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Domain > rti.accentimaging.com
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More information on this domain is in
AlienVault OTX
Is this malicious?
Yes
No
DNS Resolutions
Date
IP Address
2019-11-23
34.198.47.41
(
ClassC
)
2020-03-28
34.197.20.139
(
ClassC
)
2026-03-05
3.210.85.247
(
ClassC
)
Port 443
HTTP/1.1 200 OKserver: nginxcontent-type: text/html; charsetutf-8transfer-encoding: chunkedvary: Accept-Encodingset-cookie: __Secure-PHPSESSIDvmp3738deiotou0lls842css83; path/; secure; HttpOnlyexpires: Thu, 19 Nov 1981 08:52:00 GMTcache-control: no-store, no-cache, must-revalidatepragma: no-cachecache-control: no-cache, privatedate: Thu, 05 Mar 2026 05:01:21 GMTset-cookie: __Secureinternal_sessionkIoC9pAhQDm7HnKbtr6IRKhjvMgOKX9au0TjB7xt; expiresThu, 05 Mar 2026 07:01:21 GMT; Max-Age7200; path/; secure; httponlyx-xss-protection: 1; modeblockx-content-type-options: nosniffreferrer-policy: no-referrer-when-downgradefeature-policy: accelerometer none; camera none; geolocation none; gyroscope none; magnetometer none; microphone none; payment none; usb nonepermissions-policy: accelerometer(), camera(), geolocation(), gyroscope(), magnetometer(), microphone(), payment(), usb()content-security-policy: frame-ancestors self www.planscope.com; report-uri /csp-report.phpstshost: use1-prd-np8-002x-lb: use1-prd-lb-1119 !DOCTYPE HTML PUBLIC -//W3C//DTD HTML 4.01//EN http://www.w3.org/TR/html4/strict.dtd>html langen-US classsupernova >head> meta http-equivContent-Type contenttext/html; charsetutf-8 /> link relalternate typeapplication/json+oembed hrefhttps://www.jotform.com/oembed/?formatjson&urlhttps%3A%2F%2Fform.jotform.com%2F71364475518967 titleoEmbed Form> link relalternate typetext/xml+oembed hrefhttps://www.jotform.com/oembed/?formatxml&urlhttps%3A%2F%2Fform.jotform.com%2F71364475518967 titleoEmbed Form> meta propertyog:title contentRTI Request Equipment/Service/Supplies> meta propertyog:url contenthttps://form.jotform.com/71364475518967> meta propertyog:description contentPlease click the link to complete this form.> meta nameslack-app-id contentAHNMASS8M> meta propertyog:image contenthttps://cdn.jotfor.ms/assets/img/landing/opengraph.png /> link relshortcut icon hrefhttps://cdn.jotfor.ms/assets/img/favicons/favicon-2021-light%402x.png> link relapple-touch-icon hrefhttps://cdn.jotfor.ms/assets/img/favicons/favicon-2021-light%402x.png> script> var favicon document.querySelector(linkrelshortcut icon); window.isDarkMode (window.matchMedia && window.matchMedia((prefers-color-scheme: dark)).matches); if(favicon && window.isDarkMode) { favicon.href favicon.href.replaceAll(favicon-2021-light%402x.png, favicon-2021-dark%402x.png); } /script> link relcanonical hrefhttps://form.jotform.com/71364475518967 /> meta nameviewport contentwidthdevice-width, initial-scale1.0, maximum-scale5.0, user-scalable1 /> meta nameHandheldFriendly contenttrue /> title>RTI Request Equipment/Service/Supplies/title> link hrefhttps://cdn.jotfor.ms/s/static/d05b035ccaf/static/formCss.css relstylesheet typetext/css /> link typetext/css relstylesheet hrefhttps://cdn.jotfor.ms/stylebuilder/static/form-common.css?v0497c3d /> link typetext/css relstylesheet hrefhttps://cdn.jotfor.ms/css/styles/nova.css?3.3.68699 /> style typetext/css> @media print { * { -webkit-print-color-adjust: exact !important; color-adjust: exact !important; } .form-section { display: inline !important } .form-pagebreak { display: none !important } .form-section-closed { height: auto !important } .page-section { position: initial !important } } /style> link typetext/css relstylesheet hrefhttps://cdn.jotfor.ms/s/static/d05b035ccaf/css/styles/payment/payment_feature.css?3.3.68699 /> style typetext/css> .form-label-left { width: 137px; } .form-line { padding-top: 12px; padding-bottom: 12px; } .form-label-right { width: 137px; } body, html { margin: 0; padding: 0; background: false; } .form-all { margin: 0px auto; padding-top: 20px; width: 581px; color: #555 !important; font-family: Helvetica; font-size: 13px; } .form-radio-item label, .form-checkbox-item label, .form-grading-label, .form-header { color: false; } /style> style typetext/css idform-designer-style> @import (css) @{buttonFontLink}; /* Injected CSS Code */ .form-label.form-label-auto { display: inline-block; float: left; text-align: left; } .form-all { font-family: