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Submitted URL: https://secure.winred.com/mohan-for-us-congress/
Effective URL: https://secure.winred.com/mohan-for-us-congress/donate
Submission: On May 10 via manual from US — Scanned from US
Effective URL: https://secure.winred.com/mohan-for-us-congress/donate
Submission: On May 10 via manual from US — Scanned from US
Form analysis
3 forms found in the DOMPOST https://secure.winred.com/mohan-for-us-congress/donate
<form id="new_conduit" data-toggle="validate" data-animation="false" data-without-card="true" action="https://secure.winred.com/mohan-for-us-congress/donate" accept-charset="UTF-8" method="post" novalidate="novalidate">
<input name="utf8" type="hidden" value="✓"><input type="hidden" name="authenticity_token" value="/nt5J43iqJUGI4vqse3RKSmPwX7X5y1VGYguvtddnw8C7hUfKM+tzTTWaz68LjImrDYo4jHnqUyFRyS3rjzbuw==">
<div id="error_explanation" data-gtm-vis-polling-id2410129_252="42">
<ul class="rv-error-text"></ul>
</div>
<input class="stripe-card-token-field" type="hidden" value="" name="conduit[stripe_card_token]" id="conduit_stripe_card_token">
<input data-name="["source_code","sc"]" type="hidden" value="" name="conduit[source_code]" id="conduit_source_code">
<input value="https://secure.winred.com/mohan-for-us-congress/donate" type="hidden" name="conduit[source_url]" id="conduit_source_url">
<input value="" type="hidden" name="conduit[referer]" id="conduit_referer">
<input type="hidden" name="conduit[from_payment_request_button]" id="conduit_from_payment_request_button">
<input value="false" class="donor-blocked" type="hidden" name="conduit[blocked]" id="conduit_blocked">
<input type="hidden" value="" name="conduit[payment_request_type]" id="conduit_payment_request_type">
<input type="hidden" value="rv_ch_01hxhastntst20dtsge9k3y9ne" name="conduit[charge_revv_uid]" id="conduit_charge_revv_uid">
<input value="none" class="campaign-segment" type="hidden" name="conduit[campaign_segment]" id="conduit_campaign_segment">
<input value="none" class="campaign-segment-control-group" type="hidden" name="conduit[campaign_segment_control_group]" id="conduit_campaign_segment_control_group">
<input value="false" class="temporary-profiling-input" type="hidden" name="conduit[temporary_profile]" id="conduit_temporary_profile">
<input value="false" class="qualifies-for-merchandise" type="hidden" name="conduit[qualifies_for_merchandise]" id="conduit_qualifies_for_merchandise">
<input value="personal" class="contributor-type" type="hidden" name="conduit[contributor_type]" id="conduit_contributor_type">
<div class="tab-content">
<ul class="nav nav-tabs multistep-nav hidden-xs-up" role="tablist">
<li class="nav-item"><a class="nav-link" href="#donation" data-toggle="tab" role="tab">Donation</a></li>
</ul>
<div class="tab-pane show active" id="donation">
<div class="temporary-profiling-box rv-pf-10 rv-mb-5 d-none">
<div class="d-flex flex-column justify-content-center align-items-center">
<div class="rv-text welcome-donor rv-tac d-flex flex-row"> Welcome back <div class="welcome-donor-name"></div>
</div>
<div class="rv-fs-14 rv-tac"> No need to fill out your donor information again. Just fill out your payment information and donate with one more click. </div>
</div>
</div>
<div class="landing-page-amounts">
<div data-cookie-expiration="0" id="exit-intent-popup">
<div class="popup_header_copy"> Wait, before you go... </div>
<div class="popup_body_copy">
<div class="popup_image">
<img class="popup-image" alt="Wait, before you go..." loading="lazy" src="https://d35ligi1n5bgzc.cloudfront.net/widget_images/images/000/869/228/medium/Exit_Widget_-_WINRED_%283%29.png" width="800" height="800">
</div>
</div>
<div class="popup_button_copy"> Complete My Donation </div>
</div>
<div class="rv-amount-button-animation" data-color="#044cac" data-delay="0" data-duration="" data-position="4" data-repeat-after="0" data-repeat="1" data-style="bounce"></div>
<style>
.animated-override-button,
div.color-button.btn[data-name="amt4"]:not(.selected) {
background-color: #044cac
}
.animated-override-button:hover,
.animated-override-button:active,
.animated-override-button:focus,
div.color-button.btn[data-name="amt4"]:hover,
div.color-button.btn[data-name="amt4"]:active,
div.color-button.btn[data-name="amt4"]:focus {
filter: brightness(95%);
}
</style>
