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[{"lid":"1712939634227","ls":"10","loff":"","li_type":"sb","li_name":"Subject","li_title":"Subject","li_req":"y","li_variants":"Issue with Recent Payment\nCredit Card Declined\nBilling Discrepancy Inquiry\nChanging Payment Method\nOther","li_selfirstvar":"Please select","li_inputwidth":"1","li_nm":"Subject"},{"lid":"1712939634228","ls":"20","loff":"","li_type":"nm","li_name":"Name","li_title":"Your Name","li_ph":"John Smith","li_req":"y","li_nm":"Name"},{"lid":"1712939884615","ls":"30","loff":"","li_type":"em","li_name":"Email","li_title":"Your Email","li_ph":"johnsmith@gmail.com","li_req":"y","li_nm":"Email"},{"lid":"1712939893333","ls":"40","loff":"","li_type":"ta","li_name":"Message","li_title":"Share the details here...","li_ph":"Request message","li_req":"y","li_rows":"5","li_nm":"Message"},{"lid":"1713960992370","ls":"50","loff":"","li_type":"hd","li_name":"[acceptTerms]","li_value":"1","li_nm":"[acceptTerms]"}]
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