{"id":213452,"date":"2024-06-25T18:20:21","date_gmt":"2024-06-25T22:20:21","guid":{"rendered":"https:\/\/www.breakthrought1d.org\/sobre\/alianzas-corporativas\/formulario-de-solicitud-de-socio-corporativo\/"},"modified":"2024-07-02T16:54:05","modified_gmt":"2024-07-02T20:54:05","slug":"formulario-de-solicitud-de-socio-corporativo","status":"publish","type":"page","link":"https:\/\/www.breakthrought1d.org\/es\/sobre\/alianzas-corporativas\/formulario-de-solicitud-de-socio-corporativo\/","title":{"rendered":"Formulario de solicitud de socio corporativo"},"content":{"rendered":"\n<div class=\"page-header alignfull wp-block-jdfr-page-header\">\n\t<div class=\"page-header__inner-container\">\n\t\t\n<nav id=\"breadcrumbs\" class=\"site-breadcrumbs alignfull\" aria-label=\"Breadcrumbs\">\n\t<ul class=\"site-breadcrumbs__inner\"><li class=\"breadcrumb-item\"><a href=\"https:\/\/www.breakthrought1d.org\/es\/pagina-de-actualizacion-de-test\/\">Inicio<\/a><\/li><li class=\"site-breadcrumbs__separator\"><?xml version=\"1.0\"?>\n<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"9.143\" height=\"16\" fill=\"currentColor\" viewBox=\"0 0 9.143 16\" aria-hidden=\"true\"><path d=\"M1.143 16a1.143 1.143 0 0 1-.808-1.951L6.384 8 .335 1.951A1.143 1.143 0 0 1 1.951.335l6.857 6.857a1.143 1.143 0 0 1 0 1.616l-6.857 6.857a1.14 1.14 0 0 1-.808.335\"\/><\/svg>\n<\/li><li class=\"breadcrumb-item\" aria-current=\"page\" tabindex=\"0\" role=\"text\" aria-label=\"P\u00e1gina actual: \"><\/li><\/ul><\/nav>\n\n\t\t<div class=\"page-header__content\">\n\t\t\t<h1 class=\"page-header__title\">Hazte socio corporativo<\/h1><div class=\"page-header__description\"><p>Breakthrough T1D se enorgullece de contar con el apoyo de nuestros socios corporativos e industriales, las numerosas empresas que contribuyen a nuestra misi\u00f3n de acabar con la diabetes tipo 1 (DT1).<\/p>\n<p>El generoso apoyo de nuestros socios corporativos permite a Breakthrough T1D financiar investigaciones que conducen a terapias que cambian vidas. Nuestros socios contribuyen a Breakthrough T1D de diversas formas, por ejemplo mediante el compromiso de empleados y clientes, el patrocinio de programas, el patrocinio de eventos nacionales y de la delegaci\u00f3n local, y campa\u00f1as de marketing relacionadas con la causa.<\/p>\n<p>Breakthrough T1D busca activamente nuevas oportunidades y agradece la participaci\u00f3n local y nacional de tu empresa. Podemos trabajar contigo en campa\u00f1as innovadoras que contribuyan a aumentar la sensibilizaci\u00f3n sobre la investigaci\u00f3n de la T1D, al tiempo que te ayudamos a cumplir tus objetivos de responsabilidad social corporativa.<\/p>\n<\/div>\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<p class=\"wp-block-paragraph\"><\/p>\n<div data-wp-ignore><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework bt1d-cp-gf_wrapper' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_97' >\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_97' class='bt1d-cp-gf' action='\/es\/wp-json\/wp\/v2\/pages\/213452' data-formid='97' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_97' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_97_72\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_72'><span class='gform-field-label__text'>Company<\/span><\/label><div class='ginput_container'><input name='input_72' id='input_97_72' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_97_72'>Este campo es un campo de validaci\u00f3n y debe quedar sin cambios.<\/div><\/li><li id=\"field_97_17\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Informaci\u00f3n sobre la empresa<\/h2><\/li><li id=\"field_97_1\" class=\"gfield gfield--type-text gfield--input-type-text spirit-col-12 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_1'><span class='gform-field-label__text'>Raz\u00f3n social<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_97_1' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_97_63\" class=\"gfield gfield--type-website gfield--input-type-website gfield--width-full bt1d-normalize-url gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_63'><span class='gform-field-label__text'>Company Website<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_63' id='input_97_63' type='url' value='' class='medium'    placeholder='www.' aria-required=\"true\" aria-invalid=\"false\" \/>\n                <\/div><\/li><li id=\"field_97_64\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full us-country-only bt1d-address-with-custom-tooltip gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Address<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><span class=\"advanced-tooltip\" theme=\"\" animation=\"\" placement=\"top\" tooltip=\"Optional: For special cases, enter details like \u2018FL 7 APT 117\u2019.