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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>   &bull; Become Spice Mudra agent to earn extra<br>
                                        &bull; 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>