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value="YTowOnt9712a566bd8fabaf5c78931c8c8336e17cde0850c" /> <input type="hidden" name="tx_srhforms_contactform[__referrer][@request]" value="{"@extension":"SrhForms","@controller":"ContactForm","@action":"show"}289847e5744ca9ec3656ad707a3654ef3a67f1f7" /> <input type="hidden" name="tx_srhforms_contactform[__trustedProperties]" value="{"form":{"salutation":1,"firstname":1,"lastname":1,"email":1,"areacode":1,"phone":1,"message":1,"fax":1,"newsletter":1,"terms":1,"captcha":1}}f59b4fb70044c5e949fd24d913921abef2138b30" /> </div> <div class="b_form__section"> <div class="b_form__element bJS_form__element"> <div class="b_form-group b_form-group--inline"> <p class="b_label"> <span class="b_label__text"> Title </span> </p> <div class="b_form-group__items"> <div class="b_radio"> <label class="b_checkbox__label"> <input class="b_radio__input bJS_radio__input" id="srh-contact-form-salutation-mrs" type="radio" name="tx_srhforms_contactform[form][salutation]" value="w" /> <div 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class="b_textinput__input bJS_textinput__input" id="srh-contact-form-firstname" type="text" name="tx_srhforms_contactform[form][firstname]" value="" required="required" /> <label class="b_label" for="srh-contact-form-firstname"> <span class="b_label__text"> First name </span> </label> </div> </div> </div> <div class="b_form__element bJS_form__element b_form__element--form-space-small"> <div class="b_textinput bJS_textinput"> <div class="b_textinput__field"> <input autocomplete="family-name" class="b_textinput__input bJS_textinput__input" id="srh-contact-form-lastname" type="text" name="tx_srhforms_contactform[form][lastname]" value="" required="required" /> <label class="b_label" for="srh-contact-form-lastname"> <span class="b_label__text"> Last name </span> </label> </div> </div> </div> <div class="b_form__element bJS_form__element b_form__element--form-space-small"> <div class="b_textinput bJS_textinput"> <div class="b_textinput__field"> <input autocomplete="email" 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