Helvetica, sans-serif; } .form-all { width: 581px; } .form-label-left, .form-label-right { width: 137px; } .form-label { white-space: normal; } .form-label-left { display: inline-block; white-space: normal; float: left; text-align: left; } .form-label-right { display: inline-block; white-space: normal; float: left; text-align: right; } .form-label-top { white-space: normal; display: block; float: none; text-align: left; } .form-all { font-size: 13px; } .form-label { font-weight: normal; font-size: 0.95em; } .supernova { background-color: none; background-color: rgba(255, 255, 255, 0); } .supernova body { background-color: transparent; } /*@width30: (unit(@formWidth, px) + 60px);@width60: (unit(@formWidth, px)+ 120px);@width90: (unit(@formWidth, px)+ 180px);*/ /* | */ /* | */ /* | */ @media screen and (max-width: 480px) { .jotform-form { padding: 10px 0; } } /* | */ /* | */ @media screen and (min-width: 480px) and (max-width: 768px) { .jotform-form { padding: 30px 0; } } /* | */ /* | */ @media screen and (min-width: 768px) and (max-width: 1024px) { .jotform-form { padding: 60px 0; } } /* | */ /* | */ @media screen and (min-width: 1024px) { .jotform-form { padding: 90px 0; } } /* | */ .form-all { background-color: none; border: 1px solid transparent; } .form-all { color: #555555; } .form-header-group .form-header { color: #555555; } .form-header-group .form-subHeader { color: #6f6f6f; } .form-sub-label { color: #6f6f6f; } .form-label-top, .form-label-left, .form-label-right, .form-html { color: #6f6f6f; } .form-checkbox-item label, .form-radio-item label { color: #555555; } .form-line.form-line-active { -webkit-transition-property: all; -moz-transition-property: all; -ms-transition-property: all; -o-transition-property: all; transition-property: all; -webkit-transition-duration: 0.3s; -moz-transition-duration: 0.3s; -ms-transition-duration: 0.3s; -o-transition-duration: 0.3s; transition-duration: 0.3s; -webkit-transition-timing-function: ease; -moz-transition-timing-function: ease; -ms-transition-timing-function: ease; -o-transition-timing-function: ease; transition-timing-function: ease; background-color: #ffffe0; } /* ömer */ .form-radio-item, .form-checkbox-item { padding-bottom: 0px !important; } .form-radio-item:last-child, .form-checkbox-item:last-child { padding-bottom: 0; } /* ömer */ data-typecontrol_radio .form-input, data-typecontrol_checkbox .form-input, data-typecontrol_radio .form-input-wide, data-typecontrol_checkbox .form-input-wide { width: 100%; max-width: 297px; } .form-radio-item, .form-checkbox-item { width: 100%; max-width: 297px; -moz-box-sizing: border-box; -webkit-box-sizing: border-box; box-sizing: border-box; } .form-textbox.form-radio-other-input, .form-textbox.form-checkbox-other-input { width: 80%; margin-left: 3%; -moz-box-sizing: border-box; -webkit-box-sizing: border-box; box-sizing: border-box; } .form-multiple-column { width: 100%; } .form-multiple-column .form-radio-item, .form-multiple-column .form-checkbox-item { width: 10%; } .form-multiple-columndata-columncount1 .form-radio-item, .form-multiple-columndata-columncount1 .form-checkbox-item { width: 100%; } .form-multiple-columndata-columncount2 .form-radio-item, .form-multiple-columndata-columncount2 .form-checkbox-item { width: 50%; } .form-multiple-columndata-columncount3 .form-radio-item, .form-multiple-columndata-columncount3 .form-checkbox-item { width: 33.33333333%; } .form-multiple-columndata-columncount4 .form-radio-item, .form-multiple-columndata-columncount4 .form-checkbox-item { width: 25%; } .form-multiple-columndata-columncount5 .form-radio-item, .form-multiple-columndata-columncount5 .form-checkbox-item { width: 20%; } .form-multiple-columndata-columncount6 .form-radio-item, .form-multiple-columndata-columncount6 .form-checkbox-item { width: 16.66666667%; } .form-multiple-columndata-columncount7 .form-radio-item, .form-multiple-columndata-columncount7 .form-checkbox-item { width: 14.28571429%; } .form-multiple-columndata-columncount8 .form-radio-item, .form-multiple-columndata-columncount8 .form-checkbox-item { width: 12.5%; } .form-multiple-columndata-columncount9 .form-radio-item, .form-multiple-columndata-columncount9 .form-checkbox-item { width: 11.11111111%; } .form-single-column .form-checkbox-item, .form-single-column .form-radio-item { width: 100%; } .supernova { height: 100%; background-repeat: no-repeat; background-attachment: scroll; background-position: center top; background-repeat: repeat; } .supernova { background-image: none; } #stage { background-image: none; } /* | */ .form-all { background-repeat: no-repeat; background-attachment: scroll; background-position: center top; background-repeat: repeat; } .form-header-group { background-repeat: no-repeat; background-attachment: scroll; background-position: center top; } .form-line { margin-top: 5px; margin-bottom: 5px; } .form-line { padding: 12px 36px; } .form-all .form-textbox, .form-all .form-radio-other-input, .form-all .form-checkbox-other-input, .form-all .form-captcha input, .form-all .form-spinner input, .form-all .form-pagebreak-back, .form-all .form-pagebreak-next, .form-all .qq-upload-button, .form-all .form-error-message { -webkit-border-radius: 6px; -moz-border-radius: 6px; border-radius: 6px; } .form-all .form-sub-label { margin-left: 3px; } .form-all .form-textarea { -webkit-border-radius: 6px; -moz-border-radius: 6px; border-radius: 6px; } .form-all { -webkit-border-radius: 6px; -moz-border-radius: 6px; border-radius: 6px; } .form-section:first-child { -webkit-border-radius: 6px 6px 0 0; -moz-border-radius: 6px 6px 0 0; border-radius: 6px 6px 0 0; } .form-section:last-child { -webkit-border-radius: 0 0 6px 6px; -moz-border-radius: 0 0 6px 6px; border-radius: 0 0 6px 6px; } .form-all .qq-upload-button, .form-all .form-submit-button, .form-all .form-submit-reset, .form-all .form-submit-print { font-size: 1em; padding: 9px 15px; font-family: Helvetica, sans-serif; font-size: 13px; font-weight: normal; } .form-all .form-pagebreak-back, .form-all .form-pagebreak-next { font-size: 1em; padding: 9px 15px; font-family: Helvetica, sans-serif; font-size: 13px; font-weight: normal; } /*& when ( @buttonFontType google ) { }*/ h2.form-header { line-height: 1.618em; } h2~.form-subHeader { line-height: 1.5em; } .form-header-group { text-align: left; } .form-line { zoom: 1; } .form-line:before, .form-line:after { display: table; content: ; line-height: 0; } .form-line:after { clear: both; } .form-sub-label-container { margin-right: 0; float: left; white-space: nowrap; -moz-box-sizing: border-box; -webkit-box-sizing: border-box; box-sizing: border-box; } .form-sub-label-container .date-separate { visibility: hidden; } .form-captcha input, .form-spinner input { width: 297px; } .form-textbox, .form-textarea { width: 100%; max-width: 297px; -moz-box-sizing: border-box; -webkit-box-sizing: border-box; box-sizing: border-box; } .form-input, .form-address-table, .form-matrix-table { width: 100%; max-width: 297px; } .form-radio-item, .form-checkbox-item { width: 100%; max-width: 297px; -moz-box-sizing: border-box; -webkit-box-sizing: border-box; box-sizing: border-box; } .form-textbox.form-radio-other-input, .form-textbox.form-checkbox-other-input { width: 80%; margin-left: 3%; -moz-box-sizing: border-box; -webkit-box-sizing: border-box; box-sizing: border-box; } .form-multiple-column { width: 100%; } .form-multiple-column .form-radio-item, .form-multiple-column .form-checkbox-item { width: 10%; } .form-multiple-columndata-columncount1 .form-radio-item, .form-multiple-columndata-columncount1 .form-checkbox-item { width: 100%; } .form-multiple-columndata-columncount2 .form-radio-item, .form-multiple-columndata-columncount2 .form-checkbox-item { width: 50%; } .form-multiple-columndata-columncount3 .form-radio-item, .form-multiple-columndata-columncount3 .form-checkbox-item { width: 33.33333333%; } .form-multiple-columndata-columncount4 .form-radio-item, .form-multiple-columndata-columncount4 .form-checkbox-item { width: 25%; } .form-multiple-columndata-columncount5 .form-radio-item, .form-multiple-columndata-columncount5 .form-checkbox-item { width: 20%; } .form-multiple-columndata-columncount6 .form-radio-item, .form-multiple-columndata-columncount6 .form-checkbox-item { width: 16.66666667%; } .form-multiple-columndata-columncount7 .form-radio-item, .form-multiple-columndata-columncount7 .form-checkbox-item { width: 14.28571429%; } .form-multiple-columndata-columncount8 .form-radio-item, .form-multiple-columndata-columncount8 .form-checkbox-item { width: 12.5%; } .form-multiple-columndata-columncount9 .form-radio-item, .form-multiple-columndata-columncount9 .form-checkbox-item { width: 11.11111111%; } data-typecontrol_dropdown .form-dropdown { width: 100% !important; max-width: 297px; } data-typecontrol_fullname .form-sub-label-container { -moz-box-sizing: border-box; -webkit-box-sizing: border-box; box-sizing: border-box; width: 48%; } data-typecontrol_fullname .form-sub-label-container:first-child { margin-right: 4%; } data-typecontrol_phone .form-sub-label-container { width: 65%; } data-typecontrol_phone .form-sub-label-container:first-child { width: 32.5%; margin-right: 2.5%; } data-typecontrol_birthdate .form-sub-label-container { width: 22%; margin-right: 3%; } data-typecontrol_birthdate .form-sub-label-container:first-child { width: 50%; } data-typecontrol_birthdate .form-sub-label-container:last-child { margin-right: 0; } data-typecontrol_birthdate .form-sub-label-container .form-dropdown { width: 100%; } data-typecontrol_time .form-sub-label-container { width: 37%; margin-right: 3%; } data-typecontrol_time .form-sub-label-container:last-child { width: 20%; margin-right: 0; } data-typecontrol_time .form-sub-label-container .form-dropdown { width: 100%; } data-typecontrol_datetime .form-sub-label-container { width: 28%; margin-right: 4%; } data-typecontrol_datetime .form-sub-label-container:last-child { width: 4%; margin-right: 0; } data-typecontrol_datetime.allowTime .form-sub-label-container { width: 12%; margin-right: 3%; } data-typecontrol_datetime.allowTime .form-sub-label-container:last-child { width: 4%; margin-right: 0; } data-typecontrol_datetime.allowTime span .form-sub-label-container:first-child { width: 3%; } data-typecontrol_datetime.allowTime span .form-sub-label-container:last-child { width: 12%; margin-right: 3%; } data-typecontrol_datetime.allowTime .form-dropdown { width: 100%; } data-typecontrol_payment .form-sub-label-container { width: auto; } data-typecontrol_payment .form-sub-label-container .form-dropdown { width: 100%; } .form-address-table td .form-dropdown { width: 100%; } .form-address-table td .form-sub-label-container { width: 96%; } .form-address-table td:last-child .form-sub-label-container { margin-left: 4%; } .form-address-table tdcolspan2 .form-sub-label-container { width: 100%; margin: 0; } /*.form-dropdown,.form-radio-item,.form-checkbox-item,.form-radio-other-input,.form-checkbox-other-input,*/ .form-captcha input, .form-spinner input, .form-error-message { padding: 4px 3px 2px 3px; } .form-header-group { font-family: Helvetica, sans-serif; } .form-section { padding: 0px 0px 0px 0px; } .form-header-group { margin: 12px 36px 12px 36px; } .form-header-group { padding: 24px 0px 24px 0px; } .form-header-group .form-header, .form-header-group .form-subHeader { color: #4e70aa; } .form-textbox, .form-textarea { padding: 1px 0px -1px 0px; } .form-textbox, .form-textarea, .form-radio-other-input, .form-checkbox-other-input, .form-captcha input, .form-spinner input { background-color: #ffffff; } .form-textbox { height: 25px; } .form-textarea { height: 95px; } .form-textbox, .form-textarea { width: 100%; max-width: 282px; -moz-box-sizing: border-box; -webkit-box-sizing: border-box; box-sizing: border-box; } data-typecontrol_textbox .form-input, data-typecontrol_textarea .form-input, data-typecontrol_fullname .form-input, data-typecontrol_phone .form-input, data-typecontrol_datetime .form-input, data-typecontrol_address .form-input, data-typecontrol_email .form-input, data-typecontrol_passwordbox .form-input, data-typecontrol_autocomp .form-input, data-typecontrol_textbox .form-input-wide, data-typecontrol_textarea .form-input-wide, data-typecontrol_fullname .form-input-wide, data-typecontrol_phone .form-input-wide, data-typecontrol_datetime .form-input-wide, data-typecontrol_address .form-input-wide, data-typecontrol_email .form-input-wide, data-typecontrol_passwordbox .form-input-wide, data-typecontrol_autocomp .form-input-wide { width: 100%; max-width: 282px; } data-typecontrol_fullname .form-sub-label-container { -moz-box-sizing: border-box; -webkit-box-sizing: border-box; box-sizing: border-box; width: 48%; } data-typecontrol_fullname .form-sub-label-container:first-child { margin-right: 4%; } data-typecontrol_phone .form-sub-label-container { width: 65%; } data-typecontrol_phone .form-sub-label-container:first-child { width: 32.5%; margin-right: 2.5%; } data-typecontrol_phone .form-sub-label-container .date-separate { visibility: hidden; } data-typecontrol_datetime .form-sub-label-container { width: 