<!-- Begin Mailchimp Signup Form -->
<link href="//cdn-images.mailchimp.com/embedcode/classic-10_7_dtp.css" rel="stylesheet" type="text/css">
<style type="text/css">
#mc_embed_signup{background:#fff; clear:left; font:14px Helvetica,Arial,sans-serif; width:600px;}
/* Add your own Mailchimp form style overrides in your site stylesheet or in this style block.
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</style>
<style type="text/css">
#mc-embedded-subscribe-form input[type=checkbox]{display: inline; width: auto;margin-right: 10px;}
#mergeRow-gdpr {margin-top: 20px;}
#mergeRow-gdpr fieldset label {font-weight: normal;}
#mc-embedded-subscribe-form .mc_fieldset{border:none;min-height: 0px;padding-bottom:0px;}
</style>
<div id="mc_embed_signup">
<form action="https://idiproject.us14.list-manage.com/subscribe/post?u=00cbb13f881a39358e874e0f2&id=093d0d6e23" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate>
<div id="mc_embed_signup_scroll">
<h2>Contact Form</h2>
<div class="indicates-required"><span class="asterisk">*</span> indicates required</div>
<div class="mc-field-group">
<label for="mce-NAME">Name <span class="asterisk">*</span>
</label>
<input type="text" value="" name="NAME" class="required" id="mce-NAME">
</div>
<div class="mc-field-group">
<label for="mce-SURNAME">Surname <span class="asterisk">*</span>
</label>
<input type="text" value="" name="SURNAME" class="required" id="mce-SURNAME">
</div>
<div class="mc-field-group">
<label for="mce-EMAIL">Email <span class="asterisk">*</span>
</label>
<input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL">
</div>
<div class="mc-field-group size1of2">
<label for="mce-MMERGE3">Phone Number </label>
<input type="text" name="MMERGE3" class="" value="" id="mce-MMERGE3">
</div>
<div class="mc-field-group">
<label for="mce-COUNTRY">Country </label>
<input type="text" value="" name="COUNTRY" class="" id="mce-COUNTRY">
</div>
<div id="mergeRow-gdpr" class="mergeRow gdpr-mergeRow content__gdprBlock mc-field-group">
<div class="content__gdpr">
<label>Marketing Permissions</label>
<p>Please accept our Privacy Policy</p>
<fieldset class="mc_fieldset gdprRequired mc-field-group" name="interestgroup_field">
<label class="checkbox subfield" for="gdpr_142177"><input type="checkbox" id="gdpr_142177" name="gdpr[142177]" value="Y" class="av-checkbox gdpr"><span>Privacy Policy</span> </label>
</fieldset>
<p><a href="http://www.idiproject.com/idi-privacy-policy/="_blank">http://www.idiproject.com/idi-privacy-policy/</a></p>
</div>
<div class="content__gdprLegal">
</div>
</div>
<div hidden="true"><input type="hidden" name="tags" value="7263129"></div>
<div id="mce-responses" class="clear foot">
<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_00cbb13f881a39358e874e0f2_093d0d6e23" tabindex="-1" value=""></div>
<div class="optionalParent">
<div class="clear foot">
<input type="submit" value="Subscribe" name="subscribe" id="mc-embedded-subscribe" class="button">
</div>
</div>
</div>
</form>
</div>
<script type='text/javascript' src='//s3.amazonaws.com/downloads.mailchimp.com/js/mc-validate.js'></script><script type='text/javascript'>(function($) {window.fnames = new Array(); window.ftypes = new Array();fnames[1]='NAME';ftypes[1]='text';fnames[2]='SURNAME';ftypes[2]='text';fnames[0]='EMAIL';ftypes[0]='email';fnames[3]='MMERGE3';ftypes[3]='phone';fnames[4]='COUNTRY';ftypes[4]='text';}(jQuery));var $mcj = jQuery.noConflict(true);</script>
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