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            var html = "<style type=\"text/css\" scoped>    .mauticform_wrapper { max-width: 600px; margin: 10px auto; }    .mauticform-innerform {}    .mauticform-post-success {}    .mauticform-name { font-weight: bold; font-size: 1.5em; margin-bottom: 3px; }    .mauticform-description { margin-top: 2px; margin-bottom: 10px; }    .mauticform-error { margin-bottom: 10px; color: red; }    .mauticform-message { margin-bottom: 10px; color: green; }    .mauticform-row { display: block; margin-bottom: 20px; }    .mauticform-label { font-size: 1.1em; display: block; font-weight: bold; margin-bottom: 5px; }    .mauticform-row.mauticform-required .mauticform-label:after { color: #e32; content: \" *\"; display: inline; }    .mauticform-helpmessage { display: block; font-size: 0.9em; margin-bottom: 3px; }    .mauticform-errormsg { display: block; color: red; margin-top: 2px; }    .mauticform-selectbox, .mauticform-input, .mauticform-textarea { width: 100%; padding: 0.5em 0.5em; border: 1px solid 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none;}    .mauticform-button-wrapper .mauticform-button.btn-default[disabled], .mauticform-pagebreak-wrapper .mauticform-pagebreak.btn-default[disabled] { background-color: #ffffff; border-color: #dddddd; opacity: 0.75; cursor: not-allowed; }    .mauticform-pagebreak-wrapper .mauticform-button-wrapper {  display: inline; }</style><style type=\"text/css\" scoped>    .mauticform-field-hidden { display:none }</style><div id=\"mauticform_wrapper_formchanceinalifetimecomenglish\" class=\"mauticform_wrapper\">    <form autocomplete=\"false\" role=\"form\" method=\"post\" action=\"https://mautic.reljuv.com/form/submit?formId=15\" id=\"mauticform_formchanceinalifetimecomenglish\" data-mautic-form=\"formchanceinalifetimecomenglish\" enctype=\"multipart/form-data\"><div class=\"mauticform-error\" id=\"mauticform_formchanceinalifetimecomenglish_error\"></div>            <div class=\"mauticform-message\" id=\"mauticform_formchanceinalifetimecomenglish_message\"></div><div class=\"mauticform-innerform\">            <div class=\"mauticform-page-wrapper mauticform-page-1\" data-mautic-form-page=\"1\">                                              <div id=\"mauticform_formchanceinalifetimecomenglish_title\" class=\"mauticform-row mauticform-select mauticform-field-1\">  <label id=\"mauticform_label_formchanceinalifetimecomenglish_title\" for=\"mauticform_input_formchanceinalifetimecomenglish_title\" class=\"mauticform-label\">Title</label>    <select name=\"mauticform[title]\" value=\"\" id=\"mauticform_input_formchanceinalifetimecomenglish_title\" class=\"mauticform-selectbox\">    <option value=\"\"></option>    <option value=\"Mr\">Mr</option>      <option value=\"Mrs\">Mrs</option>      <option value=\"Miss\">Miss</option>    </select>  <span class=\"mauticform-errormsg\" style=\"display:none;\"></span></div>                                            <div id=\"mauticform_formchanceinalifetimecomenglish_f_name\" class=\"mauticform-row mauticform-text mauticform-field-2 mauticform-required\" data-validate=\"f_name\" data-validation-type=\"text\">  <label id=\"mauticform_label_formchanceinalifetimecomenglish_f_name\" for=\"mauticform_input_formchanceinalifetimecomenglish_f_name\" class=\"mauticform-label\">Name</label>        <input type=\"text\" name=\"mauticform[f_name]\" value=\"\" id=\"mauticform_input_formchanceinalifetimecomenglish_f_name\" class=\"mauticform-input\">    <span class=\"mauticform-errormsg\" style=\"display:none;\">The Name is required!</span></div>                                            <div id=\"mauticform_formchanceinalifetimecomenglish_f_firstname\" class=\"mauticform-row mauticform-text mauticform-field-3 mauticform-required\" data-validate=\"f_firstname\" data-validation-type=\"text\">  <label id=\"mauticform_label_formchanceinalifetimecomenglish_f_firstname\" for=\"mauticform_input_formchanceinalifetimecomenglish_f_firstname\" class=\"mauticform-label\">Firstname</label>        <input type=\"text\" name=\"mauticform[f_firstname]\" value=\"\" id=\"mauticform_input_formchanceinalifetimecomenglish_f_firstname\" class=\"mauticform-input\">    <span class=\"mauticform-errormsg\" style=\"display:none;\">The firstname is required!</span></div>                                            <div id=\"mauticform_formchanceinalifetimecomenglish_phone\" class=\"mauticform-row mauticform-text mauticform-field-4 mauticform-required\" data-validate=\"phone\" data-validation-type=\"text\">  <label id=\"mauticform_label_formchanceinalifetimecomenglish_phone\" for=\"mauticform_input_formchanceinalifetimecomenglish_phone\" class=\"mauticform-label\">Phone</label>  <span class=\"mauticform-helpmessage\">WhatsApp, Telegram...