<a class="btn btn-submit btn-facebook btn-submit--invalid" target="_blank" href="https://facebook.com/mohanforuscongress">Like us on Facebook</a>
<a class="btn btn-submit btn-twitter btn-submit--invalid" target="_blank" href="https://twitter.com/MohanUSCongress">Follow us on Twitter</a>
<div class="rv-confetti-animation" data-animation-style="confetti" data-color="" data-emoji="/assets/emojis/100-d07eb176d872d4fb51cd3deb22cc4be5fcde4b471ba245415feed45c596fed4f.png" data-shape="" data-trigger-element=".btn.amount-1"
data-use-emoji="0"></div>
<div class="landing-page-amounts-options">
<div class="invisible" data-value="6600.00" id="max-contribution"></div>
<div class="invisible" data-value="9999.00" id="confirmation_dialog_contribution"></div>
<div class="conduit-amounts">
<input class="conduit-amount-value" id="donation_amount" required="required" type="hidden" name="conduit[amount]" aria-required="true"><input value="0" placeholder="Amount" required="required" type="hidden" name="conduit[url_amount]"
id="conduit_url_amount" aria-required="true">
<div class="row">
<div class="amount-no-desc">
<div class="btn conduit-amount-option amount-1" data-amount="25" data-name="amt1" data-url-ignore="false">$25</div>
</div>
<div class="amount-no-desc">
<div class="btn conduit-amount-option amount-2" data-amount="50" data-name="amt2" data-url-ignore="false">$50</div>
</div>
<div class="amount-no-desc">
<div class="btn conduit-amount-option amount-3" data-amount="100" data-name="amt3" data-url-ignore="false">$100</div>
</div>
<div class="amount-no-desc">
<div class="btn conduit-amount-option amount-4 color-button animate__animated animate__bounce animate__infinite" data-amount="250" data-name="amt4" data-url-ignore="false">$250</div>
</div>
<div class="amount-no-desc">
<div class="btn conduit-amount-option amount-5" data-amount="500" data-name="amt5" data-url-ignore="false">$500</div>
</div>
<div class="amount-no-desc">
<div class="btn conduit-amount-option amount-6" data-amount="1000" data-name="amt6" data-url-ignore="false">$1,000</div>
</div>
<div class="amount-no-desc">
<div class="btn conduit-amount-option amount-7" data-amount="3300" data-name="amt7" data-url-ignore="false">$3,300</div>
</div>
<div class="amount-no-desc">
<div class="btn conduit-amount-option amount-8" data-amount="6600" data-name="amt8" data-url-ignore="false">$6,600</div>
</div>
<div class="amount-no-desc">
<div class="btn amount-option other-amount-button hidden-xs-up"></div>
<div class="field-group other-amount-field-group">
<div class="float-label"><label for="notASearchField" class="placeholder input">Other</label><input type="text" name="notASearchField" id="notASearchField" placeholder="Other" autocomplete="false" inputmode="decimal"
class="form-control full-field other-conduit-amount-field" min="1" max="999999.99" data-name="other_amount"></div>
</div>
</div>
</div>
</div>
<div class="row conduit-candidate-callout">
<div class="rv-mb-1">Your contribution will benefit Mohan For US Congress.</div>
</div>
<div class="conduit-candidates" data-split-evenly="true">
<div class="row d-none" id="conduit-candidate-index">
<div class="col-12 conduit-candidate mb-3" data-org-revv-uid="rv_org_01hqbryp9n56kw6gr2v0d08k4c">
<div class="conduit-candidate-profile conduit-col-1 mr-2"><img class="show-icon" src="https://d35ligi1n5bgzc.cloudfront.net/profiles/images/000/869/000/square/200x200_winred_profile_picture.png"></div>
<div class="conduit-candidate-amount conduit-col-3 ml-2">
<div class="field-group d-flex flex-row">
<span class="field-group-currency">$</span><input inputmode="decimal" class="form-control conduit-candidate-amount-field no-float-label" step="any" min="0" max="6600.00" id="candidate1-amount" data-name="candidate1"
data-default-percentage="1.0" data-maximum-contribution-cents="660000" type="number" name="conduit[candidates][553794083][amount]" maxed="false"><input value="rv_conduit_candidate_01hqbryvt6rr2tg88kk3b3w35p"
class="conduit-candidate-id-hidden" type="hidden" name="conduit[candidates][553794083][candidate_id]" id="conduit_candidates_553794083_candidate_id"><input value="Mohan For US Congress" class="conduit-candidate-name-hidden"
type="hidden" name="conduit[candidates][553794083][candidate_name]" id="conduit_candidates_553794083_candidate_name">
</div>
</div>
<div class="conduit-candidate-name-description ml-3 conduit-col-2">
