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<form action="https://forms.moon-ray.com/v2.4/form_processor.php?" id="moonray_forms_318" method="post" data-captcha="false"> |
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<input type="hidden" name="uid" value="p2c6505f4" /> |
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<input type="hidden" name="contact_id" id="contact_id_318" value="" /> |
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<input type="hidden" name="redirect" value="http://thankyou.moon-ray.com" /> |
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<input type="hidden" name="tags" value="11;X;" /> <!-- Where X is one of {10=SuperSize, 13=Slim FX, 14=Stimulant X, 15=Ultra Reps} --> |
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<!-- for the tags, value="11" is sent with the first email submission, and value="15" is sent when the sharing requirements are met --> |
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<input type="hidden" name="sequence" value="2;" /> <!-- This number will also be dynamic based on which product the choose --> |
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<input type="hidden" name="owner_" value="1" /> |
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<input type="hidden" id="afft_318" name="afft_" value="" /> |
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<input type="hidden" id="aff_318" name="aff_" value="" /> |
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<input type="hidden" id="sess_318" name="sess_" value="" /> |
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<input type="hidden" id="ref_318" name="ref_" value="" /> |
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<input type="hidden" id="own_318" name="own_" value="" /> |
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<input type="text" name="email" value="" /> |
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<input type="text" name="address" value="" /> |
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<input type="text" name="address2" value="" /> |
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<input type="text" name="city" value="" /> |
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<input type="text" name="state" value="" /> |
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<input type="text" name="zip" value="" /> |
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<input type="text" name="SocialShar_213" value="" /> <!-- This is their Unique Social Sharing URL --> |
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<input type="text" name="SocialShar_214" value="" /> <!-- This is their Unique Social Sharing Tracking URL --> |
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<!-- Depending on product use {merge_StimulantX_203, merge_SlimFXSamp_204, merge_SuperSizeS_205, or merge_UltraRepsS_206} and use today's date. --> |
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<input type="text" name="merge_StimulantX_203_1" maxlength="2" size="2" value="mm" /> |
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<input type="text" name="merge_StimulantX_203_2" maxlength="2" size="2" value="dd" /> |
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<input type="text" name="merge_StimulantX_203_3" maxlength="4" size="4" value="yyyy" /> |
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<script type="text/javascript" src="https://forms.moon-ray.com/v2.4/include/minify/?g=moonrayJS"></script> |
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<script type="text/javascript" src="https://forms.moon-ray.com/v2.4/include/scripts/moonrayJS/smartform_loader.js?rand=318"></script> |
