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<!DOCTYPE html>
<script type="text/javascript" src=""></script>
<script type="text/javascript" src=""></script>
<link rel="stylesheet" href="" type="text/css" media="screen" title="no title" charset="utf-8">
<form action="#" method="get" accept-charset="utf-8">
<label for="some_name">Select</label>
<select name="some_name" id="some_name">
<option value="option1">option1</option>
<option value="option2">option2</option>
<label for="name">Name</label>
<input type="text" name="name" value="" id="name">
<p><input type="submit" value="Continue &rarr;"></p>
<script type="text/javascript" charset="utf-8">
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