var mpmCaptchaTokenmpFrmf8c501a06baa4c8885f57ab37f1288d1 = '';
                        var mpmCaptchaTrustedOriginmpFrmf8c501a06baa4c8885f57ab37f1288d1 = 'https://api.transpond.io';
                        (function () {
                            window.addEventListener('message', function (e) {
                                if (!e.data || e.data.eleId !== 'mpFrmf8c501a06baa4c8885f57ab37f1288d1') return;
                                var trusted = mpmCaptchaTrustedOriginmpFrmf8c501a06baa4c8885f57ab37f1288d1;
                                if (e.origin !== trusted && e.origin !== trusted.replace('https://', 'http://')) return;
                                if (e.data.type === 'mpmRecaptcha') {
                                    mpmCaptchaTokenmpFrmf8c501a06baa4c8885f57ab37f1288d1 = e.data.token || '';
                                    var inp = document.getElementById('mpmRecaptchaTokenmpFrmf8c501a06baa4c8885f57ab37f1288d1');
                                    if (inp) inp.value = mpmCaptchaTokenmpFrmf8c501a06baa4c8885f57ab37f1288d1;
                                }
                                if (e.data.type === 'mpmRecaptchaExpired') {
                                    mpmCaptchaTokenmpFrmf8c501a06baa4c8885f57ab37f1288d1 = '';
                                    var expiredInp = document.getElementById('mpmRecaptchaTokenmpFrmf8c501a06baa4c8885f57ab37f1288d1');
                                    if (expiredInp) expiredInp.value = '';
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                                if (e.data.type === 'mpmRecaptchaResize') {
                                    var resizeHost = document.getElementById('mpmRecaptchaEmbedmpFrmf8c501a06baa4c8885f57ab37f1288d1');
                                    var resizeFrame = resizeHost && resizeHost.querySelector('iframe');
                                    if (resizeFrame && e.data.height) {
                                        var resizeMinH = resizeHost.getAttribute('data-size') === 'compact' ? 144 : 78;
                                        var resizeMinW = resizeHost.getAttribute('data-size') === 'compact' ? 164 : 304;
                                        var resizeH = Math.min(650, Math.max(resizeMinH, parseInt(e.data.height, 10) || resizeMinH));
                                        var resizeW = Math.min(420, Math.max(resizeMinW, parseInt(e.data.width, 10) || resizeMinW));
                                        resizeFrame.style.height = resizeH + 'px';
                                        resizeHost.style.height = resizeH + 'px';
                                        resizeHost.style.minHeight = resizeH + 'px';
                                        resizeFrame.style.width = resizeW + 'px';
                                        resizeFrame.style.maxWidth = '100%';
                                        resizeFrame.style.overflow = 'hidden';
                                    }
                                }
                            });
                        })();
                        function mpmLoadCaptchaIframempFrmf8c501a06baa4c8885f57ab37f1288d1() {
                            var host = document.getElementById('mpmRecaptchaEmbedmpFrmf8c501a06baa4c8885f57ab37f1288d1');
                            if (!host || host.querySelector('iframe')) return;
                            var theme = host.getAttribute('data-theme') || 'light';
                            var size = host.getAttribute('data-size') || 'normal';
                            var frameHeight = size === 'compact' ? 144 : 78;
                            host.style.minHeight = frameHeight + 'px';
                            var iframe = document.createElement('iframe');
                            iframe.title = 'Captcha';
                            iframe.src = mpmCaptchaTrustedOriginmpFrmf8c501a06baa4c8885f57ab37f1288d1 + '/form/captcha-frame?am=43470&fid=52453&ele=mpFrmf8c501a06baa4c8885f57ab37f1288d1&theme=' + encodeURIComponent(theme) + '&size=' + encodeURIComponent(size) + '&origin=' + encodeURIComponent(document.location.origin);
                            iframe.style.border = '0';
                            iframe.style.width = '304px';
                            iframe.style.height = frameHeight + 'px';
                            iframe.style.overflow = 'hidden';
                            iframe.style.display = 'block';
                            host.style.overflow = 'visible';
                            host.appendChild(iframe);
                        }
                        function mpmResetCaptchaEmbedmpFrmf8c501a06baa4c8885f57ab37f1288d1() {
                            mpmCaptchaTokenmpFrmf8c501a06baa4c8885f57ab37f1288d1 = '';
                            var tokenInp = document.getElementById('mpmRecaptchaTokenmpFrmf8c501a06baa4c8885f57ab37f1288d1');
                            if (tokenInp) tokenInp.value = '';
                            var embedHost = document.getElementById('mpmRecaptchaEmbedmpFrmf8c501a06baa4c8885f57ab37f1288d1');
                            if (embedHost) embedHost.innerHTML = '';
                            mpmLoadCaptchaIframempFrmf8c501a06baa4c8885f57ab37f1288d1();
                        }
                        