28%; margin-right: 4%; } data-typecontrol_datetime .form-sub-label-container:last-child { width: 4%; margin-right: 0; } data-typecontrol_datetime .form-sub-label-container .date-separate { visibility: hidden; } data-typecontrol_datetime.allowTime .form-sub-label-container { width: 12%; margin-right: 3%; } data-typecontrol_datetime.allowTime .form-sub-label-container:last-child { width: 4%; margin-right: 0; } data-typecontrol_datetime.allowTime span .form-sub-label-container:first-child { width: 3%; } data-typecontrol_datetime.allowTime span .form-sub-label-container:last-child { width: 12%; margin-right: 3%; } data-typecontrol_datetime.allowTime .form-dropdown { width: 100%; } .form-matrix-table { width: 100%; max-width: 282px; } .form-address-table { width: 100%; max-width: 282px; } .form-address-table td .form-dropdown { width: 100%; } .form-address-table td .form-sub-label-container { width: 96%; } .form-address-table td:last-child .form-sub-label-container { margin-left: 4%; } .form-address-table tdcolspan2 .form-sub-label-container { width: 100%; margin: 0; } data-typecontrol_dropdown .form-input, data-typecontrol_birthdate .form-input, data-typecontrol_time .form-input, data-typecontrol_dropdown .form-input-wide, data-typecontrol_birthdate .form-input-wide, data-typecontrol_time .form-input-wide { width: 100%; max-width: 297px; } data-typecontrol_dropdown .form-dropdown { width: 100% !important; max-width: 297px; } data-typecontrol_birthdate .form-sub-label-container { width: 22%; margin-right: 3%; } data-typecontrol_birthdate .form-sub-label-container:first-child { width: 50%; } data-typecontrol_birthdate .form-sub-label-container:last-child { margin-right: 0; } data-typecontrol_birthdate .form-sub-label-container .form-dropdown { width: 100%; } data-typecontrol_time .form-sub-label-container { width: 37%; margin-right: 3%; } data-typecontrol_time .form-sub-label-container:last-child { width: 20%; margin-right: 0; } data-typecontrol_time .form-sub-label-container .form-dropdown { width: 100%; } .form-dropdown { margin: 0; border-color: #a6a6a6; -webkit-appearance: menulist !important; -moz-appearance: menulist !important; appearance: menulist !important; border-width: 1px; } .form-header-group { border-bottom: none; } .form-label { font-family: Helvetica, sans-serif; } lidata-typecontrol_image div { text-align: left; } lidata-typecontrol_image img { border: none; border-width: 0px !important; border-style: solid !important; border-color: false !important; } .form-line-column { width: auto; } .form-line-error { overflow: hidden; -webkit-transition-property: none; -moz-transition-property: none; -ms-transition-property: none; -o-transition-property: none; transition-property: none; -webkit-transition-duration: 0.3s; -moz-transition-duration: 0.3s; -ms-transition-duration: 0.3s; -o-transition-duration: 0.3s; transition-duration: 0.3s; -webkit-transition-timing-function: ease; -moz-transition-timing-function: ease; -ms-transition-timing-function: ease; -o-transition-timing-function: ease; transition-timing-function: ease; background-color: #fff4f4; } .form-line-error .form-error-message { background-color: #ff3200; clear: both; float: none; } .form-line-error .form-error-message .form-error-arrow { border-bottom-color: #ff3200; } .form-line-error input:not(#coupon-input), .form-line-error textarea, .form-line-error .form-validation-error { border: 1px solid #ff3200; -webkit-box-shadow: 0 0 3px #ff3200; -moz-box-shadow: 0 0 3px #ff3200; box-shadow: 0 0 3px #ff3200; } .ie-8 .form-all { margin-top: auto; margin-top: initial; } .ie-8 .form-all:before { display: none; } /* | */ @media screen and (max-width: 480px), screen and (max-device-width: 768px) and (orientation: portrait), screen and (max-device-width: 415px) and (orientation: landscape) { .jotform-form { padding: 0; } .form-all { border: 0; width: 100%; max-width: initial; } .form-sub-label-container { width: 100%; margin: 0; } .form-input { width: 100%; } .form-label { width: 100% !important; } .form-line { padding: 2% 5%; -moz-box-sizing: border-box; -webkit-box-sizing: border-box; box-sizing: border-box; } inputtypetext, inputtypeemail, inputtypetel, textarea { width: 100%; -moz-box-sizing: border-box; -webkit-box-sizing: border-box; box-sizing: border-box; max-width: initial !important; } .form-input, .form-input-wide, .form-textarea, .form-textbox, .form-dropdown { max-width: initial !important; } div.form-header-group { padding: 24px 0px !important; margin: 0 12px 2% !important; margin-left: 5% !important; margin-right: 5% !important; -moz-box-sizing: border-box; -webkit-box-sizing: border-box; box-sizing: border-box; } data-typecontrol_button { margin-bottom: 0 !important; } .form-buttons-wrapper { margin: 0 !important; } .form-buttons-wrapper button { width: 100%; } table { width: 100% !important; 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classform-radio-item styleclear:left>span classdragger-item>/span>input typeradio classform-radio validaterequired idinput_46_1 nameq46_clickTo46 required valueHP M631 - 55ppm />label idlabel_input_46_1 forinput_46_1>HP M631 - 55ppm/label>/span>/div> /div> /li> li classform-line jf-required form-field-hidden styledisplay:none; data-typecontrol_radio idid_45> label classform-label form-label-left form-label-auto idlabel_45 aria-hiddenfalse> Select Color MFP:span classform-required>*/span> /label> div idcid_45 classform-input jf-required> div classform-single-column rolegroup aria-labelledbylabel_45 data-componentradio>span classform-radio-item styleclear:left>span classdragger-item>/span>input typeradio classform-radio validaterequired idinput_45_0 nameq45_clickTo45 required valueCanon iRC 3530 - 30ppm />label idlabel_input_45_0 forinput_45_0>Canon iRC 3530 - 30ppm/label>/span>span classform-radio-item styleclear:left>span classdragger-item>/span>input typeradio classform-radio validaterequired idinput_45_1 nameq45_clickTo45 required valueHP LaserJet M680 - 45ppm />label idlabel_input_45_1 forinput_45_1>HP LaserJet M680 - 45ppm/label>/span>span classform-radio-item styleclear:left>span classdragger-item>/span>input typeradio classform-radio validaterequired idinput_45_2 nameq45_clickTo45 required valueHP LaserJet M577dn - 40ppm />label idlabel_input_45_2 forinput_45_2>HP LaserJet M577dn - 40ppm/label>/span>/div> /div> /li> li classform-line form-field-hidden styledisplay:none; data-typecontrol_checkbox idid_47>label classform-label form-label-left form-label-auto idlabel_47 aria-hiddenfalse> Check any additional features you need: /label> div idcid_47 classform-input> div classform-single-column rolegroup aria-labelledbylabel_47 data-componentcheckbox>span classform-checkbox-item styleclear:left>span classdragger-item>/span>input typecheckbox classform-checkbox idinput_47_0 nameq47_checkAny47 valueAutomatic Duplex />label idlabel_input_47_0 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idid_16>label classform-label form-label-left form-label-auto idlabel_16 forinput_16 aria-hiddenfalse> P-Numberspan classform-required>*/span> /label> div idcid_16 classform-input jf-required> input typetext idinput_16 nameq16_pnumber data-typeinput-textbox classform-textbox validaterequired data-defaultvalue size20 placeholder data-componenttextbox aria-labelledbylabel_16 aria-describedbyinput_16-description required value /> /div> /li> li classform-line jf-required form-field-hidden styledisplay:none; data-typecontrol_textbox idid_15>label classform-label form-label-left form-label-auto idlabel_15 forinput_15 aria-hiddenfalse> Make & Model #span classform-required>*/span> /label> div idcid_15 classform-input jf-required> input typetext idinput_15 nameq15_makeamp data-typeinput-textbox classform-textbox validaterequired data-defaultvalue size20 placeholder data-componenttextbox aria-labelledbylabel_15 aria-describedbyinput_15-description required value /> /div> /li> li classform-line jf-required form-field-hidden styledisplay:none; data-typecontrol_fullname idid_4>label classform-label form-label-left form-label-auto idlabel_4 forfirst_4 aria-hiddenfalse> Your Name:span classform-required>*/span> /label> div idcid_4 classform-input jf-required> div aria-labelledbylabel_4 rolegroup data-wrapper-reacttrue>span classform-sub-label-container stylevertical-align:top data-input-typefirst>input typetext idfirst_4 nameq4_yourNamefirst classform-textbox validaterequired data-defaultvalue autoCompletesection-input_4 given-name size10 data-componentfirst aria-labelledbylabel_4 sublabel_4_first aria-describedbyinput_4-description required value />label classform-sub-label forfirst_4 idsublabel_4_first stylemin-height:13px>First Name/label>/span>span classform-sub-label-container stylevertical-align:top