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29 30 </head> 31 <body> 32 <div id="root"><header class="header-standard-scale w-full py-2"><div class="max-w-7xl px-4 mx-auto flex flex-row flex-wrap items-center gap-3 sm:gap-4"><a href="/" class="font-bold text-lg leading-none">RadOverlay</a><nav aria-label="Primary" class="hidden min-[590px]:flex items-center gap-0.5 text-sm"><div class="relative group"><button type="button" class="flex items-center gap-1 rounded-md px-2 py-1.5 font-medium text-foreground/80 hover:bg-accent hover:text-accent-foreground">Explore<svg class="w-3.5 h-3.5" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" aria-hidden="true"><path d="m6 9 6 6 6-6"></path></svg></button><div class="absolute left-0 top-full z-50 hidden pt-1 group-hover:block group-focus-within:block"><div class="min-w-40 rounded-md border border-border bg-background py-1 shadow-lg"><a href="/#meet" class="block px-3 py-2 font-medium text-foreground/80 hover:bg-accent 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bg-current"></span><span class="block h-0.5 w-5 rounded bg-current"></span><span class="block h-0.5 w-5 rounded bg-current"></span></span></button></div></header><main class="flex flex-col w-full flex-1 bg-background"><section class="section flex-1"><h1 class="section-title">Request a Demo</h1><p class="section-desc max-w-2xl!">Tell us who you are and we will reach out to schedule a conversation.</p><div class="mx-auto mt-8 max-w-2xl rounded-lg border border-border bg-[var(--brand-background-card)] p-5 text-left shadow-lg sm:p-8"><form aria-label="Request a demo" class="flex flex-col gap-5" noValidate=""><div><label class="mb-1.5 block font-medium" for="name">Name</label><input class="w-full rounded-md border border-border bg-background px-3 py-2 text-base text-foreground placeholder:text-muted-foreground focus:outline-none focus:ring-2 focus:ring-ring" id="name" type="text" autoComplete="name" aria-invalid="false" maxLength="120" required="" name="name"/></div><div><label class="mb-1.5 block font-medium" for="email">Work email</label><input class="w-full rounded-md border border-border bg-background px-3 py-2 text-base text-foreground placeholder:text-muted-foreground focus:outline-none focus:ring-2 focus:ring-ring" id="email" type="email" autoComplete="email" aria-invalid="false" maxLength="254" required="" name="email"/></div><div><label class="mb-1.5 block font-medium" for="organization">Organization</label><input class="w-full rounded-md border border-border bg-background px-3 py-2 text-base text-foreground placeholder:text-muted-foreground focus:outline-none focus:ring-2 focus:ring-ring" id="organization" type="text" autoComplete="organization" aria-invalid="false" maxLength="200" required="" name="organization"/></div><div class="grid gap-5 sm:grid-cols-2"><div><label class="mb-1.5 block font-medium" for="role">Role <span class="font-normal text-muted-foreground">(optional)</span></label><select class="w-full rounded-md border border-border bg-background px-3 py-2 text-base text-foreground placeholder:text-muted-foreground focus:outline-none focus:ring-2 focus:ring-ring" id="role" name="role"><option value="">Select a role</option><option value="Radiologist">Radiologist</option><option value="Practice or Department Leadership">Practice or Department Leadership</option><option value="IT">IT</option><option value="Other">Other</option></select></div><div><label class="mb-1.5 block font-medium" for="radiologist_count">Number of radiologists<!-- --> <span class="font-normal text-muted-foreground">(optional)</span></label><select class="w-full rounded-md border border-border bg-background px-3 py-2 text-base text-foreground placeholder:text-muted-foreground focus:outline-none focus:ring-2 focus:ring-ring" id="radiologist_count" name="radiologist_count"><option value="">Select a range</option><option value="1-5">1-5</option><option value="6-20">6-20</option><option value="21-100">21-100</option><option value="100+">100+</option></select></div></div><div><label class="mb-1.5 block font-medium" for="message">Tell us about your organization<!-- --> <span class="font-normal text-muted-foreground">(optional)</span></label><textarea class="w-full rounded-md border border-border bg-background px-3 py-2 text-base text-foreground placeholder:text-muted-foreground focus:outline-none focus:ring-2 focus:ring-ring min-h-32 resize-y" id="message" name="message" maxLength="2000"></textarea></div><div class="absolute left-[-10000px] h-px w-px overflow-hidden" aria-hidden="true"><label for="website">Website</label><input id="website" type="text" tabindex="-1" autoComplete="off" name="website"/></div><button type="submit" class="access-btn mb-0! self-center disabled:cursor-wait disabled:opacity-60">Submit</button><p class="text-center text-sm text-muted-foreground">See our<!-- --> <a class="underline hover:text-foreground" href="/legal/privacy">Privacy Policy</a> <!-- -->for how we handle your information.</p></form></div></section><div class="footer mt-auto"><div><div>© 2026 RadOverlay, LLC</div><div class="footer-links"><a href="https://tirads.radoverlay.com/" target="_blank" rel="noopener">TI-RADS</a><span class="separator">|</span><a href="/legal/terms">Terms</a><span class="separator">|</span><a href="/legal/privacy">Privacy</a></div></div><div class="footer-trust"><a href="https://trust.radoverlay.com" target="_blank" rel="noopener">Trust Center</a></div><div class="footer-address">11 E Park Street, Unit 247<br/>Lebanon, NH 03766</div></div></main></div> 33
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