                        var mpCurrentScriptmpFrmf8c501a06baa4c8885f57ab37f1288d1Container = document.currentScript.parentNode;
                        (function () {
                            var containerDiv = document.createElement('div');
                            containerDiv.id = "mpFrmf8c501a06baa4c8885f57ab37f1288d1";
                            containerDiv.classList.add("mpForm");
                            containerDiv.setAttribute("data-mpid", "52453");

                            if (window.self !== window.top) {
                                if (document.currentScript?.parentNode?.nodeName?.toLowerCase() === 'head') {
                                    if (document.body) {
                                        document.body.appendChild(containerDiv);
                                    } else {
                                        document.addEventListener('DOMContentLoaded', () => {
                                            document.body.appendChild(containerDiv);
                                        });
                                    }
                                } else {
                                    document.currentScript.parentNode.insertBefore(containerDiv, document.currentScript);
                                }
                                mpFormmpFrmf8c501a06baa4c8885f57ab37f1288d1Find();
                            } else if(document.currentScript && document.currentScript.parentNode && document.currentScript.parentNode.nodeName && document.currentScript.parentNode.nodeName.toLowerCase() === "head") {
                                document.addEventListener("DOMContentLoaded", (event) => {
                                    var bodyHolder = document.getElementsByTagName("body");
                                    if (bodyHolder && bodyHolder[0]) {
                                        bodyHolder[0].appendChild(containerDiv);
                                    }
                                })
                            }
                            else {
                                document.currentScript.parentNode.insertBefore(containerDiv, document.currentScript);
                                mpFormmpFrmf8c501a06baa4c8885f57ab37f1288d1Find();
                            }
                        })();

                        function mpFormmpFrmf8c501a06baa4c8885f57ab37f1288d1Find() {
                            if(!mpCurrentScriptmpFrmf8c501a06baa4c8885f57ab37f1288d1Container) return;
                            if (mpCurrentScriptmpFrmf8c501a06baa4c8885f57ab37f1288d1Container && mpCurrentScriptmpFrmf8c501a06baa4c8885f57ab37f1288d1Container.nodeName && mpCurrentScriptmpFrmf8c501a06baa4c8885f57ab37f1288d1Container.nodeName.toLowerCase() === "head") {
                                var mpFind = document.querySelectorAll("[data-mpid='52453']");
                                if (mpFind.length && !mpFind[0].innerHTML) {
                                    mpFind[0].id = "mpFrmf8c501a06baa4c8885f57ab37f1288d1"
                                }
                            } else {
                                var mpFound = false;
                                Array.from(mpCurrentScriptmpFrmf8c501a06baa4c8885f57ab37f1288d1Container.children).forEach(c => {
                                    if (c.id === "mpFrmf8c501a06baa4c8885f57ab37f1288d1") mpFound = true;
                                })
                                if (!mpFound) {
                                    var mpOthers = Array.from(mpCurrentScriptmpFrmf8c501a06baa4c8885f57ab37f1288d1Container.children).filter(e => e.dataset && e.dataset.mpid === "52453");
                                    if (mpOthers.length === 1) {
                                        mpOthers[0].id = "mpFrmf8c501a06baa4c8885f57ab37f1288d1";
                                    }
                                }
                            }
                            
