File: D:/HostingSpaces/PHerau/ha.health-science.be/wwwroot/Portals/4/Templates/Forms.page.template
<portal version="3.0"><description>Forms</description><tabs><tab><content>Forms</content><contentKey /><containersrc /><cultureCode /><description /><disabled>false</disabled><enddate>0001-01-01T00:00:00</enddate><issecure>false</issecure><visible>true</visible><keywords /><pageheadtext /><permanentredirect>false</permanentredirect><refreshinterval>-1</refreshinterval><sitemappriority>0.5</sitemappriority><skinsrc /><startdate>0001-01-01T00:00:00</startdate><name>Forms</name><title /><iconfile>/test730/Portals/1/forms.png</iconfile><url type="Normal" /><tabpermissions><permission><permissioncode>SYSTEM_TAB</permissioncode><permissionkey>VIEW</permissionkey><allowaccess>true</allowaccess><rolename>All Users</rolename></permission><permission><permissioncode>SYSTEM_TAB</permissioncode><permissionkey>VIEW</permissionkey><allowaccess>true</allowaccess><rolename>Administrators</rolename></permission><permission><permissioncode>SYSTEM_TAB</permissioncode><permissionkey>EDIT</permissionkey><allowaccess>true</allowaccess><rolename>Administrators</rolename></permission></tabpermissions><tabsettings><tabsetting><settingname>CacheDuration</settingname><settingvalue></settingvalue></tabsetting><tabsetting><settingname>DoNotRedirect</settingname><settingvalue>False</settingvalue></tabsetting><tabsetting><settingname>LinkNewWindow</settingname><settingvalue>False</settingvalue></tabsetting><tabsetting><settingname>MaxVaryByCount</settingname><settingvalue></settingvalue></tabsetting><tabsetting><settingname>CacheProvider</settingname><settingvalue></settingvalue></tabsetting><tabsetting><settingname>IncludeVaryBy</settingname><settingvalue></settingvalue></tabsetting><tabsetting><settingname>CustomStylesheet</settingname><settingvalue></settingvalue></tabsetting><tabsetting><settingname>CacheIncludeExclude</settingname><settingvalue></settingvalue></tabsetting><tabsetting><settingname>AllowIndex</settingname><settingvalue>True</settingvalue></tabsetting><tabsetting><settingname>ExcludeVaryBy</settingname><settingvalue></settingvalue></tabsetting></tabsettings><panes><pane><name>contentPane</name><modules><module><contentKey /><moduleID>1189</moduleID><alignment /><alltabs>false</alltabs><border /><cachemethod>MemoryModuleCachingProvider</cachemethod><cachetime>1200</cachetime><color /><containersrc /><displayprint>false</displayprint><displaysyndicate>false</displaysyndicate><displaytitle>true</displaytitle><enddate>0001-01-01T00:00:00</enddate><footer /><header /><iconfile /><inheritviewpermissions>true</inheritviewpermissions><iswebslice>false</iswebslice><modulepermissions><permission><permissioncode>SYSTEM_MODULE_DEFINITION</permissioncode><permissionkey>EDIT</permissionkey><allowaccess>true</allowaccess><rolename>Administrators</rolename></permission></modulepermissions><title /><startdate>0001-01-01T00:00:00</startdate><uniqueId>07c07800-5f07-49d1-9fae-b803a39af820</uniqueId><visibility>Maximized</visibility><websliceexpirydate>0001-01-01T00:00:00</websliceexpirydate><webslicettl>0</webslicettl><cultureCode /><content type="DNNHTML" version="07.03.00"><![CDATA[<htmltext><content><![CDATA[&lt;div class=&quot;shortcode-title&quot;&gt;
&lt;h4&gt;Forms&lt;/h4&gt;
&lt;button class=&quot;btn btn-primary btn-xs&quot; data-toggle=&quot;modal&quot; data-target=&quot;#form&quot;&gt; &lt;em class=&quot;fa fa-code&quot;&gt;&lt;/em&gt; Shortcode &lt;/button&gt;
&lt;/div&gt;
&lt;div class=&quot;contact-us&quot;&gt;
&lt;div class=&quot;column-wrapper&quot;&gt;
&lt;div class=&quot;wrapper-get&quot;&gt;
&lt;h3&gt;Get in Touch with Us&lt;/h3&gt;
&lt;p&gt;Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod invidunt ut labore et dolore magna aliquyam erat, sed diam voluptua.&lt;/p&gt;
&lt;/div&gt;
&lt;/div&gt;
&lt;div class=&quot;alert alert-success hidden&quot; id=&quot;contactSuccess&quot;&gt;
&lt;strong&gt;Success!&lt;/strong&gt; Your message has been sent to us.
