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request.html
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<!DOCTYPE html>
<html lang="en">
<head>
<!-- Google tag (gtag.js) -->
<script async src="https://www.googletagmanager.com/gtag/js?id=G-4VMEHN8W95"></script>
<script>
window.dataLayer = window.dataLayer || [];
function gtag() { dataLayer.push(arguments); }
gtag('js', new Date());
gtag('config', 'G-4VMEHN8W95');
</script>
<script src="https://js-de.sentry-cdn.com/0219837cdbcd613e0ad4e2fc07cb02bf.min.js" crossorigin="anonymous"></script>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Request Access - Prices Extractor by MarketScanAI</title>
<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/6.5.1/css/all.min.css"
integrity="sha512-DTOQO9RWCH3ppGqcWaEA1BIZOC6xxalwEsw9c2QQeAIftl+Vegovlnee1c9QX4TctnWMn13TZye+giMm8e2LwA=="
crossorigin="anonymous" referrerpolicy="no-referrer" />
<link rel="stylesheet" href="https://cdn.jsdelivr.net/npm/bulma@0.9.4/css/bulma.min.css">
<link rel="stylesheet" href="style.css">
</head>
<body>
<script>
Sentry.onLoad(function () {
Sentry.init({
// You can add any additional configuration here
});
});
</script>
<nav class="navbar container" role="navigation" aria-label="main navigation">
<div class="navbar-brand">
<a class="navbar-item" href="index.html">
<img src="https://www.marketscanai.com/wp-content/uploads/2025/03/marketai-logo-2.png"
alt="MarketScanAI Logo">
<strong>Document Categorizer</strong> by MarketScanAI
</a>
<a role="button" class="navbar-burger" aria-label="menu" aria-expanded="false" data-target="navbarMenu">
<span aria-hidden="true"></span>
<span aria-hidden="true"></span>
<span aria-hidden="true"></span>
<span aria-hidden="true"></span>
</a>
</div>
<div id="navbarMenu" class="navbar-menu">
<div class="navbar-end">
<a class="navbar-item" href="index.html">Home</a>
<a class="navbar-item" href="examples.html">Examples</a>
<a class="navbar-item is-active" href="request.html">Request Access</a>
<a class="navbar-item" href="about.html">About</a>
</div>
</div>
</nav>
<section class="section">
<div class="container">
<div class="columns is-centered">
<div class="column is-half">
<div class="box">
<h1 class="title has-text-centered">Request Access</h1>
<p class="subtitle has-text-centered">Get started with Documents Categorizer by MarketScanAI</p>
<form name="access-request" method="POST" data-netlify="true" data-netlify-recaptcha="true" data-netlify-honeypot="bot-field">
<!-- Honeypot field -->
<p class="hidden">
<label>
Don't fill this out if you're human: <input name="bot-field" />
</label>
</p>
<!-- Email field -->
<div class="field">
<label class="label">Email</label>
<div class="control has-icons-left">
<input class="input" type="email" name="email" placeholder="your@email.com" required>
<span class="icon is-small is-left">
<i class="fas fa-envelope"></i>
</span>
</div>
</div>
<!-- Company name field -->
<div class="field">
<label class="label">Company Name (optional)</label>
<div class="control has-icons-left">
<input class="input" type="text" name="company" placeholder="Your Company">
<span class="icon is-small is-left">
<i class="fas fa-building"></i>
</span>
</div>
</div>
<!-- Use case field -->
<div class="field">
<label class="label">Use Case Description</label>
<div class="control">
<textarea class="textarea" name="usecase" placeholder="Please describe how you plan to use MarketScanAI..." required></textarea>
</div>
<p class="help">Briefly describe your intended use case and requirements</p>
</div>
<!-- Monthly volume estimate -->
<div class="field">
<label class="label">Estimated Monthly Volume</label>
<div class="control">
<div class="select">
<select name="volume" required>
<option value="">Select volume</option>
<option value="1-100">1-100 documents</option>
<option value="101-500">101-500 documents</option>
<option value="501-1000">501-1000 documents</option>
<option value="1000+">1000+ documents</option>
</select>
</div>
</div>
</div>
<!-- reCAPTCHA -->
<div class="field">
<div data-netlify-recaptcha="true"></div>
</div>
<!-- Submit button -->
<div class="field">
<div class="control">
<button type="submit" class="button is-primary is-fullwidth upload-button mt-5">
<span class="icon">
<i class="fas fa-paper-plane"></i>
</span>
<span>Submit Request</span>
</button>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
</section>
<footer class="footer custom-footer">
<hr />
<div class="content has-text-centered is-flex is-justify-content-space-between">
<div>
<a href="https://marketscanai.com" class="footer-link">
© 2025 MarketScanAi.com
</a>
</div>
<div>
<a href="https://x.com/MarketScan72200" class="footer-link">
Follow us on X
</a>
</div>
</div>
</footer>
</body>
</html>