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popup-2.html
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<!doctype html>
<html lang="en-US">
<head>
<meta charset="UTF-8">
<title>Design Aspect</title>
<link rel="stylesheet" href="css/bootstrap.min.css"/>
<link rel="stylesheet" href="css/style-2.css"/>
<link href="http://fonts.googleapis.com/css?family=Open+Sans:300italic,400italic,400,300" rel="stylesheet"
type="text/css">
</head>
<body>
<div class="container">
<div class="col-md-10 col-md-offset-1">
<div class="popup-content green-light-bg">
<div class="col-md-5 text-right">
<div class="leftSide">
<img src="img/journal.png" alt=""/>
</div>
</div>
<div class="col-md-7 noPaddingRight">
<div class="rightSide">
<div class="col-md-12 noPaddingRight">
<div class="notice">
<h1>Sign Up for Our FREE Report:</h1>
<img class="" src="img/arrow-left.png" alt=""/>
</div>
</div>
<div class="col-md-12">
<div class="heading">
<h1 class="text-shadow">7 Smart Tips for Your <br> Child’s First Dental Exam</h1>
</div>
</div>
<div class="col-md-12">
<div class="col-md-12">
<div class="question">
<div class="col-md-12">
<a class="text-shadow" href="">• When to take your child to the dentist?</a>
<a class="text-shadow" href="">• What problems to avoid?</a>
<a class="text-shadow" href="">• How to choose a pediatric dentist?</a>
</div>
</div>
</div>
</div>
<div class="col-md-12 noPaddingLeft">
<div class="download-form">
<form class="form-horizontal" role="form" accept-charset="UTF-8" action="https://demo.infusionsoft.com/app/form/process/f68016da577980de74b59a6f5296ce62" class="infusion-form" method="POST">
<input name="inf_form_xid" type="hidden" value="f68016da577980de74b59a6f5296ce62" />
<input name="inf_form_name" type="hidden" value="PlainTruthAboutBraces Landing Page" />
<input name="infusionsoft_version" type="hidden" value="1.32.0.69" />
<div class="form-group">
<label for="inf_field_FirstName" class="col-sm-3 control-label text-shadow">FIRST NAME:</label>
<div class="col-sm-9">
<input name="inf_field_FirstName" type="text" class="form-control" id="inf_field_FirstName">
</div>
</div>
<div class="form-group">
<label for="inf_field_Email" class="col-sm-3 control-label text-shadow">EMAIL:</label>
<div class="col-sm-9">
<input name="inf_field_Email" type="email" class="form-control" id="inf_field_Email">
</div>
</div>
<div class="form-group relative">
<p class="let_me_into"><a href="#">No thanks, just let me into the site</a></p>
<div class="col-sm-offset-5 col-sm-5">
<button type="submit" name="submit" class="btn btn-default btn-submit btn-block">DOWNLOAD NOW</button>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</body>
</html>