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<form class="custom">
<div class="row">
<div class="large-6 columns">
<div class="row collapse">
<div class="large-9 small-9 columns">
<span class="prefix">mysubdomain</span>
</div>
<div class="large-3 small-3 columns">
<select>
<option>.com</option>
<option>.co</option>
<option>.ca</option>
</select>
</div>
</div>
</div>
<div class="large-6 columns">
<div class="row collapse">
<div class="large-10 small-10 columns">
<select>
<option>google</option>
<option>yahoo</option>
<option>bing</option>
</select>
</div>
<div class="large-2 small-2 columns">
<span class="postfix">.com</span>
</div>
</div>
</div>
</div>
<div class="row collapse">
<div class="small-8 columns">
<select>
<option>google</option>
<option>yahoo</option>
<option>bing</option>
</select>
</div>
<div class="small-4 columns">
<a href="#" class="button postfix">Button</a>
</div>
</div>
</form>
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