{"id":1640,"date":"2026-03-11T13:33:12","date_gmt":"2026-03-11T13:33:12","guid":{"rendered":"https:\/\/www.thefullerene.com\/?page_id=1640"},"modified":"2026-04-11T03:39:37","modified_gmt":"2026-04-11T03:39:37","slug":"request","status":"publish","type":"page","link":"https:\/\/www.thefullerene.com\/zh\/request\/","title":{"rendered":"\u8bf7\u6c42"},"content":{"rendered":"\n<div class=\"wp-block-greenshift-blocks-row alignfull gspb_row gspb_row-id-gsbp-d9148c4\" id=\"gspb_row-id-gsbp-d9148c4\"><div class=\"gspb_backgroundOverlay\"><\/div><div class=\"gspb_row__content\"> \n<div class=\"wp-block-greenshift-blocks-row-column gspb_row__col--12 gspb_row__col--sm-12 gspb_col-id-gsbp-3307111\" id=\"gspb_col-id-gsbp-3307111\">\n<h1 id=\"gspb_heading-id-gsbp-47a1031\" class=\"gspb_heading gspb_heading-id-gsbp-47a1031 \">Request a Technical Quote &amp; Solution<\/h1>\n\n\n\n<div id=\"gspb_text-id-gsbp-25e005e\" class=\"gspb_text gspb_text-id-gsbp-25e005e \">Connect directly with our senior technical engineers. Whether you require mg-level samples for R&amp;D or tonnage-scale industrial supply, please provide your specific requirements below for a prioritized response within 24 hours.<\/div>\n<\/div>\n <\/div><\/div>\n\n\n\n<div class=\"wp-block-greenshift-blocks-container gspb_container gspb_container-gsbp-f31f449\" id=\"gspb_container-id-gsbp-f31f449\"><style id=\"fluentform-block-custom-styles-2\">.fluentform.fluentform_wrapper_2.ff_guten_block.ff_guten_block-2 .ff-message-success { color: #e65054; }\n.fluentform.fluentform_wrapper_2.ff_guten_block.ff_guten_block-2 .ff-submit-error { color: #e65054; }\n<\/style><div class='fluentform ff-inherit-theme-style fluentform_wrapper_2  ff_guten_block ff_guten_block-2'><form data-form_id=\"2\" id=\"fluentform_2\" class=\"frm-fluent-form fluent_form_2 ff-el-form-top ff_form_instance_2_1 ff-form-loading ffs_inherit_theme\" data-form_instance=\"ff_form_instance_2_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 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aria-label=\"Organization\">Organization<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_2\" class=\"ff-el-form-control\" placeholder=\"Company \/ Institution\" data-name=\"input_text_2\" id=\"ff_2_input_text_2\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_dropdown' id='label_ff_2_dropdown' aria-label=\"Industry\">Industry<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_2_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_2_dropdown\"><option value=\"\">&#8211; Select &#8211;<\/option><option value=\"New Energy\"  >New 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>\u6cd5\u7f57\u7fa4\u5c9b<\/option><option value='PL' >\u6ce2\u5170<\/option><option value='PR' >\u6ce2\u591a\u9ece\u5404<\/option><option value='BA' >\u6ce2\u65af\u5c3c\u4e9a\u548c\u9ed1\u585e\u54e5\u7ef4\u90a3<\/option><option value='TH' >\u6cf0\u56fd<\/option><option value='ZW' >\u6d25\u5df4\u5e03\u97e6<\/option><option value='HN' >\u6d2a\u90fd\u62c9\u65af<\/option><option value='HT' >\u6d77\u5730<\/option><option value='IE' >\u7231\u5c14\u5170<\/option><option value='EE' >\u7231\u6c99\u5c3c\u4e9a<\/option><option value='JM' >\u7259\u4e70\u52a0<\/option><option value='TC' >\u7279\u514b\u65af\u548c\u51ef\u79d1\u65af\u7fa4\u5c9b<\/option><option value='TT' >\u7279\u91cc\u5c3c\u8fbe\u548c\u591a\u5df4\u54e5<\/option><option value='BO' >\u73bb\u5229\u7ef4\u4e9a<\/option><option value='NR' >\u7459\u9c81<\/option><option value='SE' >\u745e\u5178<\/option><option value='CH' >\u745e\u58eb<\/option><option value='GP' >\u74dc\u5fb7\u7f57\u666e\u5c9b<\/option><option value='WF' 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>\u7f57\u9a6c\u5c3c\u4e9a<\/option><option value='UM' >\u7f8e\u56fd\u672c\u571f\u5916\u5c0f\u5c9b\u5c7f<\/option><option value='VI' >\u7f8e\u56fd\uff08US\uff09\u7ef4\u5c14\u4eac\u7fa4\u5c9b<\/option><option value='AS' >\u7f8e\u5c5e\u8428\u6469\u4e9a<\/option><option value='LA' >\u8001\u631d<\/option><option value='KE' >\u80af\u5c3c\u4e9a<\/option><option value='FI' >\u82ac\u5170<\/option><option value='SD' >\u82cf\u4e39<\/option><option value='SR' >\u82cf\u91cc\u5357<\/option><option