&lt;/div&gt;
&lt;div class=&quot;alert alert-error hidden&quot; id=&quot;contactError&quot;&gt;
&lt;strong&gt;Error!&lt;/strong&gt; There was an error sending your message.
&lt;/div&gt;
&lt;div class=&quot;contactForm&quot;&gt;
&lt;div class=&quot;row&quot;&gt;
&lt;div class=&quot;form-group name&quot;&gt;
&lt;div class=&quot;col-md-12 form-name form-icon&quot;&gt;
&lt;input type=&quot;text&quot; data-msg-required=&quot;Please enter your name.&quot; maxlength=&quot;100&quot; class=&quot;form-control&quot; name=&quot;name&quot; id=&quot;name&quot; placeholder=&quot;Name&quot; /&gt;
&lt;/div&gt;
&lt;/div&gt;
&lt;/div&gt;
&lt;div class=&quot;row&quot;&gt;
&lt;div class=&quot;form-group email&quot;&gt;
&lt;div class=&quot;col-md-12 form-email form-icon&quot;&gt;
&lt;input type=&quot;email&quot; data-msg-required=&quot;Please enter your email address.&quot; data-msg-email=&quot;Please enter a valid email address.&quot; maxlength=&quot;100&quot; class=&quot;form-control&quot; name=&quot;email&quot; id=&quot;email&quot; placeholder=&quot;Email *&quot; /&gt;
&lt;/div&gt;
&lt;/div&gt;
&lt;/div&gt;
&lt;div class=&quot;row&quot;&gt;
&lt;div class=&quot;form-group message&quot;&gt;
&lt;div class=&quot;col-md-12 form-message form-icon&quot;&gt;
&lt;textarea maxlength=&quot;5000&quot; data-msg-required=&quot;Please enter your message.&quot; rows=&quot;10&quot; class=&quot;form-control&quot; name=&quot;message&quot; id=&quot;message&quot; placeholder=&quot;Message *&quot;&gt;&lt;/textarea&gt;
&lt;/div&gt;
&lt;/div&gt;
&lt;/div&gt;
&lt;div class=&quot;row&quot;&gt;
&lt;div class=&quot;col-md-12&quot;&gt;
&lt;input type=&quot;submit&quot; value=&quot;Send Message&quot; class=&quot;btn btn-primary btn-lg&quot; data-loading-text=&quot;Loading...&quot; /&gt;
&lt;/div&gt;
&lt;/div&gt;
&lt;/div&gt;
&lt;/div&gt;
&lt;div class=&quot;modal fade&quot; id=&quot;form&quot; tabindex=&quot;-1&quot; role=&quot;dialog&quot; aria-labelledby=&quot;defaultModalLabel&quot; aria-hidden=&quot;true&quot;&gt;
&lt;div class=&quot;modal-dialog modal-lg&quot;&gt;
&lt;div class=&quot;modal-content&quot;&gt;
&lt;div class=&quot;modal-header&quot;&gt;
&lt;button type=&quot;button&quot; class=&quot;close&quot; data-dismiss=&quot;modal&quot; aria-hidden=&quot;true&quot;&gt;&amp;times;&lt;/button&gt;
&lt;h4 class=&quot;modal-title&quot; id=&quot;defaultModalLabel&quot;&gt;Forms&lt;/h4&gt;
&lt;/div&gt;
&lt;div class=&quot;modal-body&quot;&gt;
&lt;!-- HTML generated using hilite.me --&gt;
&lt;div style=&quot;background: #ffffff; overflow: auto; width: auto; border-style: solid; border-color: gray; border-image: initial; border-width: 0.1em 0.1em 0.1em 0.8em; padding: 0.2em 0.6em;&quot;&gt;
&lt;table&gt;
&lt;tbody&gt;
&lt;tr&gt;
&lt;td&gt;
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&lt;/td&gt;
&lt;td&gt;
&lt;pre style=&quot;margin: 0px; line-height: 125%;&quot;&gt;&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;div&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;class=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;contact-us&quot;&lt;/span&gt;&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;div&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;class=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;column-wrapper&quot;&lt;/span&gt;&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;div&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;class=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;wrapper-get&quot;&lt;/span&gt;&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;h3&amp;gt;&lt;/span&gt;Get in Touch with Us&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;/h3&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;p&amp;gt;&lt;/span&gt;Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod invidunt ut labore et dolore magna aliquyam erat, sed diam voluptua.&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;/p&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;/div&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;/div&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;div&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;class=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;alert alert-success hidden&quot;&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;id=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;contactSuccess&quot;&lt;/span&gt;&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;strong&amp;gt;&lt;/span&gt;Success!&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;/strong&amp;gt;&lt;/span&gt; Your message has been sent to us.
