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<form id="mi_customer_persona_worksheet_download_form" action="https://www.miware.co.za/mirespond/subscribe.php" class="submitform" method="post" ><div class="form-group" data-title="Name"data-id="name"data-type="element-single-line-text"data-required="1"data-position="1"><label for="name">Name <span style="color: red">*</span></label><input type="text" name="name" id="name" class="form-control required hjsrequired"  value=""></div><div class="form-group" data-title="Email"data-id="email"data-type="element-single-line-text"data-required="1"data-position="2"><label for="email">Email <span style="color: red">*</span></label><input type="text" name="email" id="email" class="form-control required hjsrequired"  value=""></div><div class="form-group" data-id="user_id"data-type="element-hidden"data-required=""data-position="1"data-defval="71"><input type="hidden" name="user_id" id="user_id" class="form-control "  value="71"></div><div class="form-group" data-id="user_hash"data-type="element-hidden"data-required=""data-position="1"data-defval="3587753fb024a1f2037bd02c99805e1c9d13c7bc"><input type="hidden" name="user_hash" id="user_hash" class="form-control "  value="3587753fb024a1f2037bd02c99805e1c9d13c7bc"></div><div class="form-group" data-id="form_id"data-type="element-hidden"data-required=""data-position="1"data-defval="57"><input type="hidden" name="form_id" id="form_id" class="form-control "  value="57"></div><button type="submit" id="tosubmit_mi_customer_persona_worksheet_download_form" submit">Submit</button></form>

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