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<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title></title>
<style type="text/css">
.fmname {
text-align: left;
}
.fmemail {
text-align: center;
}
</style>
</head>
<body class="required">
<label for="fmname">Name</label>
<input type="text" name="fmname" class="fmname" />
<label for="fmemail">Email</label>
<input type="text" name="fmemail" class="fmemail" />
</body>
</html>
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