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		<form id="wpr-mailchimp-form-3ee6f1ae" method="POST" data-list-id="def" data-clear-fields="">
			<!-- Form Header -->
								<h3>
					Join the family!				</h3>
				<p>Sign up for a Newsletter.</p>
				<!-- Email Input -->
										<input type="email" name="wpr_mailchimp_email" placeholder="sample@mail.com" required="required">
				<!-- Extra Fields -->
				<!-- Subscribe Button -->
					<button type="submit" id="wpr-subscribe-3ee6f1ae" data-loading="Subscribing...">
				  		Subscribe					</button>
			<!-- Success/Error Message -->
				You have been successfully Subscribed!
				Ops! Something went wrong, please try again.
		</form>