<div class="request_callback_5">
    <div class="my_flex_">
        <div class="my_flex_in">
            <div class="input-group my_input_pdl">
               <span class="stm-amsterdam-profile my_pos_abs_fa"></span> [text* text-name placeholder akismet:author "Your name"]
            </div>
        </div>
        <div class="my_flex_in">
            <div class="input-group my_input_pdl">
                <span class="stm-denver-envelope my_pos_abs_fa"></span> [email* email-752 placeholder "E-mail"]
            </div>
        </div>
        <div class="my_flex_in">
            <div class="input-group my_input_mg">
                <button type="submit" class="button theme_style_2 size-lg" style="color: white; border-radius:0;" >Send Request</button>
            </div>
        </div>
    </div>
</div>
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