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Kirtidhar Society, near Shitla Mata Mandir, opposite to Gopal Krishna Lawn, Wathoda Layout, Nagpur, Maharashtra 440035

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${ parent.decodeEntities(`First Name`) } * { parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el) }} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-first-name" as=${html``} />

${ parent.decodeEntities(`Last Name`) } * { parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el) }} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-last-name" as=${html``} />

${ parent.decodeEntities(`Email Address`) } * parent.activateValidation({"message":"This field is required.","emailMessage":"Please enter a valid Email address","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-email" as=${html``} />

${ parent.decodeEntities(`Subject`) } * { parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el) }} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-subject" as=${html``} />

${ parent.decodeEntities(`Comments / Questions`) } * <${validation.ErrorMessage} errors=${validation.errors} name="mf-comment" as=${html``} />

parent.activateValidation({"message":"reCAPTCHA is required.","required":true}, el)} /> <${validation.ErrorMessage} errors=${validation.errors} name="g-recaptcha-response" as=${html``} />

${is_dummy_markup ? message_position === 'bottom' ? props.ResponseDummyMarkup(message_successIcon, message_proClass) : '' : ''} ${is_dummy_markup ? ' ' : message_position === 'bottom' ? props.SubmitResponseMarkup`${parent}${state}${message_successIcon}${message_errorIcon}${message_proClass}` : ''} `