<div class="conduit-candidate-name">Mohan For US Congress</div>
<div class="conduit-candidate-description">NJ-3</div>
</div>
<div class="blocked-donor-message"></div>
</div>
</div>
</div>
</div>
<div class="landing-page-cover-fees-button">
<div class="row">
<div class="col-md-12 rv-mb-12"><label class="btn btn-cover-fees" style="" data="background-color: #F8FF00 !important; color: black !important;" for="conduit_donor_cover_fees"><input name="conduit[donor_cover_fees]" type="hidden"
value="0"><input data-name="cover_fees" type="checkbox" value="1" name="conduit[donor_cover_fees]" id="conduit_donor_cover_fees"><span class="donor-cover-fees-callout">I would like to cover the processing fee so 100% of my donation
goes to Mohan For US Congress</span></label></div>
</div>
</div>
<div class="landing-page-recurring-button">
<div class="recurring-donation row">
<div class="col-md-12"><label class="btn btn-recurring" style="" data="background-color: #F8FF00 !important;color: black !important;" for="conduit_subscribed"><input name="conduit[subscribed]" type="hidden" value="0"><input
data-name="recurring" data-interval="month" data-humanized-interval="Monthly" type="checkbox" value="1" name="conduit[subscribed]" id="conduit_subscribed">Make this a monthly recurring donation</label></div>
</div>
</div>
<div class="single-candidate-donor-blocked-error"></div>
</div>
<div class="landing-page-details landing-page-personal-details">
<div class="row">
<div class="col-sm-12">
<div class="help-text personal"> Enter your contact information: </div>
</div>
</div>
<div class="row">
<div class="col-sm-12">
<div class="field-group profile-form">
<div class="full-name d-flex flex-row split">
<div class="first-name">
<div class="float-label"><label for="conduit_first_name" class="placeholder required input" aria-required="true">First name*</label><input placeholder="First name*" class="form-control no-lowercase" required="required"
data-name="["firstname","first_name"]" data-personal-first-name="First name*" data-business-first-name="Business Contact First Name*" data-pac-first-name="PAC Representative First Name*" type="text" value=""
name="conduit[first_name]" id="conduit_first_name" aria-required="true"></div>
</div>
<div class="last-name float-label-right">
<div class="float-label"><label for="conduit_last_name" class="placeholder required input" aria-required="true">Last name*</label><input placeholder="Last name*" class="form-control no-lowercase divider" required="required"
data-name="["lastname","last_name"]" data-personal-last-name="Last name*" data-business-last-name="Business Contact Last Name*" data-pac-last-name="PAC Representative Last Name*" type="text" value=""
name="conduit[last_name]" id="conduit_last_name" aria-required="true"></div>
</div>
</div>
<div class="email">
<div class="float-label"><label for="conduit_email" class="placeholder required input" aria-required="true">Email*</label><input placeholder="Email*"
class="form-control no-lowercase top-field abandoned-cart-trigger email-donor-check-trigger" required="required" data-name="email" data-email-required="true" data-personal-email="Email*"
data-optional-personal-email="Email (optional)" data-business-email="Business Contact Email*" data-optional-business-email="Business Contact Email (optional)" data-pac-email="PAC Representative Email*"
data-optional-pac-email="PAC Representative Email (optional)" type="email" value="" name="conduit[email]" id="conduit_email" aria-required="true"></div>
</div>
<div class="home-address row">
<div class="col-md-12">
<div class="address-zip d-flex flex-row">
<div class="address">
<div class="float-label"><label for="conduit_address" class="placeholder required input" aria-required="true">Address*</label><input placeholder="Address*" class="form-control no-lowercase autocomplete" required="required"
data-name="address" data-prefix="" data-object-name="conduit" data-personal-address="Address*" data-business-address="Business Address*" data-pac-address="PAC Address*" type="text" value="" name="conduit[address]"
id="conduit_address" aria-required="true"></div>
</div>
<div class="zip float-label-right">
<div class="float-label"><label for="conduit_zip" class="placeholder required input" aria-required="true">Zip*</label><input placeholder="Zip*" class="form-control divider zip-mask" required="required" data-name="zip"