data-input-typelast>input typetext idlast_4 nameq4_yourNamelast classform-textbox validaterequired data-defaultvalue autoCompletesection-input_4 family-name size15 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Empty: input typetext namewebsite value typehidden />/li> /ul> /div> script> JotForm.showJotFormPowered 0; /script> script> JotForm.poweredByText Powered by Jotform; /script>input typehidden classsimple_spc idsimple_spc namesimple_spc value71364475518967 /> script typetext/javascript> var all_spc document.querySelectorAll(formid71364475518967 .si + mple + _spc); for (var i 0; i all_spc.length; i++) { all_spci.value 71364475518967-71364475518967; } /script> script typetext/javascript> document.getElementById(si + mple + _spc).value 51094340131947-51094340131947; (function () { var regional, rtp, selectYourLocation, selectYourBuilding, streetAddress1, streetAddress2, city, stateProvince, postalZip, Regional, Rtp; regional input_23_0; selectYourLocation input_24; rtp input_23_1; selectYourBuilding input_28; streetAddress1 input_19_addr_line1; streetAddress2 input_19_addr_line2; city input_19_city; stateProvince input_19_state; postalZip input_19_postal; Regional function (that) { switch (that.value) { case Ann Arbor, MI: $(streetAddress1).value 3005 Boardwalk Street, Suite 105; $(streetAddress2).value ; $(city).value Ann Arbor; $(stateProvince).value MI; $(postalZip).value 48108-5218; break; case Atlanta, GA: $(streetAddress1).value Century Plaza 1, Suite 400; $(streetAddress2).value 2987 Clairmont Rd., NE; $(city).value Atlanta; $(stateProvince).value GA; $(postalZip).value 30329-4434; break; case Berkeley, CA: $(streetAddress1).value 2150 Shattuck Avenue, Suite 800; $(streetAddress2).value ; $(city).value Berkeley; $(stateProvince).value CA; $(postalZip).value 94704; break; case Chicago, IL: $(streetAddress1).value 230 W. Monroe St, Suite 2100; $(streetAddress2).value ; $(city).value Chicago; $(stateProvince).value IL; $(postalZip).value 60606-4901; break; case Research Operations Center, NC: $(streetAddress1).value One North Commerce Center; $(streetAddress2).value 5265 Capital Boulevard; $(city).value Raleigh; $(stateProvince).value NC; $(postalZip).value 27616; break; case Rockville, MD: $(streetAddress1).value 6110 Executive Boulevard, Suite 902; $(streetAddress2).value ; $(city).value Rockville; $(stateProvince).value MD; $(postalZip).value 20852-3907; break; case San Francisco, CA: $(streetAddress1).value 351 California Street, Suite 500; $(streetAddress2).value ; $(city).value San Francisco; $(stateProvince).value CA; $(postalZip).value 94104-2414; break; case Waltham, MA: $(streetAddress1).value 307 Waverley Oaks Road, Suite 101; $(streetAddress2).value ; $(city).value Waltham; $(stateProvince).value MA; $(postalZip).value 02452-8413; break; case Washington, DC: $(streetAddress1).value 701 13th Street, N.W., Suite 750; $(streetAddress2).value ; $(city).value Washington; $(stateProvince).value DC; $(postalZip).value 20005-3967; break; default: $(streetAddress1).value ; $(streetAddress2).value ; $(city).value ; $(stateProvince).value ; $(postalZip).value ; } }; Rtp function (that) { switch (that.value) { case 200 Park Offices Drive: $(streetAddress1).value 200 Park Offices Drive; $(streetAddress2).value ; $(city).value Research Triangle Park; $(stateProvince).value NC; $(postalZip).value 27709; break; case 300 Park Offices Drive: $(streetAddress1).value 300 Park Offices Drive; $(streetAddress2).value ; $(city).value Research Triangle Park; $(stateProvince).value NC; $(postalZip).value 27709; break; case Advanced Technology Building: $(streetAddress1).value 3021 East Cornwallis Road; $(streetAddress2).value ; $(city).value Research Triangle Park; $(stateProvince).value NC; $(postalZip).value 27709-3910; break; case Regent Place: $(streetAddress1).value Suite 100, Imperial Court Business Park; $(streetAddress2).value 1000 Parliament Court; $(city).value Durham; $(stateProvince).value NC; $(postalZip).value 27703; break; case Annex 1: $(streetAddress1).value 3040 East Cornwallis Road; $(streetAddress2).value Annex 1 Building; $(city).value Research Triangle Park; $(stateProvince).value NC; $(postalZip).value 27709-2194; break; case Annex 2: $(streetAddress1).value 3040 East Cornwallis Road; $(streetAddress2).value Annex 2 Building; $(city).value Research Triangle Park; $(stateProvince).value