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<!DOCTYPE html>
<html>
<head>
<script src="http://ajax.googleapis.com/ajax/libs/jquery/1/jquery.min.js"></script>
<meta charset=utf-8 />
<title>JS Bin</title>
</head>
<body>
  <input type='text' name='txt_provider_quote_1' placeholder='txt_provider_quote_1'>
  <input type='text' name='txt_provider_quote_2' placeholder='txt_provider_quote_2'>
  <input type='text' name='txt_provider_quote_3' placeholder='txt_provider_quote_3'>
  <input type='text' name='txt_provider_quote_dlg_1'>
  <input type='text' name='txt_provider_quote_dlg_2'>
  <input type='text' name='txt_provider_quote_dlg_3'>
</body>
</html>
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anonymouspro
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