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<!DOCTYPE html>
<html>
<head>
  <meta charset="utf-8">
  <title>JS Bin</title>
</head>
<body>
      <form name="Sum">
        <div class="bloc">
          <p>1<input type="checkbox" value="16"></p>
          <p>2<input type="checkbox" value="32"></p>
          <p>3<input type="checkbox" value="128"></p>
          <p>4<input type="checkbox" value="1024"></p>
        </div>
<div class="seting"><!--скрыть-->
  <span id="rezultat">0b </span>
  <p id="total">200b</p>
</div>
<p>Ваше имя</p><input type="text" placeholder="Имя">
<p>Ваш телефон</p><input type="tel" placeholder="8 921 000 00 00">
<p>Ваша почта</p><input type="mail" placeholder="mail@jj.ru">
<button> отпр.</button>
</form>
</div>
</body>
</html>
Output

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