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type=\u0022text\u0022 id=\u0022edit-pin\u0022 name=\u0022pin\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022128\u0022 class=\u0022form-text required\u0022 \/\u003E\n\u003Cdiv class=\u0022description\u0022\u003EPlease enter the last four digits of the phone number on the tag for verification.\u003C\/div\u003E\n\u003C\/div\u003E\n \u003C\/div\u003E\n \u003C\/div\u003E\n \u003Cdiv class=\u0022col-md-3 col-lg-3\u0022 style=\u0022padding: 0\u0022\u003E\n \u003Cdiv class=\u0022row\u0022\u003E\n \u003Cdiv class=\u0022col-xs-7 col-md-1 col-lg-1\u0022 style=\u0022padding-right: 0\u0022\u003E\n \u003Cspan class=\u0022image-description\u0022\u003EPlease enter the last four digits of the phone number on the tag for verification.\u003C\/span\u003E\n \u003C\/div\u003E\n \u003Cdiv class=\u0022col-xs-5 col-md-11 col-lg-11\u0022 style=\u0022padding: 0\u0022\u003E\n \u003Cimg src=\u0022\/sites\/all\/modules\/dogtagart\/virtual_leash\/images\/vLeash_popUpSampleTag.png\u0022\/\u003E\n 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name=\u0022phone\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022128\u0022 class=\u0022form-text required\u0022 \/\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\n\n\u003Cdiv class=\u0022row\u0022\u003E\n \u003Cdiv class=\u0022form-item form-type-textfield form-item-email\u0022\u003E\n \u003Clabel for=\u0022edit-email\u0022\u003EEmail \u003C\/label\u003E\n \u003Cinput type=\u0022text\u0022 id=\u0022edit-email\u0022 name=\u0022email\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022128\u0022 class=\u0022form-text\u0022 \/\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\n\n\u003Cdiv class=\u0022row\u0022\u003E\n \u003Cdiv class=\u0022form-item form-type-textarea form-item-message\u0022\u003E\n \u003Clabel for=\u0022edit-message\u0022\u003EMessage \u003Cspan class=\u0022form-required\u0022 title=\u0022This field is required.\u0022\u003E*\u003C\/span\u003E\u003C\/label\u003E\n \u003Cdiv class=\u0022form-textarea-wrapper resizable\u0022\u003E\u003Ctextarea 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