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<input type='hidden' class='gforms-pum' value='{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}' />
<div class='gform_body gform-body'><ul id='gform_fields_57' class='gform_fields top_label form_sublabel_below description_below'><li id="field_57_4" class="gfield gf_simple_horizontal field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label screen-reader-text' for='input_57_4' >Name</label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_57_4' type='text' value='' class='large' placeholder='Name' aria-invalid="false" /> </div></li><li id="field_57_2" class="gfield gf_simple_horizontal field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label screen-reader-text' for='input_57_2' >Church Name</label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_57_2' type='text' value='' class='large' placeholder='Church Name' aria-invalid="false" /> </div></li><li id="field_57_3" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label screen-reader-text' for='input_57_3' >Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'>
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<input type='hidden' class='gform_hidden' name='is_submit_57' value='1' />
<input type='hidden' class='gform_hidden' name='gform_submit' value='57' />
<input type='hidden' class='gform_hidden' name='gform_unique_id' value='' />
<input type='hidden' class='gform_hidden' name='state_57' value='WyJbXSIsIjllNmU3NGJhZWMxMzE1N2VmMGI4Y2EyZWE1NTI0NjdjIl0=' />
<input type='hidden' class='gform_hidden' name='gform_target_page_number_57' id='gform_target_page_number_57' value='0' />
<input type='hidden' class='gform_hidden' name='gform_source_page_number_57' id='gform_source_page_number_57' value='1' />
<input type='hidden' name='gform_field_values' value='' />
</div>
</form>
</div>
<iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_57' id='gform_ajax_frame_57' title='This iframe contains the logic required to handle Ajax powered Gravity Forms.'></iframe>
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