value='IO' >\u82f1\u5c5e\u5370\u5ea6\u6d0b\u9886\u5730<\/option><option value='VG' >\u82f1\u5c5e\u7ef4\u5c14\u4eac\u7fa4\u5c9b<\/option><option value='NL' >\u8377\u5170<\/option><option value='MZ' >\u83ab\u6851\u6bd4\u514b<\/option><option value='LS' >\u83b1\u7d22\u6258<\/option><option value='PH' >\u83f2\u5f8b\u5bbe<\/option><option value='SV' >\u8428\u5c14\u74e6\u591a<\/option><option value='WS' >\u8428\u6469\u4e9a<\/option><option value='PT' >\u8461\u8404\u7259<\/option><option value='MN' >\u8499\u53e4\u56fd<\/option><option value='MS' >\u8499\u7279\u585e\u62c9\u7279<\/option><option value='EH' >\u897f\u6492\u54c8\u62c9<\/option><option value='ES' >\u897f\u73ed\u7259<\/option><option value='NF' >\u8bfa\u798f\u514b\u5c9b<\/option><option value='CI' >\u8c61\u7259\u6d77\u5cb8<\/option><option value='BJ' >\u8d1d\u5b81<\/option><option value='ZM' >\u8d5e\u6bd4\u4e9a<\/option><option value='GQ' >\u8d64\u9053\u51e0\u5185\u4e9a<\/option><option value='HM' >\u8d6b\u5fb7\u5c9b\u548c\u9ea6\u514b\u5510\u7eb3\u7fa4\u5c9b<\/option><option value='VN' >\u8d8a\u5357<\/option><option value='AZ' >\u963f\u585e\u62dc\u7586<\/option><option value='AF' >\u963f\u5bcc\u6c57<\/option><option value='DZ' >\u963f\u5c14\u53ca\u5229\u4e9a<\/option><option value='AL' >\u963f\u5c14\u5df4\u5c3c\u4e9a<\/option><option value='AE' >\u963f\u62c9\u4f2f\u8054\u5408\u914b\u957f\u56fd<\/option><option value='OM' >\u963f\u66fc<\/option><option value='AR' >\u963f\u6839\u5ef7<\/option><option value='AW' >\u963f\u9c81\u5df4<\/option><option value='MV' >\u9a6c\u5c14\u4ee3\u592b<\/option><option value='IM' >\u9a6c\u6069\u5c9b<\/option><option value='MW' >\u9a6c\u62c9\u7ef4<\/option><option value='MQ' >\u9a6c\u63d0\u5c3c\u514b<\/option><option value='MY' >\u9a6c\u6765\u897f\u4e9a<\/option><option value='YT' >\u9a6c\u7ea6\u7279\u5c9b<\/option><option value='MH' >\u9a6c\u7ecd\u5c14\u7fa4\u5c9b<\/option><option value='MT' >\u9a6c\u8033\u4ed6<\/option><option value='MG' >\u9a6c\u8fbe\u52a0\u65af\u52a0<\/option><option value='ML' >\u9a6c\u91cc<\/option><option value='LB' >\u9ece\u5df4\u5ae9<\/option><option value='ME' >\u9ed1\u5c71<\/option><\/optgroup><\/select><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Interested in becoming an Authorized Regional Agent?\">Interested in becoming an Authorized Regional Agent?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_3d8c9b0ee3f682b15a0a83b248dac256'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Yes, I would like to apply.\"  id='input_radio_1_3d8c9b0ee3f682b15a0a83b248dac256' aria-label='Yes, I would like to apply.' aria-invalid='false' aria-required=true> <span>Yes, I would like to apply.<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff_item_selected'><label class='ff-el-form-check-label' for='input_radio_1_5b72f82166a9445febf9113994c961c1'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" checked=\"1\" value=\"No, just a product inquiry.\"  id='input_radio_1_5b72f82166a9445febf9113994c961c1' aria-label='No, just a product inquiry.' aria-invalid='false' aria-required=true> <span>No, just a product inquiry.<\/span><\/label><\/div><\/div><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_1 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-2_1\" ><h3 class='ff-el-section-title'>Agency Application Details<\/h3><div class='ff-section_break_desk'><p>Please provide brief details about your business to help us evaluate the partnership.<\/p><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_input_text' id='label_ff_2_input_text' aria-label=\"Current Distribution Channels\">Current Distribution Channels<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" placeholder=\"e.g., E-commerce, B2B wholesale, Laboratory supply networks...\" data-name=\"input_text\" id=\"ff_2_input_text\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_input_text_3' id='label_ff_2_input_text_3' aria-label=\"Target Regions\/Markets\">Target Regions\/Markets<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_3\" class=\"ff-el-form-control\" placeholder=\"e.g., North America, EU, Southeast Asia...