                        }

                        function mpForm2bbd8d19c74947a1bddc93b618b1dc98Check()
                        {
                            let checkBoxes = document.getElementById("mpform-2bbd8d19c74947a1bddc93b618b1dc98").querySelectorAll('input[type="checkbox"]');
                            if(checkBoxes)
                            {
                                for(var i = 0; i < checkBoxes.length; i++) {
                                    let checkBox = checkBoxes[i];
                                    var attr = checkBox.getAttribute('data-prevval');
                                    if (typeof attr !== typeof undefined && attr !== false) 
                                    {
                                        checkBox.value = checkBox.getAttribute("data-prevval");
                                        checkBox.removeAttribute("data-prevval");
                                        checkBox.removeAttribute("checked");
                                    }
                                }
                            }
                        }

                        function mpForm2bbd8d19c74947a1bddc93b618b1dc98Submit(event)
                        {
                            event.preventDefault();
                            let msgHlder = document.getElementById("mpform-2bbd8d19c74947a1bddc93b618b1dc98").querySelector('[id=mpmessageholder]');
                            let mpMsg = document.getElementById("mpform-2bbd8d19c74947a1bddc93b618b1dc98").querySelector('[id=mpmessage]');

                            let checkBoxes = document.getElementById("mpform-2bbd8d19c74947a1bddc93b618b1dc98").querySelectorAll('input[type="checkbox"]');
                            if(checkBoxes)
                            {
                                for(var i = 0; i < checkBoxes.length; i++) {
                                    let checkBox = checkBoxes[i];
                                    if( checkBox.checked == true ) {
                                        if(checkBox.getAttribute('data-prevval'))
                                        {
                                            checkBox.value = checkBox.getAttribute('data-prevval');
                                        } else {
                                            checkBox.value = 1;
                                        }
                                    } else {
                                        checkBox.setAttribute('data-prevval',checkBox.value);
                                        checkBox.value = 0;
                                    }
                                }
                            }
                            
                            let form_data = Array.from(
                                new FormData(document.getElementById('mpform-2bbd8d19c74947a1bddc93b618b1dc98')),
                                function(e) { 
    
                                    return {
                                        name: e[0],
                                        value: e[1]
                                    } 
                                }
                            )

                            try
                            {
                                for(var i = 0; i < checkBoxes.length; i++) {
                                    let checkBox = checkBoxes[i];
                                    let found = form_data.find(f=>f.name == checkBox.name)
                                    if(!found)
                                    {
                                        form_data.push({name: checkBox.name, value: checkBox.checked ? checkBox.value : "0"})
                                    }
                                }
                            }
                            catch(err){}

                            try
                            {
                                form_data.push({
                                    name: "mpTrkH",
                                    value: document.location.host
                                })
                                form_data.push({
                                    name: "mpTrkO",
                                    value: document.location.origin
                                })
                                form_data.push({
                                    name: "mpTrkP",
                                    value: document.location.pathname
                                })
                                form_data.push({
                                    name: "mpTrkQ",
                                    value: document.location.search
                                })
                                form_data.push({
                                    name: "mpTrkUUID",
                                    value: getTrackingId2bbd8d19c74947a1bddc93b618b1dc98()
                                })
                            }
                            catch(err){}
                            
                            //check valid telnos
                            var failed = "";
                            if(msgHlder)
                            {
                                msgHlder.style.display = "none";
                            }

                            let telInputs = document.getElementById("mpform-2bbd8d19c74947a1bddc93b618b1dc98").querySelectorAll('input[type=TELNO]');
                            if(telInputs)
                            {
                                for(var i = 0; i < telInputs.length; i++) {
                                    let telInput = telInputs[i];
                                    var iti = window.intlTelInputGlobals.getInstance(telInput);
                                    telInput.classList.remove("mpm-field-error");
                                    if(iti.isValidNumber() == false && telInput.value && telInput.value.length)
                                    {
                                        telInput.classList.add("mpm-field-error");
                                        failed = "Please enter a valid telephone number";
                                    } else {
                                        let found = form_data.find(f=> f.name == telInput.name);
                                        if (found) {
                                            found.value = iti.getNumber(); // intenationally formatted version of the number
                                        }
                                    }
                                }
                            }
                            
                            if(failed != "")
                            {
                                mpMsg.innerHTML = failed;
                                msgHlder.style.display = "block";
                                return;
                            }

