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                            var form = '<style>.mpm-field-error {border-color: red !important;}</style><form name="mpForm-8bb1f8f619fb472497e1ba50a855fabf" method="post" id="mpform-8bb1f8f619fb472497e1ba50a855fabf" class="mpform" onSubmit="mpForm8bb1f8f619fb472497e1ba50a855fabfSubmit(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  a[href^=tel], .mpm-container  [href^=sms] {color:inherit; cursor:default; text-decoration:none; }.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; 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; "><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="833" 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;" data-mce-style="text-align: center;"><strong><span style="color: #000000; font-family: Inter, sans-serif; font-size: 36px;" data-mce-style="color: #000000; font-family: Inter, sans-serif; font-size: 36px;">Join the BTY Club Corporate</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;"><div style="text-align: center;"><span style="color: #000000; font-family: Inter, sans-serif; font-size: 18px;">Giving your company an extra boost.</span></div></div></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="companyName" type="text" style="color: #d8d8d8; 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="Company name*"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; 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;"><strong>Company overview&nbsp;</strong>(a brief description of your business, including mission and values):</span></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-920354" type="TEXT" style="color: #d8d8d8; 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="Company overview"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-920355" type="NUMBER" style="color: #d8d8d8; 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="No. of employees"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; 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;"><strong><span style="font-family: Inter, sans-serif;">Business address:</span></strong></span></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-917625" type="TEXT" style="color: #d8d8d8; 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: #d8d8d8; 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: #d8d8d8; 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: #d8d8d8; 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; margin-top: 10px; 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;"><strong><span style="font-family: Inter, sans-serif;">Please provide the lead contact details:</span></strong></span></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-917616" type="TEXT" style="color: #d8d8d8; 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="Lead contact 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: #d8d8d8; 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="Lead contact last name*"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="emailAddress" type="email" style="color: #d8d8d8; 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="Lead contact email address*"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-917633" type="TELNO" style="color: #d8d8d8; 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="Lead contact phone number*"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; 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;">What distinguishes your service from your competitors?</span></strong></span></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-920362" type="TEXT" style="color: #d8d8d8; 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="..."/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 2px; 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;">How does your company promote wellness and beauty in the community?</span></strong></span></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-920363" type="TEXT" style="color: #d8d8d8; 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="..."/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; 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; "><p><span style="font-family: Inter, sans-serif; font-size: 18px;" data-mce-style="font-family: Inter, sans-serif; font-size: 18px;"><strong>Are you a Clinic or Beauty Specialist offering injectables?</strong></span></p></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 0px; margin-left: 0px; margin-right: 0px; margin-bottom: 10px; flex-direction: column; "><table style="margin-bottom: 0px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-925909" type="radio" style="color: #d8d8d8; 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; ">Yes</div></td></tr></table><table style="margin-bottom: 0px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-925909" type="radio" style="color: #d8d8d8; 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; ">No</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; 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; "><p><span style="line-height: 16px; font-size: 18px;" data-mce-style="line-height: 16px; font-size: 18px;"><strong><span style="font-family: Inter, sans-serif;" data-mce-style="font-family: Inter, sans-serif;">If yes, what level of qualification do you hold, and what training have you completed?</span></strong></span></p></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-920365" type="TEXT" style="color: #d8d8d8; 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="..."/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; 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;">Are you interested in hosting or participating in events?</span></strong></span></div></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; "><table style="margin-bottom: 0px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-925910" type="radio" style="color: #d8d8d8; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; background-color: #FFFFFF; " value="Yes both hosting and participating"/></td><td valign="top"><div style="color: #000000; font-size: 16px; font-family: Inter,sans-serif; ">Yes both hosting and participating</div></td></tr></table><table style="margin-bottom: 0px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-925910" type="radio" style="color: #d8d8d8; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; background-color: #FFFFFF; " value="Yes - hosting ONLY"/></td><td valign="top"><div style="color: #000000; font-size: 16px; font-family: Inter,sans-serif; ">Yes - hosting ONLY</div></td></tr></table><table style="margin-bottom: 0px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-925910" type="radio" style="color: #d8d8d8; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; background-color: #FFFFFF; " value="Yes - participating ONLY"/></td><td valign="top"><div style="color: #000000; font-size: 16px; font-family: Inter,sans-serif; ">Yes - participating ONLY</div></td></tr></table><table style="margin-bottom: 0px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-925910" type="radio" style="color: #d8d8d8; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; background-color: #FFFFFF; " value="No"/></td><td valign="top"><div style="color: #000000; font-size: 16px; font-family: Inter,sans-serif; ">No</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; 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;"><strong><span style="font-family: Inter, sans-serif;">If yes, what type?</span></strong></span></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-920366" type="TEXT" style="color: #d8d8d8; 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="..."/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; 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; "><strong><span style="font-family: Inter, sans-serif; font-size: 18px;" data-mce-style="font-family: Inter, sans-serif; font-size: 18px;">**References**: Provide contact details for professional references, if applicable.</span></strong></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-920367" type="TEXT" style="color: #d8d8d8; 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="Reference details"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; 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;">Please provide the three names and phone numbers for the membership passes:</span></strong></span></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-925911" type="TEXT" style="color: #d8d8d8; 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="1. Name and number"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-925912" type="TEXT" style="color: #d8d8d8; 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="2. Name and number"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-925913" type="TEXT" style="color: #d8d8d8; 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="3. Name and number"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; 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; "><strong><span style="font-size: 18px; font-family: Inter, sans-serif;" data-mce-style="font-size: 18px; font-family: Inter, sans-serif;">Please confirm the contact details for the membership invoice of £700 (annual fee)*</span></strong></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-920369" type="TEXT" style="color: #d8d8d8; 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="..."/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; align-items: center; flex-direction: column; "><button class="" style="color: #FFFFFF; width: 100%; cursor: pointer; display: block; font-size: 16px; box-sizing: border-box; margin-top: 0px; text-align: center; word-break: break-word; font-family: Inter,sans-serif; font-weight: normal; margin-left: 0px; padding-top: 15px; border-color: #543881; border-style: none; border-width: 0px; margin-right: 0px; padding-left: 10px; border-radius: 100px; margin-bottom: 30px; padding-right: 10px; padding-bottom: 15px; background-color: #e61b17; " width="100%">Apply Now</button></div><div id="mpmessageholder" class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 0px; margin-left: 0px; margin-right: 0px; margin-bottom: 10px; flex-direction: column; "><div id="mpmessage" class="mpmessageholder" style="color: #000000; position: relative; font-size: 16px; text-align: center; font-family: Inter,sans-serif; padding-top: 0px; padding-left: 0px; padding-right: 0px; padding-bottom: 0px; "></div></div></div></div><div id="mpmInnerForm" style="margin: 0 auto; max-width: 500px; border-style: none; border-width: 2px; border-radius: 3px; background-size: cover; background-color: #FFFFFF; background-image: url(); background-repeat: no-repeat; background-position: center; "><div class="mpm-row" style="padding: 20px; "></div></div></div></form>';
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