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                            var form = '<style>.mpm-field-error {border-color: red !important;}</style><form name="mpForm-566d7c75a8c94edeb36069c61cbca16b" method="post" id="mpform-566d7c75a8c94edeb36069c61cbca16b" class="mpform" onSubmit="mpForm566d7c75a8c94edeb36069c61cbca16bSubmit(event)"><style type="text/css">                     @font-face {                        font-family: Asap;                        src: url(https://cdn1.ourmailsender.com/fonts/asap/Asap-Regular.ttf);                      }                      </style>                    <style type="text/css">                     @font-face {                        font-family: Inter;                        src: url(https://cdn1.ourmailsender.com/fonts/inter/Inter-Regular.ttf);                      }                      </style>                    <style type="text/css">                     @font-face {                        font-family: Play;                        src: url(https://cdn1.ourmailsender.com/fonts/play/Play-Regular.ttf);                      }                      </style>                    <style>.mpm-container a {color:#c2c2c2; text-decoration:underline; }.mpm-container h1 {color:#000000; font-size:40px; font-style:normal; text-align:left; font-family:arial; font-weight:bold; line-height:150%; letter-spacing:normal; }.mpm-container h2 {color:#c2c2c2; font-size:30px; font-style:normal; text-align:left; font-family:arial; font-weight:bold; line-height:150%; letter-spacing:normal; }.mpm-container h3 {color:#000000; font-size:20px; font-style:normal; text-align:left; font-family:arial; font-weight:bold; line-height:150%; letter-spacing:normal; }.mpm-container h4 {color:#000000; font-size:14px; font-style:italic; text-align:left; font-family:arial; font-weight:bold; line-height:100%; letter-spacing:normal; }#mpmInnerForm input::placeholder {color:#a9acb4; }#mpmInnerForm textarea::placeholder {color:#a9acb4; opacity:1; }#mpmInnerForm input::-moz-placeholder {color:#a9acb4; }#mpmInnerForm textarea::-moz-placeholder {color:#a9acb4; opacity:1; }.mpm-container a[x-apple-data-detectors] {color:inherit!important; font-size:inherit !important; font-family:inherit !important; font-weight:inherit !important; line-height:inherit !important; text-decoration:none !important; }#mpmInnerForm input:-ms-input-placeholder {color:#a9acb4; }#mpmInnerForm input::webkit-input-placeholder {color:#a9acb4; }.mpm-container  a[href^=tel], .mpm-container  [href^=sms] {color:inherit; cursor:default; text-decoration:none; }.mpm-container h1,  .mpm-container h2, .mpm-container h3, .mpm-container h4, .mpm-container h5,  .mpm-container h6 {margin:0; display:block; padding:0; }</style><div class="mpm-container" style="width: 100%; height: 100%; padding: 0px; box-sizing: border-box; background-size: cover; background-color: #ffffff; background-image: url(); background-repeat: no-repeat; background-position: center; "><div id="mpmInnerForm" style="margin: 0 auto; max-width: 100%; border-style: none; border-width: 2px; border-radius: 10px; background-size: cover; background-color: #FFFFFF; background-image: url(); background-repeat: no-repeat; background-position: center; "><div class="mpm-row" style="padding: 20px; "><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: bold; "><h3>Name:</h3></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-868107" type="TEXT" style="color: #000000; width: 100%; display: block; font-size: 14px; box-sizing: border-box; margin-top: 0px; font-family: arial; font-weight: normal; margin-left: 0; padding-top: 20px; border-color: #e9e7e8; border-style: solid; border-width: 1px; margin-right: 0; padding-left: 20px; border-radius: 3px; margin-bottom: 0px; padding-right: 20px; padding-bottom: 20px; background-color: #FFFFFF; -webkit-appearance: none; " width="100%" required="required" placeholder="Your Name"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: bold; "><h3>Company:</h3></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="companyName" type="text" style="color: #000000; width: 100%; display: block; font-size: 14px; box-sizing: border-box; margin-top: 0px; font-family: arial; font-weight: normal; margin-left: 0; padding-top: 20px; border-color: #e9e7e8; border-style: solid; border-width: 1px; margin-right: 0; padding-left: 20px; border-radius: 3px; margin-bottom: 0px; padding-right: 20px; padding-bottom: 20px; background-color: #FFFFFF; -webkit-appearance: none; " width="100%" required="required" placeholder="Company"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: bold; "><h3>Phone:</h3></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-868124" type="TELNO" style="color: #000000; width: 100%; display: block; font-size: 14px; box-sizing: border-box; margin-top: 