inputmode="numeric" pattern="[0-9]*" type="number" value="" name="conduit[zip]" id="conduit_zip" aria-required="true"></div>
</div>
</div>
<div class="city-state d-flex flex-row">
<div class="city">
<div class="float-label"><label for="conduit_city" class="placeholder required input" aria-required="true">City*</label><input placeholder="City*" class="form-control bottom-field" required="required" data-name="city"
type="text" value="" name="conduit[city]" id="conduit_city" aria-required="true"></div>
</div>
<div class="state divider">
<select placeholder="State*" class="state-selector form-control" required="required" data-name="state" name="conduit[state]" id="conduit_state" aria-required="true">
<option value="">State*</option>
<option value="AK">AK</option>
<option value="AL">AL</option>
<option value="AZ">AZ</option>
<option value="AR">AR</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DC">DC</option>
<option value="DE">DE</option>
<option value="FL">FL</option>
<option value="GA">GA</option>
<option value="HI">HI</option>
<option value="ID">ID</option>
<option value="IL">IL</option>
<option value="IN">IN</option>
<option value="IA">IA</option>
<option value="KS">KS</option>
<option value="KY">KY</option>
<option value="LA">LA</option>
<option value="ME">ME</option>
<option value="MD">MD</option>
<option value="MA">MA</option>
<option value="MI">MI</option>
<option value="MN">MN</option>
<option value="MS">MS</option>
<option value="MO">MO</option>
<option value="MT">MT</option>
<option value="NE">NE</option>
<option value="NV">NV</option>
<option value="NH">NH</option>
<option value="NJ">NJ</option>
<option value="NM">NM</option>
<option value="NY">NY</option>
<option value="NC">NC</option>
<option value="ND">ND</option>
<option value="OH">OH</option>
<option value="OK">OK</option>
<option value="OR">OR</option>
<option value="PA">PA</option>
<option value="RI">RI</option>
<option value="SC">SC</option>
<option value="SD">SD</option>
<option value="TN">TN</option>
<option value="TX">TX</option>
<option value="UT">UT</option>
<option value="VT">VT</option>
<option value="VA">VA</option>
<option value="WA">WA</option>
<option value="WV">WV</option>
<option value="WI">WI</option>
<option value="WY">WY</option>
<option value="AS">AS</option>
<option value="GU">GU</option>
<option value="MP">MP</option>
<option value="PR">PR</option>
<option value="VI">VI</option>
<option value="AA">AA</option>
<option value="AE">AE</option>
<option value="AP">AP</option>
</select>
</div>
</div>
</div>
</div>
<div class="phone-line">
<div class="float-label"><label for="conduit_mobile_number" class="placeholder required input" aria-required="true">Mobile*</label><input data-name="mobile" inputmode="numeric" placeholder="Mobile*" required="required"
class="form-control bottom-field phone-mask abandoned-cart-trigger" type="text" name="conduit[mobile_number]" id="conduit_mobile_number" aria-required="true"></div>
</div>
</div>
<div class="mobile-opt-in">
<label class="btn btn-checkbox btn-mobile-optin" for="conduit_sms_enabled"><input name="conduit[sms_enabled]" disabled="" type="hidden" value="0"><input disabled="" data-name="m_optin" type="checkbox" value="1"
name="conduit[sms_enabled]" id="conduit_sms_enabled"> I would like to receive text message updates. </label>
</div>
<div class="help-text personal pac business sms-disclaimer">
</div>
</div>
</div>
</div>
<div class="landing-page-details landing-page-employment-details">
<div class="row">
<div class="col-sm-12">
<div class="employment-details row" id="employment-details">
<div class="col-md-12">
<div class="row">
<div class="col-md-12">
<div class="help-text"> Campaign finance law requires us to collect your employment information. </div>
</div>
</div>
<div class="row">
<div class="col-md-12">
<div class="auto-fill">
<label class="btn btn-employment" data-toggle="autofill" data-parent="#employment-details" data-target="input[type=text], input[type=number], input[type=textarea], select" data-value="retired" for="conduit_not_employed"><input
name="conduit[not_employed]" type="hidden" value="0"><input value="1" type="checkbox" name="conduit[not_employed]" id="conduit_not_employed"> I'm retired. </label>
</div>
</div>
</div>
<div class="row">
<div class="col-md-12">
<div class="field-group employment-form">
