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<!DOCTYPE html>
<html>
<head>
  <meta charset="utf-8">
  <meta name="viewport" content="width=device-width">
  <title>JS Bin</title>
</head>
<body>
<form id="form_26102" class="appnitro" method="post" action="">
    <ul>
        <li id="li_1">
            <label class="description" for="element_1">Name </label>
            <div>
                <input id="element_1" name="name" class="element text medium" type="text" maxlength="255" value="" />
            </div>
        </li>
        <li id="li_2">
            <label class="description" for="element_2">Email </label>
            <div>
                <input id="element_2" name="email" class="element text medium" type="text" maxlength="255" value="" />
            </div>
        </li>
        <li id="li_3">
            <label class="description" for="element_3">Phone </label>
            <div>
                <input id="element_3" name="phone" class="element text medium" type="text" maxlength="255" value="" />
            </div>
        </li>
        <li id="li_4">
            <label class="description" for="element_4">Address </label>
            <div>
                <input id="element_4" name="address" class="element text medium" type="text" maxlength="255" value="" />
            </div>
        </li>
​
        <li class="buttons">
            <input type="hidden" name="form_id" value="26102" />
​
            <input id="saveForm" class="button_text" type="submit" name="submit" value="Submit" />
        </li>
    </ul>
</form>
<script src="https://unpkg.com/form-autofill-js@0.1.4/dist/main.js"></script>
  <script>Autofill.tool()</script>
</body>
</html>
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jhtapro
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