                            
                            if (!mpmCaptchaTokenmpFrmf8c501a06baa4c8885f57ab37f1288d1) {
                                mpMsg.innerHTML = 'Please complete the captcha';
                                if (msgHlder) msgHlder.style.display = "block";
                                return;
                            }
                            form_data = form_data.filter(function (f) { return f.name !== 'g-recaptcha-response'; });
                            form_data.push({ name: 'g-recaptcha-response', value: mpmCaptchaTokenmpFrmf8c501a06baa4c8885f57ab37f1288d1 });
                            
                            
                            let button = document.getElementById("mpform-2bbd8d19c74947a1bddc93b618b1dc98").querySelector('button');
                            if(button)
                            {
                                button.disabled = true;
                                button.opacity = "0.5";
                            }

                            mpMsg.innerHTML = 'Sending your details...';
                            

                            var xhr = new XMLHttpRequest();
                            xhr.open("POST", "https://api.transpond.io/form?am=43470&fid=52453", true);
                            
                            xhr.onreadystatechange = function () {
                                if (xhr.readyState === 4 && xhr.status === 200) {
                                    mpForm2bbd8d19c74947a1bddc93b618b1dc98Check();
                                    button.disabled = false;
                                    button.style.opacity = "1";
                                    mpMsg.innerHTML = "";
                                    msgHlder.style.display = "block";
        
                                    let response = JSON.parse(xhr.responseText);
                                    if (!response || (!response.download && !response.downloads)) {
                                        try {
                                            document.getElementById('mpform-2bbd8d19c74947a1bddc93b618b1dc98').reset();
                                        } catch(e) {}
                                    }
                                    
                                    if(response)
                                    {
                                        if (response.redirect) {
                                            window.location.href = response.redirect;
                                        } 
                                        else if (response.message) 
                                        {
                                            if (response.download) window.open(response.download, '_blank');
                                            if (response.downloads && response.downloads.length) {
                                                const parent = button.parentElement;
                                                
                                                response.downloads.forEach(link => {
                                                    const hiddenButton = document.getElementById("mpform-2bbd8d19c74947a1bddc93b618b1dc98").querySelector("a[href='" + link.replace + "']");
                                                    if (hiddenButton) {
                                                        hiddenButton.href = link.link;
                                                        hiddenButton.closest('[data-type="FORMFILE"]').style.display = 'flex';
                                                    }
                                                });
                                                parent.style.display = "none";
                                            }
                                            if(response.hideForm){
                                                let mpMsgParent = msgHlder.parentElement;
                                                if(mpMsgParent && msgHlder){
                                                    mpMsg.innerHTML = response.message;
                                                    mpMsgParent.innerHTML = msgHlder.innerHTML;
                                                }
                                            }
                                            else
                                            {
                                                mpMsg.innerHTML = response.message;
                                            }
                                        }
                                        else if (response.replace)
                                        {
                                            document.getElementById('mpform-2bbd8d19c74947a1bddc93b618b1dc98').innerHTML = response.form
                                        }
                                    }
                                    
                                    mpmResetCaptchaEmbedmpFrmf8c501a06baa4c8885f57ab37f1288d1();
                                }
                                else
                                {
            
                                    mpForm2bbd8d19c74947a1bddc93b618b1dc98Check();
                                    button.disabled = false;
                                    button.style.opacity = "1";
                                    mpMsg.innerHTML = "";
                                    msgHlder.style.display = "block";
                                    var error = "Error submitting form";
                                    if (xhr.responseText) {
                                        const errorJson = JSON.parse(xhr.responseText);
                                        if(errorJson.error && typeof errorJson.error === 'string') {
                                            error = errorJson.error;
                                        }
                                    }
                                    mpMsg.innerHTML = error;
                                    
                                    mpmResetCaptchaEmbedmpFrmf8c501a06baa4c8885f57ab37f1288d1();
                                }
                            };

                            let urlEncodedDataPairs = [];
                            form_data.forEach((m, i) => {
                                let name = m.name;
                                if (name === 'capsule_note') {
                                    name += '_' + i;
                                }
                                urlEncodedDataPairs.push(encodeURIComponent(name)+ "=" + encodeURIComponent(m.value));
                            });
                            const urlEncodedData = urlEncodedDataPairs.join('&').replace(/%20/g, '+');
                            xhr.setRequestHeader('Content-type', 'application/x-www-form-urlencoded');
                            xhr.send(urlEncodedData);
                            