<div class="d-flex flex-row">
<div class="employer flex-fill">
<div class="float-label"><label for="conduit_employer_name" class="placeholder required input" aria-required="true">Employer*</label><input placeholder="Employer*" class="form-control full-field" required="required"
data-name="employer_name" type="text" value="" name="conduit[employer_name]" id="conduit_employer_name" aria-required="true"></div>
</div>
<div class="occupation float-label-right flex-fill">
<div class="float-label"><label for="conduit_occupation" class="placeholder required input" aria-required="true">Occupation*</label><input placeholder="Occupation*" class="form-control full-field divider" required="required"
data-name="occupation" type="text" value="" name="conduit[occupation]" id="conduit_occupation" aria-required="true"></div>
</div>
</div>
<div class="address-zip d-flex flex-row">
</div>
<div class="city-state d-flex flex-row">
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="landing-page-details landing-page-payment-details">
<div class="row">
<div class="col-md-12">
<div class="help-text"> Enter your payment details: </div>
<div class="field-group payment-details">
<div class="credit-card form-control full-field">
<div id="card-element" class="inspectlet-sensitive StripeElement--empty">
<div class="__PrivateStripeElement"
style="margin: 0px !important; padding: 0px !important; border: none !important; display: block !important; background: transparent !important; position: relative !important; opacity: 1 !important; --stripeElementWidth: 332px;">
<iframe name="__privateStripeFrame7653" frameborder="0" allowtransparency="true" scrolling="no" role="presentation" allow="payment *"
src="https://js.stripe.com/v3/elements-inner-card-f7017a1d02488c97e6c6d7025aebea82.html#locale=en&wait=false&mids[guid]=NA&mids[muid]=NA&mids[sid]=NA&style[base][iconColor]=%23697A8B&style[base][color]=%23354B70&style[base][lineHeight]=24px&style[base][fontFamily]=%22Helvetica+Neue%22%2C+Helvetica%2C+sans-serif&style[base][fontSmoothing]=antialiased&style[base][fontSize]=15px&style[base][fontWeight]=600&style[base][::placeholder][color]=%23697A8B&style[invalid][color]=%23ff4d55&style[invalid][::placeholder][color]=%23ff4d55&style[invalid][iconColor]=%23ff4d55&rtl=false&componentName=card&keyMode=live&apiKey=pk_live_JzNU2ovfdQBD0CxSZHjPm5Lv&referrer=https%3A%2F%2Fsecure.winred.com%2Fmohan-for-us-congress%2Fdonate&controllerId=__privateStripeController7651"
title="Secure card payment input frame"
style="border: 0px !important; margin-top: 0px; margin-right: 0px !important; margin-bottom: 0px !important; margin-left: 0px !important; padding: 0px !important; width: 1px !important; min-width: 100% !important; overflow: hidden !important; display: block !important; user-select: none !important; transform: translate(0px) !important; color-scheme: light only !important; height: 24px;"></iframe><input
class="__PrivateStripeElement-input" aria-hidden="true" aria-label=" " autocomplete="false" maxlength="1"
style="border: none !important; display: block !important; position: absolute !important; height: 1px !important; top: -1px !important; left: 0px !important; padding: 0px !important; margin: 0px !important; width: 100% !important; opacity: 0 !important; background: transparent !important; pointer-events: none !important; font-size: 16px !important;">
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<input data-name="bundler_id" type="hidden" name="conduit[bundler_id]" id="conduit_bundler_id">
<div class="landing-page-details landing-page-password-details">
<div class="row">
<div class="col-md-12">
<div class="collapse" id="about-your-account">
<div class="row">
<div class="about-your-account-logo-col">
<div class="about-your-account-logo-wrapper">
<img class="about-your-account-logo" title="WinRed" src="/assets/win-red-mark-small-24c5e97a925e2a929cae4a87ecdfcdf27f56974fd8172bdd34af91145aebca91.png">
</div>
</div>
<div class="col">
<div class="about-your-account-text-wrapper">
<div class="help-text">
<strong> Create an Account </strong>
<button aria-label="Close" class="close about-your-account-close" data-target="#about-your-account" data-toggle="collapse" type="button">
<span aria-hidden="true">×</span>
</button>
<br>Save your info to make paying easier.<br>View your donation history.<br>It's free and secure.
