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                <form action="" method="POST" id="ss-form" target="_self" onsubmit=""><ol role="list" class="ss-question-list" style="padding-left: 0">
<div class="ss-form-question errorbox-good" role="listitem">
<div dir="auto" class="ss-item  ss-text"><div class="ss-form-entry">
<label class="ss-q-item-label" for="entry_1078458195"><div class="ss-q-title">What is your name?
<div class="ss-q-help ss-secondary-text" dir="auto">Please enter your name below:</div></label>
<input type="text" name="entry.1078458195" value="" class="ss-q-short" id="entry_1078458195 my-name" dir="auto" aria-label="What is your name? Please enter your name below: " title="">
<div class="error-message" id="452512727_errorMessage"></div>
</div></div></div> <div class="ss-form-question errorbox-good" role="listitem">
<div dir="auto" class="ss-item  ss-text"><div class="ss-form-entry">
<input type="hidden" name="entry.958160926" value="something fishy" class="ss-q-short" id="entry_958160926" dir="auto" aria-label="Will it show? We will see! " title="">
<div class="error-message" id="1463992858_errorMessage"></div>
<input type="hidden" name="draftResponse" value="[,,&quot;7455317985634558711&quot;]
<input type="hidden" name="pageHistory" value="0">

<input type="hidden" name="fvv" value="0">

<input type="hidden" name="fbzx" value="7455317985634558711">

<div class="ss-item ss-navigate"><table id="navigation-table"><tbody><tr><td class="ss-form-entry goog-inline-block" id="navigation-buttons" dir="ltr">
<input type="submit" name="submit" value="Sign Me Up!" id="ss-submit" class="jfk-button jfk-button-action "></td>


                html, body {
  margin: 0;
  padding: 0;

input {
  height: 40px;
  width: 350px;
  border-radius: 0.5rem;

#ss-submit {
    display: block;
  width: 240px;
  box-sizing: border-box;
  margin: 0.5rem auto;
  padding: 0.75rem;
  font-size: 1rem;
  text-align: center;
  text-transform: uppercase;
  color: white;
  border: none;
  background: #99154e;
  border-radius: 0.5rem;
  box-shadow: 0 0.25rem #6c0f37;
  outline: none;
  -webkit-user-select: none;
     -moz-user-select: none;
      -ms-user-select: none;
          user-select: none;
  cursor: pointer;



                //<iframe src="" width="760" height="500" frameborder="0" marginheight="0" marginwidth="0">Loading...</iframe>