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        <form>
          <h5>Your email
            <br>
            <br>
            <input type="email" class="input-medium">
            <p>Tell me what you're looking for</p>
            <textarea></textarea>
            <div class="form-actions">
              <button type="submit" class="btn btn-primary">Submit</button>
              <input type="reset" class="btn" value="Reset"> 
            </div>
          </h5>
        </form>