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<style type="text/css">h5{font-weight: bold;text-decoration: underline;}h4{font-weight: bold;}#eng{background:#36BBD9;}#hin{background:white; }.btn{border: #555 1px solid;}#eng { color:white;}#hin { color:#36BBD9;}body{background:#fff;background-color:#fff !important;border: 5px solid #f5f5f5;}html{background-color:#0CA9F0;}</style><script>$(document).ready(function(){$("form").submit(function() {$(this).submit(function() {return false;});return true;});});</script><div class="container" style="background-color:white;padding: 0 0px 0 0px !important;margin-bottom:5px;"><div class="row-fluid"><div class="col-xs-12 bgwhite"><div id="foreng"><h4 style="background:#F7F79E;padding:5px;">Earn Extra income</h4><div> • Become Spice Mudra agent to earn extra<br>• Mention Profitmandi to get discount of Rs.500 at SpiceMudra contact form.<br></div><form method="post" action="spicemudrainterest"><div class="input-group col-xs-12 text-right searchres" style="padding:10px 0px 1px;"><input type="text" class="form-control" autocomplete="off" placeholder="PAN Number*" name="pan" style="width:98%;margin-bottom:12px" required pattern="[A-Za-z0-9]{10}" title="Valid PAN required"/><input type="tel" pattern="\d{10}" class="form-control" autocomplete="off" placeholder="Mobile Number*" name="mobile" style="width:98%;margin-bottom:24px" title="Valid Mobile Number is required" required/><input type="submit" value="I'm Interested" style="background-color:#58d936;color:white;width:98%;" class="btn"/></div></form></div></div><!-- <img src="<?php //echo $base_url;?>app/webroot/img/tripfooter.jpg" width="100%">--></div></div>