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POST /widgets/api/widgets/leads

<form data-lead-form-tag="true" data-include-selections="false" class="w-form" action="/widgets/api/widgets/leads" accept-charset="UTF-8" method="post"><input name="utf8" type="hidden" value="✓"><input type="hidden" name="authenticity_token"
    value="qSXF3g0Ojys+d7AxG39wdL5v1n89aE/k6oTM4gReToOLg3YBvOvUSVb4NBqVojoY+/5rlDf5p6gScGa78ITP8A=="><input type="hidden" name="lead_form_id" id="lead_form_id" value="24481"><input type="hidden" name="widget_id" id="widget_id" value="1120809"><input
    type="hidden" name="selections" id="selections"><input type="hidden" name="result_id" id="result_id"><input type="hidden" name="started" id="started"><input type="hidden" name="finished" id="finished">
  <div class="w-form__header css-api-lead-form-header">
    <h2 class="w-title w-form__w-title css-api-lead-form-header__title">Remittance Advice_pdf</h2>
    <div class="w-card__spacer_1"></div>
    <figure class="w-media css-api-widget-media w-card__w-media_with-spacing">
      <div data-src="https://opinionstage-res.cloudinary.com/image/upload/c_lfill,dpr_auto,f_auto,fl_lossy,q_auto:good,w_auto/v1/polls/folrwdybllsydzy0w6q9" data-alt="" data-lazy-image="true" data-class="css-api-widget-media__image"
        style="padding-top: 55.64%" class="w-media__responsive-image"><img alt="Image" class="css-api-widget-media__image cld-responsive"
          src="https://opinionstage-res.cloudinary.com/image/upload/c_lfill,dpr_auto,f_auto,fl_lossy,q_auto:good,w_auto/v1/polls/folrwdybllsydzy0w6q9"></div>
    </figure>
  </div>
  <div class="w-form__error-msg" data-lead-error="" data-lead-general-error="">Please fix the errors below and submit again</div>
  <div class="w-form-fields css-api-lead-form-fields">
    <div class="w-form-field w-form__w-form-field css-api-widget-field" data-lead-form-field=""><label class="w-form-field__checkbox-label css-api-lead-form-field__label" for="87361"><input type="checkbox" name="87361" id="87361" value="1"
          class="w-form-field__checkbox css-api-lead-form-field__input--checkbox css-api-lead-form-field__input" data-required="false" data-predefined="false" data-presence-error="Please approve details above before submitting"
          data-lead-form-field-input="true">Invoice no 620</label>
      <div class="w-form-field__error-msg css-api-lead-form-field__err-msg" data-lead-error=""></div>
    </div>
  </div><button name="button" type="submit" class="w-btn w-form__submit-btn css-api-lead-form-btn css-api-lead-form-btn--submit">OPEN FULL PDF HERE OR DOWNLOAD</button>
</form>

Text Content

REMITTANCE ADVICE_PDF



Please fix the errors below and submit again
Invoice no 620

OPEN FULL PDF HERE OR DOWNLOAD
OPEN FULL PDF HERE OR DOWNLOAD

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