\" flow=\"right\"><div class='gravity-tooltip'><\/div><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_97_64' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_97_64_1_container' >\n                                        <input type='text' name='input_64.1' id='input_97_64_1' value=''   placeholder='Enter a location' aria-required='true'    \/>\n                                        <label for='input_97_64_1' id='input_97_64_1_label' class='gform-field-label gform-field-label--type-sub '>Direcci\u00f3n<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_97_64_2_container' >\n                                        <input type='text' name='input_64.2' id='input_97_64_2' value=''   placeholder='Apt, Unit, Suite, etc.'  aria-required='false'   \/>\n                                        <label for='input_97_64_2' id='input_97_64_2_label' class='gform-field-label gform-field-label--type-sub '>Apt, Suite Number (Optional)<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_97_64_3_container' >\n                                    <input type='text' name='input_64.3' id='input_97_64_3' value=''    aria-required='true'    \/>\n                                    <label for='input_97_64_3' id='input_97_64_3_label' class='gform-field-label gform-field-label--type-sub '>Ciudad<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_97_64_4_container' >\n                                        <select name='input_64.4' id='input_97_64_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='' selected='selected'>Seleccionar<\/option><option value='AL' >Alabama<\/option><option value='AK' >Alaska<\/option><option value='AZ' >Arizona<\/option><option value='AR' >Arkansas<\/option><option value='CA' >California<\/option><option value='CO' >Colorado<\/option><option value='CT' >Connecticut<\/option><option value='DE' >Delaware<\/option><option value='DC' >District of Columbia<\/option><option value='FL' >Florida<\/option><option value='GA' >Georgia<\/option><option value='HI' >Hawaii<\/option><option value='ID' >Idaho<\/option><option value='IL' >Illinois<\/option><option value='IN' >Indiana<\/option><option value='IA' >Iowa<\/option><option value='KS' >Kansas<\/option><option value='KY' >Kentucky<\/option><option value='LA' >Louisiana<\/option><option value='ME' >Maine<\/option><option value='MD' >Maryland<\/option><option value='MA' >Massachusetts<\/option><option value='MI' >Michigan<\/option><option value='MN' >Minnesota<\/option><option value='MS' >Mississippi<\/option><option value='MO' >Missouri<\/option><option value='MT' >Montana<\/option><option value='NE' >Nebraska<\/option><option value='NV' >Nevada<\/option><option value='NH' >New Hampshire<\/option><option value='NJ' >New Jersey<\/option><option value='NM' >New Mexico<\/option><option value='NY' >New York<\/option><option value='NC' >North Carolina<\/option><option value='ND' >North Dakota<\/option><option value='OH' >Ohio<\/option><option value='OK' >Oklahoma<\/option><option value='OR' >Oregon<\/option><option value='PA' >Pennsylvania<\/option><option value='RI' >Rhode Island<\/option><option value='SC' >South Carolina<\/option><option value='SD' >South Dakota<\/option><option value='TN' >Tennessee<\/option><option value='TX' >Texas<\/option><option value='UT' >Utah<\/option><option value='VT' >Vermont<\/option><option value='VA' >Virginia<\/option><option value='WA' >Washington<\/option><option value='WV' >West Virginia<\/option><option value='WI' >Wisconsin<\/option><option value='WY' >Wyoming<\/option><option value='AA' >Armed Forces Americas<\/option><option value='AE' >Armed Forces Europe<\/option><option value='AP' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_97_64_4' id='input_97_64_4_label' class='gform-field-label gform-field-label--type-sub '>Provincia<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_97_64_5_container' >\n                                    <input type='text' name='input_64.5' id='input_97_64_5' value=''    aria-required='true'    \/>\n                                    <label for='input_97_64_5' id='input_97_64_5_label' class='gform-field-label gform-field-label--type-sub '>C\u00f3digo Postal<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_64.6' id='input_97_64_6' value='US' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_97_65\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full bt1d-address-hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Este campo est\u00e1 oculto cuando se visualiza el formulario\"><\/i><span>Este campo est\u00e1 oculto cuando se visualiza el formulario<\/span><\/div><label class='gfield_label gform-field-label' for='input_97_65'><span class='gform-field-label__text'>Street Address with Address Line 2 &#8211; Hidden Value<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_65' id='input_97_65' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_97_66\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_66'><span class='gform-field-label__text'>Number of Employees<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_66' id='input_97_66' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >Select<\/option><option value='Under 100' >Under 100<\/option><option