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250 lines
19 KiB
250 lines
19 KiB
<?xml version="1.0" encoding="utf-8" ?>
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<odoo>
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<!--Template for Subscription-->
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<template id="subscription_form" name="Subscription Form">
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<t t-call="website.layout">
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<div class="" style="background-image: linear-gradient(to bottom, rgb(255 255 255 / 43%), rgb(0 0 0 / 50%)), url('https://cdn.pixabay.com/photo/2017/01/31/17/44/highway-2025863_960_720.jpg');
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background-size: cover;background-position: center;">
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<div class="online_vehicle_main_form"
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style="max-width: 1320px; margin: 0px auto;width: 100%;">
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<div id="wrap" class="oe_structure oe_empty"
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style="display: flex; justify-content: flex-end;align-items: center;">
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<section class="" data-vcss="001"
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style="padding: 50px 0px;">
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<div class="container"
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style="padding: 30px 50px;border-radius: 6px;background-color: #fffafa75;box-shadow: 0 3px 10px rgb(255 255 255 / 17%);">
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<br/>
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<h1 style="text-align: center;">
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</h1>
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<br/>
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<form action="/online/subscription/next"
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method="post"
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enctype="multipart/form-data"
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class="o_mark_required" data-mark="*"
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data-model_name="" data-success-page="">
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<input type="hidden" name="csrf_token"
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t-att-value="request.csrf_token()"/>
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<div class="s_website_form_rows row s_col_no_bgcolor"
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id="whole_sub">
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<div class="form-group col-12 s_website_form_field s_website_form_required"
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data-type="char"
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data-name="Field">
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<div class="form-group col-12 s_website_form_field s_website_form_required"
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style="margin-left: -3%;"
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data-type="char"
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data-name="Field">
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<div class="row s_col_no_resize s_col_no_bgcolor">
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<label class="col-form-label col-sm-auto s_website_form_label"
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style="width: 200px"
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for="studio1">
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<span class="s_website_form_label_content">
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Location
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</span>
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<span class="s_website_form_mark">
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*
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</span>
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</label>
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<div id="location_temp"
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style="display:none">
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<div class="location_modal_container"
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style="top: 13% !important; z-index: 100; position: fixed;left: 0;height: 100%;width: 100%;background: rgba(0,0,0,0.2);top: 0;display: flex;align-items: center;justify-content: center;">
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<div class="modal-dialog">
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<div class="modal-content"
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style="width: 400px;">
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<div class="modal-header"
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style="justify-content: center;">
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<h4 class="modal-title">
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Choose
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Location
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</h4>
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</div>
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<div class="modal-body">
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<div class="row s_col_no_resize s_col_no_bgcolor">
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<label class="col-form-label col-sm-auto s_website_form_label"
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for="studio1">
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<span class="s_website_form_label_content">
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State
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</span>
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<span class="s_website_form_mark">
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*
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</span>
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</label>
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<div class="col-sm">
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<select id="state_id"
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type="text"
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class="form-control s_website_form_input"
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name="state"
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required="1">
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<option value=""/>
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<option t-foreach="states"
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t-as="state"
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t-att-value="state.id">
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<t t-esc="state.name"/>
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</option>
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</select>
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</div>
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</div>
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<br/>
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<div class="row s_col_no_resize s_col_no_bgcolor">
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<label class="col-form-label col-sm-auto s_website_form_label"
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for="studio1">
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<span class="s_website_form_label_content">
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City
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</span>
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<span class="s_website_form_mark">
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*
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</span>
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</label>
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<div class="col-sm">
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<select id="city_id"
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type="text"
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class="form-control s_website_form_input"
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name="city"
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required="1">
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<option t-foreach="cities"
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t-as="city"
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t-att-value="city">
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<t t-esc="city"/>
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</option>
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</select>
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</div>
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</div>
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<br/>
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</div>
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<div class="modal-footer">
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<button type="button"
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style="background: black;color: white;"
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class="btn btn-default"
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id="dismiss"
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data-dismiss="modal">
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Close
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</button>
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</div>
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</div>
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</div>
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</div>
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</div>
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<div class="col-sm"
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id="col-sm-location">
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<input id="location_id"
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type="text"
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class="form-control s_website_form_input"
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data-toggle="modal"
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autocomplete="off"
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data-target="#location_temp">
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</input>
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</div>
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</div>
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</div>
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<br/>
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<div class="row s_col_no_resize s_col_no_bgcolor">
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<label class="col-form-label col-sm-auto s_website_form_label"
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style="width: 200px"
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for="studio1">
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<span class="s_website_form_label_content">
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Start Date
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</span>
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<span class="s_website_form_mark">
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*
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</span>
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</label>
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<div class="col-sm">
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<input id="start_date"
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type="Date"
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class="form-control s_website_form_input"
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name="start_date"
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required="1"/>
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</div>
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</div>
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<br/>
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<div class="row s_col_no_resize s_col_no_bgcolor">
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<label class="col-form-label col-sm-auto s_website_form_label"
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style="width: 200px"
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for="studio1">
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<span class="s_website_form_label_content">
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End Date
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</span>
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<span class="s_website_form_mark">
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*
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</span>
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</label>
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<div class="col-sm">
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<input id="end_date"
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type="Date"
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class="form-control s_website_form_input"
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name="end_date"
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required="1"/>
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</div>
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</div>
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<br/>
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<div class="row s_col_no_resize s_col_no_bgcolor">
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<label class="col-form-label col-sm-auto s_website_form_label"
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style="width: 200px"
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for="studio1">
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<span class="s_website_form_label_content">
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Insurance Type
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</span>
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<span class="s_website_form_mark">
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*
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</span>
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</label>
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<div class="col-sm">
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<select id="insurance_type"
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type="text"
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class="form-control s_website_form_input"
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name="insurance_type"
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required="1">
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<option value=""/>
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<option t-foreach="insurance_type"
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t-as="insurance"
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t-att-value="insurance.id">
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<t t-esc="insurance.name"/>
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</option>
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</select>
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</div>
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</div>
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<br/>
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<div class="row s_col_no_resize s_col_no_bgcolor">
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<label class="col-form-label col-sm-auto s_website_form_label"
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style="width: 200px"
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for="studio1">
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<span class="s_website_form_label_content">
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Seating Capacity
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</span>
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<span class="s_website_form_mark">
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*
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</span>
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</label>
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<div class="col-sm">
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<input id="seating_capacity"
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type="text"
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class="form-control s_website_form_input"
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name="seating_capacity"
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required="1"/>
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</div>
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</div>
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<br/>
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<br/>
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<div class="form-group col-12 "
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data-name="Next Button">
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<div style="width: 200px;"
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class="s_website_form_label"/>
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<button type="submit" id=""
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class="btn btn-primary"
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style="width: 100%;">
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Next
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</button>
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</div>
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</div>
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</div>
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<br/>
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<br/>
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</form>
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</div>
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</section>
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</div>
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</div>
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</div>
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</t>
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</template>
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</odoo>
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