(option) {\n                                                var checkboxWrapper = document.createElement(\"div\");\n                                                checkboxWrapper.style.display = \"flex\";\n                                                checkboxWrapper.style.alignItems = \"center\";\n                                                checkboxWrapper.style.marginBottom = \"5px\";\n                                                var checkbox = document.createElement(\"input\");\n                                                checkbox.type = \"checkbox\";\n                                                checkbox.name = question.question_id + \".b[]\";\n                                                checkbox.value = option.value;\n                                                checkbox.id = \"option_\" + option.value;\n                                                checkbox.className = \"font font-size font-family color-answer\";\n                                                checkbox.style.marginRight = \"5px\";\n                                                var label = document.createElement(\"label\");\n                                                label.htmlFor = \"option_\" + option.value;\n                                                label.textContent = option.label;\n                                                label.className = \"font font-size font-family color-answer\";\n                                                label.style.transform = \"translateY(-2px)\";\n                                                checkboxWrapper.appendChild(checkbox);\n                                                checkboxWrapper.appendChild(label);\n                                                container.appendChild(checkboxWrapper);\n                                            });\n                                        } else if (question.question_type == 2 || question.question_type == 3) {\n                                            \/\/ Single choice or True\/False - select dropdown\n                                            if (element.tagName === \"SELECT\") {\n                                                \/\/ Keep the first option (placeholder)\n                                                var placeholder = element.options[0];\n                                                element.innerHTML = \"\";\n                                                element.appendChild(placeholder);\n                                                \/\/ Add new options\n                                                question.options.forEach(function(option) {\n                                                    var optionElement = document.createElement(\"option\");\n                                                    optionElement.value = option.value;\n                                                    optionElement.textContent = option.label;\n                                                    optionElement.className = \"font font-size font-family color-answer\";\n                                                    element.appendChild(optionElement);\n                                                });\n                                            }\n                                        }\n                                    }\n                                });\n                            }\n                        })\n                        .catch(error => {\n                            console.error(\"Error loading box options:\", error);\n                        });\n                }\n                \/\/ Load options when page loads\n                loadBoxOptions();\n            });\n<\/script>\n<body>\n    <div class=\"form-container\">\n        <div class=\"form-header\">\n            <h1>Contact Form<\/h1>\n        <\/div>\n        \n        <div class=\"form-content\">\n            <form action=\"https:\/\/app.catch-up.be\/api\/fillARHEmbeded\" autocomplete=\"on\" method=\"POST\" id=\"myForm\">\n                <div class=\"form-group\">\n                    <input required value=\"\" placeholder=\"First Name*\" \n                                    type=\"text\" id=\"9\" name=\"9.f\"  onkeyup=\"validateType6Field(this)\">\n                    <div id=\"error-9\" class=\"error-message\">\n                        Maximum 255 characters allowed\n                    <\/div>\n                <\/div>\n                \n                <div class=\"form-group\">\n                    <input required value=\"\" placeholder=\"Last Name*\" \n                                    type=\"text\" id=\"10\" name=\"10.f\"  onkeyup=\"validateType6Field(this)\">\n                    <div id=\"error-10\" class=\"error-message\">\n                        Maximum 255 characters allowed\n                    <\/div>\n                <\/div>\n                \n                <div class=\"form-group\">\n                    <input required value=\"\" placeholder=\"Position*\" \n                                    type=\"text\" id=\"11\" name=\"11.f\"  onkeyup=\"validateType6Field(this)\">\n                    <div id=\"error-11\" class=\"error-message\">\n                        Maximum 255 characters allowed\n                    <\/div>\n                <\/div>\n                \n                <div class=\"form-group\">\n                    <input required value=\"\" placeholder=\"Company*\" \n                                    type=\"text\" id=\"12\" name=\"12.f\"  onkeyup=\"validateType6Field(this)\">\n                    <div id=\"error-12\" class=\"error-message\">\n                        Maximum 255 characters allowed\n                    <\/div>\n                <\/div>\n                \n                <div class=\"form-group\">\n                    <input required value=\"\" placeholder=\"Email*\" \n                                    type=\"email\" id=\"13\" name=\"13.f\">\n                <\/div>\n                \n                <div class=\"form-group\">\n                    <input required placeholder=\"Phone*\" \n                                    type=\"tel\" id=\"14\" name=\"14.f\">\n                <\/div>\n                \n                <div class=\"form-group\">\n                    <textarea rows=\"7\" value=\"\" placeholder=\"Message\" \n                                        type=\"text\" id=\"15\" name=\"15.f\"  onkeyup=\"validateType12Field(this)\"><\/textarea>\n                    <div id=\"error-15\" class=\"error-message\">\n                        Maximum 2000 characters allowed\n                    <\/div>\n                <\/div>\n                <input type=\"hidden\" id=\"assessment_id\" name=\"assessment_id\" value=\"3\">\n                <input type=\"hidden\" id=\"source_id\" name=\"source_id\" value=\"3\">\n                <input type=\"hidden\" id=\"referrerUrl\" name=\"referrerUrl\" value=\"\">\n                <input type=\"hidden\" id=\"noRedirect\" name=\"noRedirect\" value=\"false\">\n                <input type=\"hidden\" id=\"urlForm\" name=\"urlForm\" value=\"null\">\n                <!-- honeypot to hide from bots -->\n                <input type=\"text\" name=\"website\" id=\"website\" autocomplete=\"off\" tabindex=\"-1\" style=\"display: none;\">\n                <input type=\"hidden\" id=\"uuidSchema\" name=\"uuidSchema\" value=\"6bc7d8c7-b72f-49af-9112-b286899c198c\">\n                \n                <div class=\"checkbox-group\">\n                    <input type=\"checkbox\" id=\"legal\" name=\"legal\" value=\"legal\" required>\n                    <label for=\"legal\">\n                        By submitting this form, I agree that the information entered will be used in connection with this request.\n                    <\/label>\n                <\/div>\n                \n                <div class=\"recaptcha-container\">\n                    <div id=\"recaptcha-container\" class=\"g-recaptcha\" data-sitekey=\"6Le3KBMnAAAAACaqODJ_t7M0y-sLGRgPHL7kr6kr\" data-callback=\"onRecaptchaSuccess\" data-expired-callback=\"onRecaptchaExpired\" data-error-callback=\"onRecaptchaError\">\n                    <\/div>\n                <\/div>\n                <div id=\"recaptcha-error-message\" class=\"recaptcha-error\">\n                    Please complete the reCAPTCHA.\n                <\/div>\n                \n                <div class=\"submit-container\">\n                    <input data-replace id=\"submitButton\" class=\"submit-button\"\n                            type=\"submit\" value=\"Submit\" disabled>\n                <\/div>\n            <\/form>\n        <\/div>\n    <\/div>\n    \n    <div id=\"toastContainer\" class=\"toast-container\"><\/div>\n<\/body>\n<\/html>\n<script src='https:\/\/www.google.com\/recaptcha\/api.js'>\n<\/script>\n<script>\n    function onRecaptchaSuccess() {\n                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