                            return;
                        }
                        
                        
                    
                        function getTrackingId2bbd8d19c74947a1bddc93b618b1dc98() {
                            try {
                                let uuid = document.cookie.match('(^|;)\s*mpz\s*=\s*([^;]+)')?.pop() || '';
                                if(!uuid) {
                                    let found = document.cookie.split(';').find(c => c.indexOf('mpz=') > -1);
                                    if (found) uuid = found.split('=')[1];
                                }
                                return uuid;
                            } catch(e) { }
                        };

                        function mpmFormInit2bbd8d19c74947a1bddc93b618b1dc98 ()
                        {
                            var subscriberData = undefined;
                            var form = '<style>.mpm-field-error {border-color: red !important;}</style><form name="mpForm-2bbd8d19c74947a1bddc93b618b1dc98" method="post" id="mpform-2bbd8d19c74947a1bddc93b618b1dc98" class="mpform" onSubmit="mpForm2bbd8d19c74947a1bddc93b618b1dc98Submit(event)"><style type="text/css">                     @font-face {                        font-family: Inter;                        src: url(https://cdn1.ourmailsender.com/fonts/inter/Inter-Regular.ttf);                      }                      </style>                    <style type="text/css">                     @font-face {                        font-family: Play;                        src: url(https://cdn1.ourmailsender.com/fonts/play/Play-Regular.ttf);                      }                      </style>                    <style>.mpm-container a {color:#e61b17; text-decoration:underline; }.mpm-container h1 {color:#000000; font-size:40px; font-style:normal; text-align:left; font-family:arial; font-weight:bold; line-height:150%; letter-spacing:normal; }.mpm-container h2 {color:#c2c2c2; font-size:30px; font-style:normal; text-align:left; font-family:arial; font-weight:bold; line-height:150%; letter-spacing:normal; }.mpm-container h3 {color:#000000; font-size:20px; font-style:normal; text-align:left; font-family:arial; font-weight:bold; line-height:150%; letter-spacing:normal; }.mpm-container h4 {color:#000000; font-size:16px; font-style:italic; text-align:left; font-family:Inter,sans-serif; font-weight:bold; line-height:100%; letter-spacing:normal; }#mpmInnerForm input::placeholder {color:#000000; }#mpmInnerForm textarea::placeholder {color:#000000; opacity:1; }#mpmInnerForm input::-moz-placeholder {color:#000000; }#mpmInnerForm textarea::-moz-placeholder {color:#000000; opacity:1; }.mpm-container a[x-apple-data-detectors] {color:inherit!important; font-size:inherit !important; font-family:inherit !important; font-weight:inherit !important; line-height:inherit !important; text-decoration:none !important; }#mpmInnerForm input:-ms-input-placeholder {color:#000000; }#mpmInnerForm input::webkit-input-placeholder {color:#000000; }.mpm-container h1,  .mpm-container h2, .mpm-container h3, .mpm-container h4, .mpm-container h5,  .mpm-container h6 {margin:0; display:block; padding:0; }</style><div class="mpm-container" style="width: 100%; height: 100%; padding: 0px; box-sizing: border-box; padding-top: 60px; padding-left: 0px; padding-right: 0px; padding-bottom: 60px; background-size: cover; background-color: #ffffff; background-image: url(); background-repeat: no-repeat; background-position: center; "><div id="mpmInnerForm" style="margin: 0 auto; max-width: 100%; border-style: none; border-width: 2px; border-radius: 10px; background-size: cover; background-color: #FFFFFF; background-image: url(); background-repeat: no-repeat; background-position: center; "><div class="mpm-row" style="padding: 20px; padding-top: 20px; padding-left: 20px; padding-right: 20px; padding-bottom: 20px; "><table align="center" class="" style="max-width: 100%; min-width: 100%; " width="100%" cellPadding="0" cellSpacing="0"><tr><td style="padding-top: _global_.elementPaddingTop; padding-left: _global_.elementPaddingLeft; padding-right: _global_.elementPaddingRight; padding-bottom: _global_.elementPaddingBottom; " width="100%" valign="undefined"><table align="center" style="border-collapse: collapse; mso-table-lspace: 0pt; mso-table-rspace: 0pt; -ms-text-size-adjust: 100%; -webkit-text-size-adjust: 100%; " width="100%" cellPadding="0" cellSpacing="0"><tr><td style="-ms-text-size-adjust: 100%; mso-line-height-rule: exactly; -webkit-text-size-adjust: 100%; "><img alt="" src="https://cdn1.ourmailsender.com/userContent/43470/fileManager/51048/H15z8xXuwi0n1BTVpkz2W5bLfI6y48f86znZp37o.png" style="border: 