</span>      <input type=\"text\" name=\"mauticform[phone]\" value=\"\" id=\"mauticform_input_formchanceinalifetimecomenglish_phone\" class=\"mauticform-input\">    <span class=\"mauticform-errormsg\" style=\"display:none;\">The Phone is required!</span></div>                                            <div id=\"mauticform_formchanceinalifetimecomenglish_email\" class=\"mauticform-row mauticform-email mauticform-field-5 mauticform-required\" data-validate=\"email\" data-validation-type=\"email\">  <label id=\"mauticform_label_formchanceinalifetimecomenglish_email\" for=\"mauticform_input_formchanceinalifetimecomenglish_email\" class=\"mauticform-label\">E-Mail</label>        <input type=\"email\" name=\"mauticform[email]\" value=\"\" id=\"mauticform_input_formchanceinalifetimecomenglish_email\" class=\"mauticform-input\">    <span class=\"mauticform-errormsg\" style=\"display:none;\">The email is required!</span></div>                                                        <div id=\"mauticform_formchanceinalifetimecomenglish_do_the_math\" class=\"mauticform-row mauticform-text mauticform-field-6 mauticform-required\" data-validate=\"do_the_math\" data-validation-type=\"captcha\">  <label id=\"mauticform_label_formchanceinalifetimecomenglish_do_the_math\" for=\"mauticform_input_formchanceinalifetimecomenglish_do_the_math\" class=\"mauticform-label\">Do the math</label>  <span class=\"mauticform-helpmessage\">Please enter the solution.</span>      <input type=\"text\" name=\"mauticform[do_the_math]\" value=\"\" id=\"mauticform_input_formchanceinalifetimecomenglish_do_the_math\" placeholder=\"What is 19 + 11?\" class=\"mauticform-input\">    <span class=\"mauticform-errormsg\" style=\"display:none;\">This is required.</span></div>                                <div id=\"mauticform_formchanceinalifetimecomenglish_data_protection\" class=\"mauticform-row mauticform-checkboxgrp mauticform-field-7 mauticform-required\" data-validate=\"data_protection\" data-validation-type=\"checkboxgrp\">          <label class=\"mauticform-label\" for=\"mauticform_checkboxgrp_checkbox_data_protection_IunderstandmyinformationwillbestoredelectronicallyinordertorespondtomyinquiryImayrevokethisrightforfutureuseatanytimebyemailinginfochanceinalifetimecom1\">Data protection</label>                          <div class=\"mauticform-checkboxgrp-row\">    <input class=\"mauticform-checkboxgrp-checkbox\" name=\"mauticform[data_protection][]\" id=\"mauticform_checkboxgrp_checkbox_data_protection_OK0\" type=\"checkbox\" value=\"OK\">        <label class=\"mauticform-checkboxgrp-label\" id=\"mauticform_checkboxgrp_label_data_protection_OK0\" for=\"mauticform_checkboxgrp_checkbox_data_protection_OK0\">I understand my information will be stored electronically in order to respond to my inquiry, I may revoke this right for future use at any time by e-mailing info@chanceinalifetime.com</label>    </div>    <span class=\"mauticform-errormsg\" style=\"display:none;\">Please accept the data protection.</span></div>                                      <input name=\"mauticform[recommended_by_email]\" value=\"\" id=\"mauticform_input_formchanceinalifetimecomenglish_recommended_by_email\" class=\"mauticform-hidden\" type=\"hidden\">                                      <input name=\"mauticform[recommended_by]\" value=\"\" id=\"mauticform_input_formchanceinalifetimecomenglish_recommended_by\" class=\"mauticform-hidden\" type=\"hidden\">                                      <input name=\"mauticform[channel]\" value=\"\" id=\"mauticform_input_formchanceinalifetimecomenglish_channel\" class=\"mauticform-hidden\" type=\"hidden\">                                      <input name=\"mauticform[preferred_locale]\" value=\"\" id=\"mauticform_input_formchanceinalifetimecomenglish_preferred_locale\" class=\"mauticform-hidden\" type=\"hidden\">                                  <div id=\"mauticform_formchanceinalifetimecomenglish_submit\" class=\"mauticform-row mauticform-button-wrapper mauticform-field-12\">  <button class=\"btn btn-default mauticform-button\" style=\"background-color: black; color: white; width:200px; height: 50px;\" name=\"mauticform[submit]\" value=\"1\" id=\"mauticform_input_formchanceinalifetimecomenglish_submit\" type=\"submit\">Submit</button></div>                  </div></div><input type=\"hidden\" name=\"mauticform[formId]\" id=\"mauticform_formchanceinalifetimecomenglish_id\" value=\"15\">        <input type=\"hidden\" name=\"mauticform[return]\" id=\"mauticform_formchanceinalifetimecomenglish_return\" value=\"\">        <input type=\"hidden\" name=\"mauticform[formName]\" id=\"mauticform_formchanceinalifetimecomenglish_name\" value=\"formchanceinalifetimecomenglish\">            </form></div>";

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