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<!-- ---------------------------------------------------------------------- --><!-- [et_pb_line_break_holder] --><!-- NOTE: Please add the following <META> element to your page <HEAD>. --><!-- [et_pb_line_break_holder] --><!-- If necessary, please modify the charset parameter to specify the --><!-- [et_pb_line_break_holder] --><!-- character set of your HTML page. --><!-- [et_pb_line_break_holder] --><!-- ---------------------------------------------------------------------- --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><META HTTP-EQUIV="Content-type" CONTENT="text/html; charset=UTF-8"><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- ---------------------------------------------------------------------- --><!-- [et_pb_line_break_holder] --><!-- NOTE: Please add the following <FORM> element to your page. --><!-- [et_pb_line_break_holder] --><!-- ---------------------------------------------------------------------- --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><form action="https://www.salesforce.com/servlet/servlet.WebToLead?encoding=UTF-8" method="POST"><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><input type=hidden name="oid" value="00D36000000JV7Y"><!-- [et_pb_line_break_holder] --><input type=hidden name="retURL" value="https://braymedia360.com/thank-you/"><!-- [et_pb_line_break_holder] --><input type="hidden" name="lead_source" id="LeadSource" value="Lead form on Bray Outdoor Advertising"><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- ---------------------------------------------------------------------- --><!-- [et_pb_line_break_holder] --><!-- NOTE: These fields are optional debugging elements. Please uncomment --><!-- [et_pb_line_break_holder] --><!-- these lines if you wish to test in debug mode. --><!-- [et_pb_line_break_holder] --><!-- <input type="hidden" name="debug" value=1> --><!-- [et_pb_line_break_holder] --><!-- <input type="hidden" name="debugEmail" value="cory@brayoutdoor.com"> --><!-- [et_pb_line_break_holder] --><!-- ---------------------------------------------------------------------- --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><label for="first_name">First Name</label><input id="first_name" maxlength="40" name="first_name" size="20" type="text" /><br><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><label for="last_name">Last Name</label><input id="last_name" maxlength="80" name="last_name" size="20" type="text" /><br><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><label for="company">Company</label><input id="company" maxlength="40" name="company" size="20" type="text" /><br><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><label for="phone">Phone</label><input id="phone" maxlength="40" name="phone" size="20" type="text" /><br><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><label for="email">Email</label><input id="email" maxlength="80" name="email" size="20" type="text" /><br><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->Ad Interests:<select id="00N36000003Xnh1" multiple="multiple" name="00N36000003Xnh1" title="Ad Interests"><option value="Billboards">Billboards</option><!-- [et_pb_line_break_holder] --><option value="Bus Ads">Bus Ads</option><!-- [et_pb_line_break_holder] --><option value="Bus Stop Ads">Bus Stop Ads</option><!-- [et_pb_line_break_holder] --><option value="Mobile Billboards">Mobile Billboards</option><!-- [et_pb_line_break_holder] --><option value="Movie Theater Ads">Movie Theater Ads</option><!-- [et_pb_line_break_holder] --><option value="Other Outdoor Ads">Other Outdoor Ads</option><!-- [et_pb_line_break_holder] --></select><br><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><label for="description">Description</label><textarea name="description"></textarea><br><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><input type="submit" name="submit" value="SUBMIT"><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --></form><!-- [et_pb_line_break_holder] -->