0; height: auto !important; margin: 0; display: block !important; outline: none; padding: 0; padding-bottom: 0; vertical-align: bottom; text-decoration: none; -ms-interpolation-mode: bicubic; max-width: 100%; min-width: 100%; " title="" width="1041" data-custom=""/></td></tr></table></td></tr></table><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 30px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 16px; font-family: Inter,sans-serif; font-weight: normal; "><div style="text-align: center;"><strong><span style="color: #000000; font-family: Inter, sans-serif; font-size: 36px;">Join the BTY Club Individual Membership</span></strong></div></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 0px; padding-top: 0px; margin-right: 0px; padding-left: 0px; margin-bottom: 20px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 16px; font-family: Inter,sans-serif; font-weight: normal; "><div style="text-align: center;"><span style="font-family: Inter, sans-serif; font-size: 18px;">We\'re so delighted you want to be a <span style="color: #e61b17;"><strong>Bty</strong></span>! Please complete the form below with your details and please ensure you have read the membership terms and conditions to join the<span style="color: #e61b17;"><strong> Bty Club</strong></span>.</span></div></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="emailAddress" type="email" style="color: #000000; width: 100%; display: block; font-size: 16px; box-sizing: border-box; margin-top: 10px; font-family: Inter,sans-serif; font-weight: normal; margin-left: 0; padding-top: 20px; border-color: #e61b17; border-style: solid; border-width: 2px; margin-right: 0; padding-left: 20px; border-radius: 100px; margin-bottom: 10px; padding-right: 20px; padding-bottom: 20px; background-color: #FFFFFF; -webkit-appearance: none; " width="100%" required="required" placeholder="Email Address*"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-917616" type="TEXT" style="color: #000000; width: 100%; display: block; font-size: 16px; box-sizing: border-box; margin-top: 10px; font-family: Inter,sans-serif; font-weight: normal; margin-left: 0; padding-top: 20px; border-color: #e61b17; border-style: solid; border-width: 2px; margin-right: 0; padding-left: 20px; border-radius: 100px; margin-bottom: 10px; padding-right: 20px; padding-bottom: 20px; background-color: #FFFFFF; -webkit-appearance: none; " width="100%" required="required" placeholder="First Name*"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-917617" type="TEXT" style="color: #000000; width: 100%; display: block; font-size: 16px; box-sizing: border-box; margin-top: 10px; font-family: Inter,sans-serif; font-weight: normal; margin-left: 0; padding-top: 20px; border-color: #e61b17; border-style: solid; border-width: 2px; margin-right: 0; padding-left: 20px; border-radius: 100px; margin-bottom: 10px; padding-right: 20px; padding-bottom: 20px; background-color: #FFFFFF; -webkit-appearance: none; " width="100%" required="required" placeholder="Last Name*"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-917625" type="TEXT" style="color: #000000; width: 100%; display: block; font-size: 16px; box-sizing: border-box; margin-top: 10px; font-family: Inter,sans-serif; font-weight: normal; margin-left: 0; padding-top: 20px; border-color: #e61b17; border-style: solid; border-width: 2px; margin-right: 0; padding-left: 20px; border-radius: 100px; margin-bottom: 10px; padding-right: 20px; padding-bottom: 20px; background-color: #FFFFFF; -webkit-appearance: none; " width="100%" required="required" placeholder="Address Line 1*"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-917625" type="TEXT" style="color: #000000; width: 100%; display: block; font-size: 16px; box-sizing: border-box; margin-top: 10px; font-family: Inter,sans-serif; font-weight: normal; margin-left: 0; padding-top: 20px; border-color: #e61b17; border-style: solid; border-width: 2px; margin-right: 0; padding-left: 20px; border-radius: 100px; margin-bottom: 10px; padding-right: 20px; padding-bottom: 20px; background-color: #FFFFFF; -webkit-appearance: none; " width="100%" placeholder="Address Line 2"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-917623" type="TEXT" style="color: #000000; width: 100%; display: block; font-size: 16px; box-sizing: border-box; margin-top: 10px; font-family: Inter,sans-serif; font-weight: normal; margin-left: 0; padding-top: 20px; border-color: #e61b17; border-style: solid; border-width: 2px; margin-right: 0; padding-left: 20px; border-radius: 100px; margin-bottom: 10px; padding-right: 20px; padding-bottom: 20px; background-color: #FFFFFF; -webkit-appearance: none; " width="100%" required="required" placeholder="City*"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-917622" type="TEXT" style="color: #000000; width: 100%; display: block; font-size: 16px; box-sizing: border-box; margin-top: 10px; font-family: Inter,sans-serif; font-weight: normal; margin-left: 0; padding-top: 20px; border-color: #e61b17; border-style: solid; border-width: 2px; margin-right: 0; padding-left: 20px; border-radius: 100px; margin-bottom: 10px; padding-right: 20px; padding-bottom: 20px; background-color: #FFFFFF; -webkit-appearance: none; " width="100%" required="required" placeholder="Postcode*"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-917633" type="TELNO" style="color: #000000; width: 100%; display: block; font-size: 16px; box-sizing: border-box; margin-top: 10px; font-family: Inter,sans-serif; font-weight: normal; margin-left: 0; padding-top: 20px; border-color: #e61b17; border-style: solid; border-width: 2px; margin-right: 0; padding-left: 20px; border-radius: 100px; margin-bottom: 10px; padding-right: 20px; padding-bottom: 20px; background-color: #FFFFFF; -webkit-appearance: none; " width="100%" required="required" placeholder="Phone Number*"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 20px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 0px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 16px; font-family: Inter,sans-serif; font-weight: normal; "><span style="font-size: 18px;" data-mce-style="font-size: 18px;"><strong><span style="font-family: Inter, sans-serif;" data-mce-style="font-family: Inter, sans-serif;">Which membership benefits and topic areas are you most interested in?</span></strong></span></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 0px; padding-top: 10px; margin-right: 0px; padding-left: 15px; margin-bottom: 10px; padding-right: 15px; flex-direction: column; padding-bottom: 10px; "><table style="margin-bottom: 5px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-920584" type="radio" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; background-color: #FFFFFF; " value="_REPEATVALUE_" required="required"/></td><td valign="top"><div style="color: #000000; font-size: 16px; font-family: Inter,sans-serif; ">Aesthetics</div></td></tr></table><table style="margin-bottom: 5px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-920584" type="radio" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; background-color: #FFFFFF; " value="_REPEATVALUE_" required="required"/></td><td valign="top"><div style="color: #000000; font-size: 16px; font-family: Inter,sans-serif; ">Beauty / Make Up / Hair</div></td></tr></table><table style="margin-bottom: 5px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-920584" type="radio" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; background-color: #FFFFFF; " value="_REPEATVALUE_" required="required"/></td><td valign="top"><div style="color: #000000; font-size: 16px; font-family: Inter,sans-serif; ">Competitions / Discounts</div></td></tr></table><table style="margin-bottom: 5px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-920584" type="radio" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; background-color: #FFFFFF; " value="_REPEATVALUE_" required="required"/></td><td valign="top"><div style="color: #000000; font-size: 16px; font-family: Inter,sans-serif; ">Expert Interviews</div></td></tr></table><table style="margin-bottom: 5px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-920584" type="radio" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; background-color: #FFFFFF; " value="_REPEATVALUE_" required="required"/></td><td valign="top"><div style="color: #000000; font-size: 16px; font-family: Inter,sans-serif; ">In Person Events</div></td></tr></table><table style="margin-bottom: 5px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-920584" type="radio" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; background-color: #FFFFFF; " value="_REPEATVALUE_" required="required"/></td><td valign="top"><div style="color: #000000; font-size: 16px; font-family: Inter,sans-serif; ">Online Events</div></td></tr></table><table style="margin-bottom: 5px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-920584" type="radio" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; background-color: #FFFFFF; " value="_REPEATVALUE_" required="required"/></td><td valign="top"><div style="color: #000000; font-size: 16px; font-family: Inter,sans-serif; ">Women\'s Health</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 20px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 0px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 16px; font-family: Inter,sans-serif; font-weight: normal; "><span style="font-family: Inter, sans-serif; font-size: 18px;" data-mce-style="font-family: Inter, sans-serif; font-size: 18px;"><strong>Where did you hear about the<span style="color: #e61b17;" data-mce-style="color: #e61b17;"> Bty Club?