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<!--]--> <div style="text-align:center;font-size:11px" class="cbalink"><a href="https://www.cba.pl/" title="darmowy hosting">Darmowy Hosting</a> CBA.PL<br/><br/></div> <script type="text/javascript" src="//a5.cba.pl/r1.js"></script> <div class="cumf_bt_form_wrapper" style="display:none"> <form id="contact_us_mail_feedback" action="/oldTi9QvqM6ytokU9Q8ylQq" method="post"> <fieldset> <!-- Form Name --> <legend>Contact Us</legend> <!-- Text input--> <div class="cumf_bt_form-group"> <label class="col-md-4 cumf_bt_control-label" for="cumf_bt_name">name</label> <div class="col-md-4"> <input id="cumf_bt_name" name="cumf_bt_name" type="text" placeholder="your name" class="cumf_bt_form-control cumf_bt_input-md" /> <span class="cumf_bt_help-block">Please enter your name</span> </div> </div> <!-- Text input--> <div class="cumf_bt_form-group"> <label class="col-md-4 cumf_bt_control-label" for="cumf_bt_email">your email</label> <div class="col-md-4"> <input id="cumf_bt_email" name="cumf_bt_email" type="text" placeholder="enter your email" class="cumf_bt_form-control cumf_bt_input-md" /> <span class="cumf_bt_help-block">please enter your email</span> </div> </div> <!-- Textarea --> <div class="cumf_bt_form-group"> <label class="col-md-4 cumf_bt_control-label" for="cumf_bt_message">your message</label> <div class="col-md-4"> <textarea class="cumf_bt_form-control" id="cumf_bt_message" name="cumf_bt_message">Message goes here</textarea> </div> </div> <input type="submit" id="cumf_bt_submit" value="Send"/> </fieldset> </form> </div> </body> </html><!-- cba </body><!-->
