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            <h1 id="header_1" class="form-header" data-component="header">This Domain Name Is For Sale</h1>
            <div id="subHeader_1" class="form-subHeader">Use this form to make a purchase inquiry.</div>
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            <h2 id="header_3" class="form-header" data-component="header">Instructions</h2>
            <div id="subHeader_3" class="form-subHeader">Complete the below form to make an offer on this domain. Serious inquiries only please. Please allow at least 14 business days for a response. If we accept your offer we will contact you with details on how to complete the purchase using a service like Sedo or Escrow.com. </div>
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        <div id="cid_5" class="form-input-wide jf-required" data-layout="half"> <span class="form-sub-label-container" style="vertical-align:top"><input type="email" id="input_5" name="q5_email" class="form-textbox validate[required, Email]" data-defaultvalue="" autoComplete="section-input_5 email" style="width:310px" size="310" data-component="email" aria-labelledby="label_5 sublabel_input_5" required="" value="" /><label class="form-sub-label" for="input_5" id="sublabel_input_5" style="min-height:13px">example@example.com</label></span> </div>
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      </li>
      <li class="form-line jf-required" data-type="control_textbox" id="id_7"><label class="form-label form-label-top form-label-auto" id="label_7" for="input_7"> Please list the domain name you are interested in purchasing:<span class="form-required" aria-hidden="true">*</span> </label>
        <div id="cid_7" class="form-input-wide jf-required" data-layout="half"> <span class="form-sub-label-container" style="vertical-align:top"><input type="text" id="input_7" name="q7_pleaseList" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" style="width:310px" size="310" data-component="textbox" aria-labelledby="label_7 sublabel_input_7" required="" value="" /><label class="form-sub-label" for="input_7" id="sublabel_input_7" style="min-height:13px">No need to include the www or https.</label></span> </div>
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      <li class="form-line jf-required" data-type="control_textbox" id="id_8"><label class="form-label form-label-top form-label-auto" id="label_8" for="input_8"> List your offer in US dollars:<span class="form-required" aria-hidden="true">*</span> </label>
        <div id="cid_8" class="form-input-wide jf-required" data-layout="half"> <span class="form-sub-label-container" style="vertical-align:top"><input type="text" id="input_8" name="q8_listYour" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" style="width:310px" size="310" data-component="textbox" aria-labelledby="label_8 sublabel_input_8" required="" value="" /><label class="form-sub-label" for="input_8" id="sublabel_input_8" style="min-height:13px">Lowball offers will be ignored.</label></span> </div>
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      <li class="form-line" data-type="control_textbox" id="id_9"><label class="form-label form-label-top form-label-auto" id="label_9" for="input_9"> If you used a domain appraisal service to arrive at the above offer please provide the service you used here: </label>
        <div id="cid_9" class="form-input-wide" data-layout="half"> <input type="text" id="input_9" name="q9_ifYou" data-type="input-textbox" class="form-textbox" data-defaultvalue="" style="width:310px" size="310" data-component="textbox" aria-labelledby="label_9" value="" /> </div>
      </li>
      <li class="form-line" data-type="control_textarea" id="id_10"><label class="form-label form-label-top form-label-auto" id="label_10" for="input_10"> If you have any additional questions or comments you can provide them here: </label>
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      <li class="form-line jf-required" data-type="control_captcha" id="id_11"><label class="form-label form-label-top form-label-auto" id="label_11" for="input_11"> Please verify that you are human by typing the below word in the box:<span class="form-required" aria-hidden="true">*</span> </label>
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