</span></strong></span></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 0px; padding-top: 10px; margin-right: 0px; padding-left: 15px; margin-bottom: 10px; padding-right: 15px; flex-direction: column; padding-bottom: 10px; "><table style="margin-bottom: 5px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-920588" type="radio" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; background-color: #FFFFFF; " value="_REPEATVALUE_"/></td><td valign="top"><div style="color: #000000; font-size: 16px; font-family: Inter,sans-serif; ">Word of Mouth</div></td></tr></table><table style="margin-bottom: 5px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-920588" type="radio" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; background-color: #FFFFFF; " value="_REPEATVALUE_"/></td><td valign="top"><div style="color: #000000; font-size: 16px; font-family: Inter,sans-serif; ">Social Media</div></td></tr></table><table style="margin-bottom: 5px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-920588" type="radio" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; background-color: #FFFFFF; " value="_REPEATVALUE_"/></td><td valign="top"><div style="color: #000000; font-size: 16px; font-family: Inter,sans-serif; ">Direct Mail</div></td></tr></table><table style="margin-bottom: 5px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-920588" type="radio" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; background-color: #FFFFFF; " value="_REPEATVALUE_"/></td><td valign="top"><div style="color: #000000; font-size: 16px; font-family: Inter,sans-serif; ">At a Event</div></td></tr></table><table style="margin-bottom: 5px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-920588" type="radio" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; background-color: #FFFFFF; " value="_REPEATVALUE_"/></td><td valign="top"><div style="color: #000000; font-size: 16px; font-family: Inter,sans-serif; ">Other</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 0px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 0px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 16px; font-family: Inter,sans-serif; font-weight: normal; "><span style="font-family: Inter, sans-serif;" data-mce-style="font-family: Inter, sans-serif;"><span style="font-size: 18px;" data-mce-style="font-size: 18px;">If <strong>Other</strong>, please let us know:</span></span></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-929264" type="TEXT" style="color: #000000; width: 100%; display: block; font-size: 16px; box-sizing: border-box; margin-top: 10px; font-family: Inter,sans-serif; font-weight: normal; margin-left: 0; padding-top: 10px; border-color: #e9e7e8; border-style: solid; border-width: 1px; margin-right: 0; padding-left: 15px; border-radius: 3px; margin-bottom: 10px; padding-right: 15px; padding-bottom: 10px; background-color: #FFFFFF; -webkit-appearance: none; " width="100%" placeholder="..."/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 20px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 0px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 16px; font-family: Inter,sans-serif; font-weight: normal; "><span style="font-size: 18px; font-family: Inter, sans-serif;"><strong>Individual Membership is &pound;20 per month (via Direct Debit)</strong></span></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 0px; padding-top: 10px; margin-right: 0px; padding-left: 15px; margin-bottom: 10px; padding-right: 15px; flex-direction: column; padding-bottom: 10px; "><table style="margin-bottom: 0px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-920590" type="radio" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; background-color: #FFFFFF; " value="_REPEATVALUE_"/></td><td valign="top"><div style="color: #000000; font-size: 16px; font-family: Inter,sans-serif; ">Please tick this box if you would like an invoice sending by email</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 0px; margin-right: 0px; margin-bottom: 10px; flex-direction: column; "><div style="align-self: center">                        <div id="mpmRecaptchaEmbedmpFrmf8c501a06baa4c8885f57ab37f1288d1" class="mpm-recaptcha-embed-host" data-theme="light" data-size="normal" style="min-height:78px;overflow:visible;"></div><input type="hidden" name="g-recaptcha-response" id="mpmRecaptchaTokenmpFrmf8c501a06baa4c8885f57ab37f1288d1" value="" />                     </div></div><div class="mpm-col-xs-12" style="display: flex; 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