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<form action="//robinsonsmotorgroup.us1.list-manage.com/subscribe/post?u=69e89295c34a2e8793bf3e6e8&id=77390c235b" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate>
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<h2>Subscribe to our mailing list</h2>
<div class="indicates-required"><span class="asterisk">*</span> indicates required</div>
<div class="mc-field-group">
<label for="mce-EMAIL">Email Address <span class="asterisk">*</span>
</label>
<input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL">
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<div class="mc-field-group">
<label for="mce-MMERGE5">Title <span class="asterisk">*</span>
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<div class="mc-field-group">
<label for="mce-FNAME">First Name </label>
<input type="text" value="" name="FNAME" class="" id="mce-FNAME">
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<label for="mce-LNAME">Last Name </label>
<input type="text" value="" name="LNAME" class="" id="mce-LNAME">
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<label for="mce-MMERGE3">Phone Number </label>
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<label for="mce-MMERGE4">Postcode <span class="asterisk">*</span>
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<input type="text" value="" name="MMERGE4" class="required" id="mce-MMERGE4">
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<strong>What models are you interested in? </strong>
<ul><li><input type="checkbox" value="1" name="group[5][1]" id="mce-group[5]-5-0"><label for="mce-group[5]-5-0">Golf</label></li>
<li><input type="checkbox" value="2" name="group[5][2]" id="mce-group[5]-5-1"><label for="mce-group[5]-5-1">Polo</label></li>
<li><input type="checkbox" value="4" name="group[5][4]" id="mce-group[5]-5-2"><label for="mce-group[5]-5-2">Tiguan</label></li>
<li><input type="checkbox" value="8" name="group[5][8]" id="mce-group[5]-5-3"><label for="mce-group[5]-5-3">up!</label></li>
<li><input type="checkbox" value="16" name="group[5][16]" id="mce-group[5]-5-4"><label for="mce-group[5]-5-4">Other</label></li>
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<div class="clear"><input type="submit" value="Subscribe" name="subscribe" id="mc-embedded-subscribe" class="button"></div>
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