\" data-name=\"input_text_3\" id=\"ff_2_input_text_3\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Estimated Annual Volume\">Estimated Annual Volume<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_4d2d64badb8657d4c49a371cf18680d8'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"10 - 50 kg\"  id='input_radio_2_4d2d64badb8657d4c49a371cf18680d8' aria-label='10 - 50 kg' aria-invalid='false' aria-required=true> <span>10 &#8211; 50 kg<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_79598e0b163e74af1bec478bab1b07e9'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"50 - 200kg\"  id='input_radio_2_79598e0b163e74af1bec478bab1b07e9' aria-label='50 - 200kg' aria-invalid='false' aria-required=true> <span>50 &#8211; 200kg<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_70a02df4226439df835f2522c691d84d'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"200 - 500kg\"  id='input_radio_2_70a02df4226439df835f2522c691d84d' aria-label='200 - 500kg' aria-invalid='false' aria-required=true> <span>200 &#8211; 500kg<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_423ae2f447797ce5095c5d7cad099fd4'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"500+ kg\"  id='input_radio_2_423ae2f447797ce5095c5d7cad099fd4' aria-label='500+ kg' aria-invalid='false' aria-required=true> <span>500+ kg<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_9d38431f830bab9391c77f6461afd0ee'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"To be discussed based on project\"  id='input_radio_2_9d38431f830bab9391c77f6461afd0ee' aria-label='To be discussed based on project' aria-invalid='false' aria-required=true> <span>To be discussed based on project<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_4\"  class='ff-t-container ff-column-container ff_columns_total_2 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Product\">Product<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_0196d6b3955553723cbe7b611c59d4c8'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"C\u2086\u2080\"  id='checkbox_0196d6b3955553723cbe7b611c59d4c8' aria-label='C\u2086\u2080' aria-invalid='false' aria-required=true> <span>C\u2086\u2080<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_e9166e8e00aa667d7d8b9b24a36a4f08'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"C\u2087\u2080\"  id='checkbox_e9166e8e00aa667d7d8b9b24a36a4f08' aria-label='C\u2087\u2080' aria-invalid='false' aria-required=true> <span>C\u2087\u2080<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_a2881e897b0f846998116abd3b3ef0f5'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Mixed\"  id='checkbox_a2881e897b0f846998116abd3b3ef0f5' aria-label='Mixed' aria-invalid='false' aria-required=true> <span>Mixed<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_a8f1f35a06b38c08ab8a718be95ea3d9'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Functionalized Derivatives\"  id='checkbox_a8f1f35a06b38c08ab8a718be95ea3d9' aria-label='Functionalized Derivatives' aria-invalid='false' aria-required=true> <span>Functionalized Derivatives<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_numeric_field' id='label_ff_2_numeric_field' aria-label=\"Quantity\">Quantity<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"numeric_field\" id=\"ff_2_numeric_field\" class=\"ff-el-form-control  ff_numeric\" data-name=\"numeric_field\" inputmode=\"decimal\" step=\"any\" data-formatter=\"{&quot;decimal&quot;:&quot;.&quot;,&quot;separator&quot;:&quot;,&quot;,&quot;precision&quot;:2,&quot;symbol&quot;:&quot;&quot;}\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Purity\">Purity<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_364b584411832bd67256e804431fce9c'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Analytical (&gt;99.5%)\"  id='checkbox_1_364b584411832bd67256e804431fce9c' aria-label='Analytical (&gt;99.5%)' aria-invalid='false' aria-required=true> <span>Analytical (&gt;99.5%)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_306b2d9e48826ba7ef348b24ab86fed9'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Electronic (&gt;99.9%)\"  id='checkbox_1_306b2d9e48826ba7ef348b24ab86fed9' aria-label='Electronic (&gt;99.9%)' aria-invalid='false' aria-required=true> <span>Electronic (&gt;99.9%)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_33c1094776a36078a993baf33e4c4f5e'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Ultra-High (&gt;99.95%)\"  id='checkbox_1_33c1094776a36078a993baf33e4c4f5e' aria-label='Ultra-High (&gt;99.95%)' aria-invalid='false' aria-required=true> <span>Ultra-High (&gt;99.95%)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label ff-other-option' for='checkbox_1_1557f7df5cf0e7a28e3ca3c8f7468d50'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"__ff_other_checkbox_1__\"  id='checkbox_1_1557f7df5cf0e7a28e3ca3c8f7468d50' aria-label='Other' aria-invalid='false' aria-required=true> <span>Other<\/span><\/label><\/div><div class='ff-other-input-wrapper' style='display: none; margin-top: 8px;' data-field='checkbox_1'><input type='text' name='checkbox_1__ff_other_input__' class='ff-el-form-control' placeholder='Please specify...' value=''><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_dropdown_3' id='label_ff_2_dropdown_3' aria-label=\"Unit of measurement\">Unit of measurement<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_3\" id=\"ff_2_dropdown_3\" class=\"ff-el-form-control\" data-name=\"dropdown_3\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_2_dropdown_3\"><option value=\"\">&#8211; Select &#8211;<\/option><option value=\"mg\"  >mg<\/option><option value=\"g\"  >g<\/option><option value=\"kg\"  >kg<\/option><\/select><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_5\"  class='ff-t-container ff-column-container ff_columns_total_1 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_message' id='label_ff_2_message' aria-label=\"Application Scene\">Application Scene<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"true\" aria-labelledby=\"label_ff_2_message\" name=\"message\" id=\"ff_2_message\" class=\"ff-el-form-control\" placeholder=\"Briefly describe your application\" rows=\"3\" cols=\"2\" data-name=\"message\" ><\/textarea><\/div><\/div><div class='ff-el-group  ff-dropzone'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_2_file-upload_1' id='label_ff_2_file-upload_1' aria-label=\"Upload Specs\">Upload Specs<\/label><\/div><div class='ff-el-input--content'><label for='ff_2_file-upload_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File Upload your RFP or technical requirements (Optional)<\/span> <input type=\"file\" name=\"file-upload\" id=\"ff_2_file-upload_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload\" multiple=\"1\"  aria-invalid='false' aria-required=false><\/label><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Do you require a signed NDA before discussion?\">Do you require a signed NDA before discussion?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_d3be5bdb9be395f5bca6988af73ddda3'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_d3be5bdb9be395f5bca6988af73ddda3' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_8536797b0078e96814717249b4525f1b'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_8536797b0078e96814717249b4525f1b' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-2_2\" ><div style=\"font-size: 13px;color: #666666;line-height: 1.5;margin-top: 15px;text-align: left\">By submitting this form, you agree to our <a style=\"color: #2c7da0;text-decoration: underline\" href=\"\/privacy-policy\/\">Privacy Policy<\/a>. We are committed to protecting your technical data and intellectual property.<\/div><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_no_style\"  aria-label=\"Submit Form\">Submit Form<\/button><\/div><\/fieldset><\/form><div id='fluentform_2_errors' class='ff-errors-in-stack ff_form_instance_2_1 ff-form-loading_errors ff_form_instance_2_1_errors'><\/div><\/div>            <script type=\"text\/javascript\">\n                window.fluent_form_ff_form_instance_2_1 = {\"id\":\"2\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\",\"cssClassName\":\"\",\"asteriskPlacement\":\"asterisk-right\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_2_1\",\"form_id_selector\":\"fluentform_2\",\"rules\":{\"names[first_name]\":{\"required\":{\"value\":true,\"message\":\"This field is 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