</div>
</div>
</div>
</div>
</div>
<div class="help-text"> Enter a password to create <a data-toggle="collapse" data-target="#about-your-account" href="#">an account</a> (optional): </div>
<div class="field-group password-details">
<div class="float-label"><label for="conduit_password" class="placeholder input">Set Password (Min. 8 characters)</label><input placeholder="Set Password (Min. 8 characters)" class="form-control full-field" type="password"
name="conduit[password]" id="conduit_password"></div>
</div>
</div>
</div>
</div>
<div class="landing-page-details landing-page-submit-button">
<div class="row">
<div class="col-md-12">
<input type="submit" name="commit" value="Donate" class="btn btn-submit btn-submit--invalid" id="donate-btn" data-disable-with="Donate">
</div>
</div>
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<div class="rv-fs-14 rv-mt-15 rv-tac d-none welcome-donor-reset-box">
<a class="welcome-donor-reset" href="#" onclick="App.resetForm();">Reset form</a>
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</form>
POST /api/v3/login
<form data-toggle="validate" data-name="user-login" action="/api/v3/login" accept-charset="UTF-8" method="post" novalidate="novalidate">
<input name="utf8" type="hidden" value="✓"><input type="hidden" name="authenticity_token" value="/nt5J43iqJUGI4vqse3RKSmPwX7X5y1VGYguvtddnw8C7hUfKM+tzTTWaz68LjImrDYo4jHnqUyFRyS3rjzbuw=="><input
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<div class="help-text">Log into your account by entering your email and password:</div>
<div class="field-group login-form">
<input value="true" type="hidden" name="user[redirect]" id="user_redirect">
<div class="email">
<div class="float-label"><label for="user_login_email" class="placeholder required input" aria-required="true">Email*</label><input placeholder="Email*" class="form-control top-field" required="required" id="user_login_email" type="email"
name="user[email]" aria-required="true"></div>
</div>
<div class="password">
<div class="float-label"><label for="user_password" class="placeholder required input" aria-required="true">Password</label><input placeholder="Password" class="form-control bottom-field" required="required" type="password"
name="user[password]" id="user_password" aria-required="true"></div>
</div>
</div>
<div class="btn-forgot-password">
<a data-toggle="wizard" data-target="#forgot-password" class="" href="">Forgot your password?</a>
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<input type="submit" name="commit" value="Login" class="btn btn-submit btn-login" data-disable-with="Login">
</form>
POST /users/password
<form data-toggle="validate" action="/users/password" accept-charset="UTF-8" method="post" novalidate="novalidate">
<input name="utf8" type="hidden" value="✓"><input type="hidden" name="authenticity_token" value="/nt5J43iqJUGI4vqse3RKSmPwX7X5y1VGYguvtddnw8C7hUfKM+tzTTWaz68LjImrDYo4jHnqUyFRyS3rjzbuw=="><input type="hidden" name="win_red_request"
id="win_red_request" value="true">
<div class="help-text">Enter your email address to receive reset password instructions:</div>
<div class="field-group login-form">
<div class="email">
<div class="float-label"><label for="user_email" class="placeholder required input" aria-required="true">Email*</label><input placeholder="Email*" class="form-control full-field" required="required" type="email" name="user[email]"
id="user_email" aria-required="true"></div>
</div>
</div>
<input type="submit" name="commit" value="Reset password" class="btn btn-submit" data-disable-with="Reset password">
</form>
Text Content
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