value='100 \u2013 499' >100 \u2013 499<\/option><option value='500 \u2013 999' >500 \u2013 999<\/option><option value='1,000 \u2013 4,999' >1,000 \u2013 4,999<\/option><option value='5,000 \u2013 9,999' >5,000 \u2013 9,999<\/option><option value='Over 10,000' >Over 10,000<\/option><\/select><\/div><\/li><li id=\"field_97_67\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_67'><span class='gform-field-label__text'>Number of Locations<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_67' id='input_97_67' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >Select<\/option><option value='Under 25' >Under 25<\/option><option value='25 \u2013 99' >25 \u2013 99<\/option><option value='100 \u2013 499' >100 \u2013 499<\/option><option value='500 \u2013 999' >500 \u2013 999<\/option><option value='Over 1,000' >Over 1,000<\/option><\/select><\/div><\/li><li id=\"field_97_68\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Contact information<\/h2><\/li><li id=\"field_97_51\" class=\"gfield gfield--type-text gfield--input-type-text spirit-col-12 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_51'><span class='gform-field-label__text'>Nombre<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_51' id='input_97_51' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_97_52\" class=\"gfield gfield--type-text gfield--input-type-text spirit-col-12 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_52'><span class='gform-field-label__text'>Apellidos<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_52' id='input_97_52' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_97_69\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full spirit-col-12 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_69'><span class='gform-field-label__text'>Job Title<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_69' id='input_97_69' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_97_45\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-standard spirit-col-12 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_45'><span class='gform-field-label__text'>Tel\u00e9fono<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_45' id='input_97_45' type='tel' value='' class='medium'  placeholder='Tel\u00e9fono'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_97_47\" class=\"gfield gfield--type-email gfield--input-type-email spirit-col-12 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_47'><span class='gform-field-label__text'>Env\u00eda un correo electr\u00f3nico a<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_47' id='input_97_47' type='email' value='' class='medium'   placeholder='Env\u00eda un correo electr\u00f3nico a' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_97_70\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Partnership Information<\/h2><\/li><li id=\"field_97_71\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_71'><span class='gform-field-label__text'>Select Type of Opportunity<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_71' id='input_97_71' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >Select<\/option><option value='Cause Marketing Partnership' >Cause Marketing Partnership<\/option><option value='Event Sponsorships' >Event Sponsorships<\/option><option value='Mission Giving &amp; Grants' >Mission Giving &amp; Grants<\/option><option value='Workplace Giving &amp; Matching Gifts' >Workplace Giving &amp; Matching Gifts<\/option><option value='Employee Engagement &amp; Fundraising' >Employee Engagement &amp; Fundraising<\/option><option value='Other Opportunity' >Other Opportunity<\/option><\/select><\/div><\/li><li id=\"field_97_61\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full spirit-col-12 annual-supp-width gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_61'><span class='gform-field-label__text'>Declaraci\u00f3n de objetivos<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea' data-text-counter-max='20' data-text-counter-template='{current} of {max} max characters'><textarea name='input_61' id='input_97_61' class='textarea medium'   maxlength='20'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_97_62\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full spirit-col-12 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_62'><span class='gform-field-label__text'>Por favor, comparte tu inter\u00e9s en asociarte con nosotros<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea' data-text-counter-max='500' data-text-counter-template='{current} of {max} max characters'><textarea name='input_62' id='input_97_62' class='textarea medium'   maxlength='500'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_97_54\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><br><\/li><li id=\"field_97_56\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox jdrf-npsp-consent-opt-in caregiver-newsletter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible 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