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<!– EFD 1.0.0 [Thu Dec 29 12:15:06 EST 2016] –>
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<span id=”success_message” style=”display: none;”>
<div style=”text-align: center;”>Thanks for signing up!</div>
</span>
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<h2 style=”margin: 0px;”>Sign up to stay in touch!</h2>
<p>Thanks for your interest in joining our mailing list. Please complete the information below and click Sign Up.</p>
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<input name=”url” type=”hidden” value=”” data-id=”url:input”>
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<p data-id=”First Name:p” ><label data-name=”first_name” data-id=”First Name:label”>First Name</label> <input name=”first_name” type=”text” maxlength=”50″ value=”” data-id=”First Name:input”></p>
<p data-id=”Last Name:p” ><label data-name=”last_name” data-id=”Last Name:label”>Last Name</label> <input name=”last_name” type=”text” maxlength=”50″ value=”” data-id=”Last Name:input”></p>
<p data-id=”Phone Number:p” ><label data-name=”phone” data-id=”Phone Number:label”>Phone Number</label> <input name=”phone” type=”text” maxlength=”50″ value=”” data-id=”Phone Number:input”></p>
<p data-id=”Street Address:p” ><label data-name=”address_street” data-id=”Street Address:label”>Street</label> <input name=”address_street” type=”text” maxlength=”50″ value=”” data-id=”Street Address:input”></p>
<p data-id=”City:p” ><label data-name=”address_city” data-id=”City:label”>City</label> <input name=”address_city” type=”text” maxlength=”50″ value=”” data-id=”City:input”></p>
<p data-id=”State/Province:p” ><label data-name=”address_state” data-id=”State/Province:label”>Select a state/province</label></p>
<p data-id=”Zip Code:p” ><label data-name=”address_postal_code” data-id=”Zip Code:label”>Zip Code</label> <input name=”address_postal_code” type=”text” maxlength=”50″ value=”” data-id=”Zip Code:input”></p>
<p data-id=”Job Title:p” ><label data-name=”job_title” data-id=”Job Title:label”>Job Title</label> <input name=”job_title” type=”text” maxlength=”50″ value=”” data-id=”Job Title:input”></p>
<p data-id=”Company:p” ><label data-name=”company” data-id=”Company:label”>Company</label> <input name=”company” type=”text” maxlength=”50″ value=”” data-id=”Company:input”></p>
<button class=”Button ctct-button Button–block Button-secondary” type=”submit” data-enabled=”enabled”>Sign Up</button>
<div><p class=”ctct-form-footer”>By submitting this form, you are granting: Cascade Manufacturing Company, 109 Madison St SE, Cascade, Iowa, 52033, United States, http://www.cascade-mfg-co.com permission to email you. You may unsubscribe via the link found at the bottom of every email. (See our <a href=”http://www.constantcontact.com/legal/privacy-statement” target=”_blank”>Email Privacy Policy</a> for details.) Emails are serviced by Constant Contact.</p></div>
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localizedErrMap[‘shared’] = ‘Sorry, we could not complete your sign-up. Please contact us to resolve this.’;
localizedErrMap[‘state_mismatch’] = ‘Mismatched State/Province and Country.’;
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<!–End CTCT Sign-Up Form–>