214 lines
9.7 KiB
HTML
214 lines
9.7 KiB
HTML
<!DOCTYPE html>
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<html lang="en">
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<head>
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<meta charset="UTF-8">
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<meta http-equiv="X-UA-Compatible" content="IE=edge">
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<meta name="viewport" content="width=device-width, initial-scale=1.0">
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<link href="https://cdn.jsdelivr.net/npm/bootstrap@5.1.3/dist/css/bootstrap.min.css" rel="stylesheet" integrity="sha384-1BmE4kWBq78iYhFldvKuhfTAU6auU8tT94WrHftjDbrCEXSU1oBoqyl2QvZ6jIW3" crossorigin="anonymous">
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<title>Document</title>
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</head>
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<body class="bg-light">
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<div class="container">
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<div class="row">
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<div class="col-md-4 order-md-2 mb-4">
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<h4 class="d-flex justify-content-between align-items-center mb-3">
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<span class="text-muted">Your cart</span>
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<span class="badge badge-secondary">3</span>
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</h4>
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<ul class="list-group mb-3">
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<li class="list-group-item d-flex justify-content-between lh-condensed">
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<div>
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<h6 class="my-0">Product name</h6>
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<small class="text-muted">Brief description</small>
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</div>
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<span class="text-muted">$12</span>
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</li>
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<li class="list-group-item d-flex justify-content-between lh-condensed">
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<div>
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<h6 class="my-0">Second product</h6>
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<small class="text-muted">Brief description</small>
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</div>
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<span class="text-muted">$8</span>
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</li>
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<li class="list-group-item d-flex justify-content-between lh-condensed">
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<div>
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<h6 class="my-0">Third item</h6>
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<small class="text-muted">Brief description</small>
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</div>
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<span class="text-muted">$5</span>
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</li>
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<li class="list-group-item d-flex justify-content-between bg-light">
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<div class="text-success">
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<h6 class="my-0">Promo code</h6>
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<small>EXAMPLECODE</small>
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</div>
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<span class="text-success">-$5</span>
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</li>
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<li class="list-group-item d-flex justify-content-between">
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<span>Total (USD)</span>
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<strong>$20</strong>
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</li>
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</ul>
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<form class="card p-2">
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<div class="input-group">
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<input type="text" class="form-control" placeholder="Promo code">
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<div class="input-group-append">
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<button type="submit" class="btn btn-secondary">Redeem</button>
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</div>
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</div>
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</form>
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</div>
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<div class="col-md-8 order-md-1">
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<h4 class="mb-3">Billing address</h4>
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<form class="needs-validation" novalidate>
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<div class="row">
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<div class="col-md-6 mb-3">
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<label for="firstName">First name</label>
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<input type="text" class="form-control" id="firstName" placeholder="" value="" required>
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<div class="invalid-feedback">
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Valid first name is required.
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</div>
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</div>
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<div class="col-md-6 mb-3">
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<label for="lastName">Last name</label>
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<input type="text" class="form-control" id="lastName" placeholder="" value="" required>
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<div class="invalid-feedback">
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Valid last name is required.
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</div>
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</div>
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</div>
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<div class="mb-3">
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<label for="username">Username</label>
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<div class="input-group">
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<div class="input-group-prepend">
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<span class="input-group-text">@</span>
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</div>
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<input type="text" class="form-control" id="username" placeholder="Username" required>
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<div class="invalid-feedback" style="width: 100%;">
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Your username is required.
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</div>
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</div>
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</div>
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<div class="mb-3">
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<label for="email">Email <span class="text-muted">(Optional)</span></label>
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<input type="email" class="form-control" id="email" placeholder="you@example.com">
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<div class="invalid-feedback">
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Please enter a valid email address for shipping updates.
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</div>
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</div>
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<div class="mb-3">
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<label for="address">Address</label>
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<input type="text" class="form-control" id="address" placeholder="1234 Main St" required>
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<div class="invalid-feedback">
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Please enter your shipping address.
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</div>
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</div>
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<div class="mb-3">
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<label for="address2">Address 2 <span class="text-muted">(Optional)</span></label>
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<input type="text" class="form-control" id="address2" placeholder="Apartment or suite">
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</div>
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<div class="row">
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<div class="col-md-5 mb-3">
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<label for="country">Country</label>
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<select class="custom-select d-block w-100" id="country" required>
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<option value="">Choose...</option>
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<option>Nigeria</option>
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</select>
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<div class="invalid-feedback">
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Please select a valid country.
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</div>
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</div>
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<div class="col-md-4 mb-3">
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<label for="state">State</label>
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<select class="custom-select d-block w-100" id="state" required>
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<option value="">Choose...</option>
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<option>imo</option>
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</select>
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<div class="invalid-feedback">
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Please provide a valid state.
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</div>
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</div>
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<div class="col-md-3 mb-3">
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<label for="zip">Zip</label>
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<input type="text" class="form-control" id="zip" placeholder="" required>
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<div class="invalid-feedback">
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Zip code required.
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</div>
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</div>
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</div>
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<hr class="mb-4">
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<div class="custom-control custom-checkbox">
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<input type="checkbox" class="custom-control-input" id="same-address">
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<label class="custom-control-label" for="same-address">Shipping address is the same as my billing address</label>
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</div>
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<div class="custom-control custom-checkbox">
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<input type="checkbox" class="custom-control-input" id="save-info">
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<label class="custom-control-label" for="save-info">Save this information for next time</label>
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</div>
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<hr class="mb-4">
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<h4 class="mb-3">Payment</h4>
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<div class="d-block my-3">
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<div class="custom-control custom-radio">
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<input id="credit" name="paymentMethod" type="radio" class="custom-control-input" checked required>
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<label class="custom-control-label" for="credit">Credit card</label>
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</div>
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<div class="custom-control custom-radio">
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<input id="paypal" name="paymentMethod" type="radio" class="custom-control-input" required>
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<label class="custom-control-label" for="paypal">Paypal</label>
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</div>
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</div>
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<div class="row">
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<div class="col-md-6 mb-3">
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<label for="cc-name">Name on card</label>
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<input type="text" class="form-control" id="cc-name" placeholder="" required>
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<small class="text-muted">Full name as displayed on card</small>
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<div class="invalid-feedback">
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Name on card is required
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</div>
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</div>
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<div class="col-md-6 mb-3">
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<label for="cc-number">Credit card number</label>
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<input type="text" class="form-control" id="cc-number" placeholder="" required>
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<div class="invalid-feedback">
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Credit card number is required
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</div>
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</div>
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</div>
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<div class="row">
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<div class="col-md-3 mb-3">
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<label for="cc-expiration">Expiration</label>
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<input type="text" class="form-control" id="cc-expiration" placeholder="" required>
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<div class="invalid-feedback">
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Expiration date required
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</div>
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</div>
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<div class="col-md-3 mb-3">
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<label for="cc-expiration">CVV</label>
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<input type="text" class="form-control" id="cc-cvv" placeholder="" required>
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<div class="invalid-feedback">
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Security code required
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</div>
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</div>
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</div>
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<hr class="mb-4">
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<button class="btn btn-primary btn-lg btn-block" type="submit">Continue to checkout</button>
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</form>
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</div>
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</div>
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</div>
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</body>
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</html>
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