0px; font-family: arial; font-weight: normal; margin-left: 0; padding-top: 20px; border-color: #e9e7e8; border-style: solid; border-width: 1px; margin-right: 0; padding-left: 20px; border-radius: 3px; margin-bottom: 0px; padding-right: 20px; padding-bottom: 20px; background-color: #FFFFFF; -webkit-appearance: none; " width="100%" required="required" placeholder="Your Phone Number"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: bold; "><h3>What service do you require:</h3></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: bold; "><h4>Septic Tank Services:</h4></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 0px; margin-bottom: 0px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-888254" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #e9e7e8; border-style: solid; border-width: 1px; border-radius: 3px; background-color: #FFFFFF; " value=""/></td><td valign="top"><div style="color: #000000; font-size: 14px; text-align: left; font-family: arial; ">Septic Tank Service - Standard Tank (Up to 3200L)</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 0px; margin-bottom: 0px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-888255" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #e9e7e8; border-style: solid; border-width: 1px; border-radius: 3px; background-color: #FFFFFF; " value=""/></td><td valign="top"><div style="color: #000000; font-size: 14px; text-align: left; font-family: arial; ">Septic Tank Service - Standard Tank (Up to 7000L)</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 0px; margin-bottom: 0px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-890070" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #e9e7e8; border-style: solid; border-width: 1px; border-radius: 3px; background-color: #FFFFFF; " value=""/></td><td valign="top"><div style="color: #000000; font-size: 14px; text-align: left; font-family: arial; ">Septic Tank Locating</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 0px; margin-bottom: 0px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-890071" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #e9e7e8; border-style: solid; border-width: 1px; border-radius: 3px; background-color: #FFFFFF; " value=""/></td><td valign="top"><div style="color: #000000; font-size: 14px; text-align: left; font-family: arial; ">Septic Tank Unblocking</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 0px; margin-bottom: 0px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-890072" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #e9e7e8; border-style: solid; border-width: 1px; border-radius: 3px; background-color: #FFFFFF; " value=""/></td><td valign="top"><div style="color: #000000; font-size: 14px; text-align: left; font-family: arial; ">Septic Tank Condition Report</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 20px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: bold; "><h4>Grease Trap Services:</h4></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 0px; margin-bottom: 0px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-888199" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #e9e7e8; border-style: solid; border-width: 1px; border-radius: 3px; background-color: #FFFFFF; " value=""/></td><td valign="top"><div style="color: #000000; font-size: 14px; text-align: left; font-family: arial; ">Grease Trap Service</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 20px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: bold; "><h4>Oil Separator / Triple Interceptor / Car Wash Services:</h4></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 0px; margin-bottom: 0px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-888200" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #e9e7e8; border-style: solid; border-width: 1px; border-radius: 3px; background-color: #FFFFFF; " value=""/></td><td valign="top"><div style="color: #000000; font-size: 14px; text-align: left; font-family: arial; ">Oil Separator / Triple Interceptor / Car Wash Service</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 20px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: bold; "><h4>Other Liquid Waste Removal Service:</h4></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 0px; margin-bottom: 0px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-890069" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #e9e7e8; border-style: solid; border-width: 1px; border-radius: 3px; background-color: #FFFFFF; " value=""/></td><td valign="top"><div style="color: #000000; font-size: 14px; text-align: left; font-family: arial; ">Other Liquid Waste Removal Service</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: bold; "><h3>Preferred Service Days: (Mon – Fri)</h3></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-889872" type="TEXT" style="color: #000000; width: 100%; display: block; font-size: 14px; box-sizing: border-box; margin-top: 0px; font-family: arial; font-weight: normal; margin-left: 0; padding-top: 20px; border-color: #e9e7e8; border-style: solid; border-width: 1px; margin-right: 0; padding-left: 20px; border-radius: 3px; margin-bottom: 0px; padding-right: 20px; padding-bottom: 20px; background-color: #FFFFFF; -webkit-appearance: none; " width="100%" required="required" placeholder="Preferred Service Days"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: bold; "><h3>Preferred Service Time: (8am – 2pm)</h3></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-889873" type="TEXT" style="color: #000000; width: 100%; display: block; font-size: 14px; box-sizing: border-box; margin-top: 0px; font-family: arial; font-weight: normal; margin-left: 0; padding-top: 20px; border-color: #e9e7e8; border-style: solid; border-width: 1px; margin-right: 0; padding-left: 20px; border-radius: 3px; margin-bottom: 0px; padding-right: 20px; padding-bottom: 20px; background-color: #FFFFFF; -webkit-appearance: none; " width="100%" required="required" placeholder="Preferred Service Time"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: bold; "><h3>Email:</h3></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="emailAddress" type="text" style="color: #000000; width: 100%; display: block; font-size: 14px; box-sizing: border-box; margin-top: 0px; font-family: arial; font-weight: normal; margin-left: 0; padding-top: 20px; border-color: #e9e7e8; border-style: solid; border-width: 1px; margin-right: 0; padding-left: 20px; border-radius: 3px; margin-bottom: 0px; padding-right: 20px; padding-bottom: 20px; background-color: #FFFFFF; -webkit-appearance: none; " width="100%" required="required" placeholder="Your Email"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: bold; "><h3>Message:</h3></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><textarea name="customField-886229" type="TEXT" style="color: #000000; width: 100%; display: block; font-size: 14px; box-sizing: border-box; margin-top: 0px; font-family: arial; margin-left: 0; padding-top: 20px; border-color: #e9e7e8; border-style: solid; border-width: 1px; margin-right: 0; padding-left: 20px; border-radius: 3px; margin-bottom: 20px; padding-right: 20px; padding-bottom: 20px; background-color: #FFFFFF; " width="100%" placeholder="Your Message"/></textarea></div><div class="mpm-col-xs-12" style="display: flex; position: relative; align-items: center; flex-direction: column; "><button class="" style="color: #FFFFFF; width: 100%; cursor: pointer; display: block; font-size: 14px; box-sizing: border-box; margin-top: 0px; text-align: center; word-break: break-word; font-family: arial; font-weight: bold; margin-left: 0px; padding-top: 15px; border-color: #543881; border-style: none; border-width: 1px; margin-right: 0px; padding-left: 10px; border-radius: 1px; margin-bottom: 30px; padding-right: 10px; padding-bottom: 15px; background-color: #4767fb; " width="100%">SEND</button></div><div id="mpmessageholder" class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 0px; margin-left: 0px; margin-right: 0px; margin-bottom: 10px; flex-direction: column; "><div id="mpmessage" class="mpmessageholder" style="color: #a9acb4; position: relative; font-size: 14px; text-align: center; font-family: arial; padding-top: 0px; padding-left: 0px; padding-right: 0px; padding-bottom: 0px; "></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: bold; "><div style="text-align: left;"><em><span style="font-size: 10px;"><span class="m-font-size-10 font-size-12">Your information is being collected by Yarra Valley Septics and will be used and held in accordance with our&nbsp;</span><a class="m-font-size-10 font-size-12" href="https://irp.cdn-website.com/958f0244/files/uploaded/Yarra%20Valley%20Privacy%20Policy%20.pdf" target="_blank" rel="noopener" type="file" style="color: #c2c2c2;">Privacy Policy</a><span class="m-font-size-10 font-size-12">. Information you provide will be used to help us and our third party suppliers, as appropriate, respond to your enquiry and provide you with services and may be used for any other purpose described in our Privacy Policy. If you do not provide this information, we may not be able to assist you. To access or change your information, or if you have any questions, please contact our privacy officer&nbsp;</span><a class="m-font-size-10 font-size-12" href="mailto:cbarwick@yarravalleyseptics.com.au" target="_blank" rel="noopener" type="email" style="color: #c2c2c2;">cbarwick@yarravalleyseptics.com.au</a><span class="m-font-size-10 font-size-12">.</span></span></em></div></div></div></div></div></div></form>';
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