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POST //news.fintech.finance/proc.php

<form action="//news.fintech.finance/proc.php" method="post" id="_form_1103" accept-charset="utf-8" enctype="multipart/form-data">
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  <input type="hidden" name="nlbox[]" value="9">
  <div class="_form">
    <div class="formwrapper">
      <div id="_field332">
        <div id="compile332" class="_field _type_header">
          <div class="_label "> Update your account </div>
        </div>
      </div>
      <div id="_field333">
        <div id="compile333" class="_field _type_input">
          <div class="_label "> Email * </div>
          <div class="_option">
            <input type="email" name="email">
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      <div id="_field334">
        <div id="compile334" class="_field _type_input">
          <div class="_label "> Full Name </div>
          <div class="_option">
            <input type="text" name="fullname">
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      <div id="_field872">
        <div id="compile872" class="_field _type_input">
          <div class="_label "> Company </div>
          <div class="_option">
            <input type="text" name="field[4]" value="">
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      <div id="_field865">
        <div id="compile865" class="_field _type_input">
          <div class="_label "> Job Title </div>
          <div class="_option">
            <input type="text" name="field[3]" value="">
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      <div id="_field867">
        <div id="compile867" class="_field _type_input">
          <div class="_label "> Primary Address Street </div>
          <div class="_option">
            <input type="text" name="field[7]" value="">
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        </div>
      </div>
      <div id="_field866">
        <div id="compile866" class="_field _type_input">
          <div class="_label "> Primary Address Town/City </div>
          <div class="_option">
            <input type="text" name="field[8]" value="">
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        <div id="compile868" class="_field _type_input">
          <div class="_label "> Primary Address County </div>
          <div class="_option">
            <input type="text" name="field[9]" value="">
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      <div id="_field869">
        <div id="compile869" class="_field _type_input">
          <div class="_label "> Primary Address Postcode </div>
          <div class="_option">
            <input type="text" name="field[10]" value="">
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      <div id="_field870">
      </div>
      <div id="_field873">
        <div id="compile873" class="_field _type_checkbox">
          <div class="_label "> Send me a Hard copy of "The Fintech Magazine" in the post </div>
          <div class="_option">
            <input type="hidden" name="field[32][]" value="~|">
            <div>
              <label>
                <input type="checkbox" name="field[32][]" value="Yes"> Yes </label>
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      <div id="_field874">
        <div id="compile874" class="_field _type_checkbox">
          <div class="_label "> Send me a Hard copy of "The Paytech Magazine" in the post </div>
          <div class="_option">
            <input type="hidden" name="field[33][]" value="~|">
            <div>
              <label>
                <input type="checkbox" name="field[33][]" value="Yes"> Yes </label>
            </div>
          </div>
        </div>
      </div>
      <div id="_field875">
        <div id="compile875" class="_field _type_checkbox">
          <div class="_label "> Send me a Hard copy of "The Insurtech Magazine" in the post </div>
          <div class="_option">
            <input type="hidden" name="field[34][]" value="~|">
            <div>
              <label>
                <input type="checkbox" name="field[34][]" value="Yes"> Yes </label>
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          </div>
        </div>
      </div>
      <div id="_field335">
        <div id="compile335" class="_field _type_input">
          <div class="_option">
            <input type="submit" value="Update">
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        </div>
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    </div>
    <div class="preview_part">
      <div id="notice">
        <a href="http://www.activecampaign.com/" title="email marketing" target="_blank">email marketing</a> by activecampaign
      </div>
    </div>
  </div>
</form>

Text Content

Update your account
Email *

Full Name

Company

Job Title

Primary Address Street

Primary Address Town/City

Primary Address County

Primary Address Postcode


Send me a Hard copy of "The Fintech Magazine" in the post
Yes
Send me a Hard copy of "The Paytech Magazine" in the post
Yes
Send me a Hard copy of "The Insurtech Magazine" in the post
Yes

email marketing by activecampaign