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;/div&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;div&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;class=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;alert alert-error hidden&quot;&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;id=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;contactError&quot;&lt;/span&gt;&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;strong&amp;gt;&lt;/span&gt;Error!&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;/strong&amp;gt;&lt;/span&gt; There was an error sending your message.
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;/div&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;div&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;class=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;contactForm&quot;&lt;/span&gt;&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;div&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;class=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;row&quot;&lt;/span&gt;&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;div&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;class=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;form-group name&quot;&lt;/span&gt;&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;div&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;class=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;col-md-12 form-name form-icon&quot;&lt;/span&gt;&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;input&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;type=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;text&quot;&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;data-msg-required=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;Please enter your name.&quot;&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;maxlength=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;100&quot;&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;class=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;form-control&quot;&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;name=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;name&quot;&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;id=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;name&quot;&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;placeholder=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;Name&quot;&lt;/span&gt; &lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;/&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;/div&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;/div&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;/div&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;div&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;class=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;row&quot;&lt;/span&gt;&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;div&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;class=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;form-group email&quot;&lt;/span&gt;&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;div&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;class=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;col-md-12 form-email form-icon&quot;&lt;/span&gt;&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;input&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;type=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;email&quot;&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;data-msg-required=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;Please enter your email address.&quot;&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;data-msg-email=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;Please enter a valid email address.&quot;&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;maxlength=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;100&quot;&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;class=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;form-control&quot;&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;name=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;email&quot;&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;id=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;email&quot;&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;placeholder=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;Email *&quot;&lt;/span&gt; &lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;/&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;/div&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;/div&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;/div&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;div&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;class=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;row&quot;&lt;/span&gt;&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;div&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;class=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;form-group message&quot;&lt;/span&gt;&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;div&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;class=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;col-md-12 form-message form-icon&quot;&lt;/span&gt;&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;textarea&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;maxlength=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;5000&quot;&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;data-msg-required=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;Please enter your message.&quot;&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;rows=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;10&quot;&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;class=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;form-control&quot;&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;name=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;message&quot;&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;id=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;message&quot;&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;placeholder=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;Message *&quot;&lt;/span&gt;&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;gt;&amp;lt;/textarea&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;/div&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;/div&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;/div&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;div&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;class=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;row&quot;&lt;/span&gt;&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;div&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;class=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;col-md-12&quot;&lt;/span&gt;&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;input&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;type=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;submit&quot;&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;value=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;Send Message&quot;&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;class=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;btn btn-primary btn-lg&quot;&lt;/span&gt; &lt;span style=&quot;color: #ff0000;&quot;&gt;data-loading-text=&lt;/span&gt;&lt;span style=&quot;color: #0000ff;&quot;&gt;&quot;Loading...&quot;&lt;/span&gt; &lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;/&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;/div&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;/div&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;/div&amp;gt;&lt;/span&gt;
&lt;span style=&quot;font-weight: bold; color: #000080;&quot;&gt;&amp;lt;/div&amp;gt;&lt;/span&gt;
&lt;/pre&gt;
&lt;/td&gt;
&lt;/tr&gt;
&lt;/tbody&gt;
&lt;/table&gt;
&lt;/div&gt;
&lt;/div&gt;
&lt;div class=&quot;modal-footer&quot;&gt; &lt;button type=&quot;button&quot; class=&quot;btn btn-default&quot; data-dismiss=&quot;modal&quot;&gt;Close&lt;/button&gt; &lt;/div&gt;
&lt;/div&gt;
&lt;/div&gt;
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