NC; $(postalZip).value 27709-2194; break; case Building 11: $(streetAddress1).value 3040 East Cornwallis Road; $(streetAddress2).value Building 11; $(city).value Research Triangle Park; $(stateProvince).value NC; $(postalZip).value 27709-2194; break; case Building 3: $(streetAddress1).value 3040 East Cornwallis Road; $(streetAddress2).value Building 3; $(city).value Research Triangle Park; $(stateProvince).value NC; $(postalZip).value 27709-2194; break; case Building 5: $(streetAddress1).value 3040 East Cornwallis Road; $(streetAddress2).value Building 5; $(city).value Research Triangle Park; $(stateProvince).value NC; $(postalZip).value 27709-2194; break; case Building 6: $(streetAddress1).value 3040 East Cornwallis Road; $(streetAddress2).value Building 6; $(city).value Research Triangle Park; $(stateProvince).value NC; $(postalZip).value 27709-2194; break; case Building 7: $(streetAddress1).value 3040 East Cornwallis Road; $(streetAddress2).value Building 7; $(city).value Research Triangle Park; $(stateProvince).value NC; $(postalZip).value 27709-2194; break; case Building C: $(streetAddress1).value 3040 East Cornwallis Road; $(streetAddress2).value Building C; $(city).value Research Triangle Park; $(stateProvince).value NC; $(postalZip).value 27709-2194; break; case Building O9: $(streetAddress1).value 3040 East Cornwallis Road; $(streetAddress2).value Building O9; $(city).value Research Triangle Park; $(stateProvince).value NC; $(postalZip).value 27709-2194; break; case Cox: $(streetAddress1).value 3040 East Cornwallis Road; $(streetAddress2).value Cox Building; $(city).value Research Triangle Park; $(stateProvince).value NC; $(postalZip).value 27709-2194; break; case Fitness Center Building: $(streetAddress1).value 3040 East Cornwallis Road; $(streetAddress2).value Fitness Center Building; $(city).value Research Triangle Park; $(stateProvince).value NC; $(postalZip).value 27709-2194; break; case Haynes: $(streetAddress1).value 3040 East Cornwallis Road; $(streetAddress2).value Haynes Building; $(city).value Research Triangle Park; $(stateProvince).value NC; $(postalZip).value 27709-2194; break; case Herbert: $(streetAddress1).value 3040 East Cornwallis Road; $(streetAddress2).value Herbert Building; $(city).value Research Triangle Park; $(stateProvince).value NC; $(postalZip).value 27709-2194; break; case Hermann: $(streetAddress1).value 3040 East Cornwallis Road; $(streetAddress2).value Hermann Building; $(city).value Research Triangle Park; $(stateProvince).value NC; $(postalZip).value 27709-2194; break; case Hill: $(streetAddress1).value 3040 East Cornwallis Road; $(streetAddress2).value Hill Building; $(city).value Research Triangle Park; $(stateProvince).value NC; $(postalZip).value 27709-2194; break; case Hobbs: $(streetAddress1).value 3040 East Cornwallis Road; $(streetAddress2).value Hobbs Building; $(city).value Research Triangle Park; $(stateProvince).value NC; $(postalZip).value 27709-2194; break; case Horizon: $(streetAddress1).value 3040 East Cornwallis Road; $(streetAddress2).value Horizon Building; $(city).value Research Triangle Park; $(stateProvince).value NC; $(postalZip).value 27709-2194; break; case Johnson: $(streetAddress1).value 3040 East Cornwallis Road; $(streetAddress2).value Johnson Building; $(city).value Research Triangle Park; $(stateProvince).value NC; $(postalZip).value 27709-2194; break; case Little: $(streetAddress1).value 3040 East Cornwallis Road; $(streetAddress2).value Little Building; $(city).value Research Triangle Park; $(stateProvince).value NC; $(postalZip).value 27709-2194; break; case Material Handling Facility: $(streetAddress1).value 3040 East Cornwallis Road; $(streetAddress2).value Material Handling Facility; $(city).value Research Triangle Park; $(stateProvince).value NC; $(postalZip).value 27709-2194; break; default: $(streetAddress1).value ; $(streetAddress2).value ; $(city).value ; $(stateProvince).value ; $(postalZip).value ; } }; $(regional), $(rtp).invoke(on, click, function () { if ($(regional).checked) { Regional($(selectYourLocation)); } else { Rtp($(selectYourBuilding)); } }); $(selectYourLocation).on(change, function () { Regional(this); }); $(selectYourBuilding).on(change, function () { Rtp(this); });}()); /script> /form>/body>/html>script typetext/javascript> JotForm.isNewSACLtrue;/script>
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