document.write('<script type=\"text/javascript\" src=\"https://assets.bravenet.com/bn/js/emailfwd/bn_email_forms.min.js\"></script><link rel=\"stylesheet\" href=\"https://pub36.bravenet.com/emailfwd/v2/bnet-form.css.php?usernum=3044856925&formid=3864&formpadding=0\"><form method=\"post\" class=\"bnet-form\" enctype=\"multipart/form-data\" action=\"#bn-ajax-post:3044856925:36:3864\"><div class=\"bn-form-header\"><div class=\"bn-form-legend\"><div>Folsom Kontakt</div></div> <div class=\"bn-form-desc\"><p>Fyll i fälten nedan.</p></div></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">Namn och efternamn <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><input type=\"text\" name=\"Field-1\" placeholder=\"\" validator=\"\" required=\"required\" value=\"\"></span></label></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">Adress </span> <span class=\"bn-input\"><input type=\"text\" name=\"Field-151168115392933\" placeholder=\"\" validator=\"\" value=\"\"></span></label></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">Postnummer och Ort </span> <span class=\"bn-input\"><input type=\"text\" name=\"Field-151168115018763\" placeholder=\"\" validator=\"\" value=\"\"></span></label></div><div class=\"fields-wrapper\"><label class=\"bn-row\"><span class=\"bn-label\">Land </span> <span class=\"bn-input\"><input type=\"text\" name=\"Field-151168125690845\" placeholder=\"\" validator=\"\" value=\"\"></span></label></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">E-postadress <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><input type=\"text\" name=\"Field-2\" placeholder=\"\" validator=\"email\" required=\"required\" value=\"\"></span></label></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">Meddelande <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><textarea name=\"Field-3\" placeholder=\"\" validator=\"\" required=\"required\"></textarea></span></label></div>  <input type=\"hidden\" name=\"carboncopy\" value=\"\"> <input type=\"hidden\" name=\"thankyou\" value=\"\"> <input type=\"hidden\" name=\"thankyoutext\" value=\"\"> <input type=\"hidden\" name=\"subject\" value=\"Kontakt Form Folsom\"><div class=\"bn-form-submit\"><button type=\"submit\" class=\"formbtn\">Skicka</button></div> <style type=\"text/css\">.bnet-form ::-webkit-input-placeholder {');
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document.write('  transform: scale(1);');
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document.write('.bn-date-input {');
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document.write('  position: absolute;');
document.write('  width: 24px;');
document.write('  height: 24px;');
document.write('  font-size: 24px;');
document.write('  right: 5px;');
document.write('  top: 50%;');
document.write('  margin-top: -13px;');
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document.write('  color: #000;');
document.write('  color:#c4c4c4;');
document.write('  opacity: 0.75;');
document.write('}</style></form>');
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