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Form:

Test Feedback Form 2

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Subject:

Form preview samples

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Email:

over@there.net

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Name:

Wally Widget

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Subscribe:

Yes

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T-Shirt:

20.00

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Green-Widget:

45.86

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Card-Name:

Wally F Widget

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Card-Number:

345353435353

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Card:

Wally Bank

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Total Value:

$65.86

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