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Rev 35497 Rev 36452
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                <div class="col-lg-3">
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                <div class="col-lg-3">
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                    <div class="form-group col-lg-12">
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                    <div class="form-group col-lg-12">
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                        <label for="name">Offer Name</label>
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                        <label for="name">Offer Name</label>
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                        <input class="form-control" id="offer_name" placeholder="Offer Name" name="name" required>
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                        <input class="form-control" id="offer_name" placeholder="Offer Name" name="name" required>
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                    </div>
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                    </div>
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                    <div class="form-group col-lg-12">
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                        <label for="offer_reference">Reference</label>
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                        <input class="form-control" id="offer_reference" placeholder="Reference (e.g. Xiaomi-May-2026)" name="reference" required>
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                    </div>
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                    <div class="form-group col-lg-6">
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                    <div class="form-group col-lg-6">
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                        <label for="offerDuration">Duration</label>
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                        <label for="offerDuration">Duration</label>
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                        <input placeholder="Set Duration" name="dateRange" id="offerDuration" name="dateRange"
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                        <input placeholder="Set Duration" name="dateRange" id="offerDuration" name="dateRange"
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                               type="text" value="" class="form-control input-sm">
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                               type="text" value="" class="form-control input-sm">
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                    </div>
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                    </div>