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<form name='change_form'
enctype='multipart/form-data'
method='post'
onSubmit='if (!checkfilled(document.change_form,"name")) return false;
if (!checkfilled(document.change_form,"email")) return false;
if (!checkfilled(document.change_form,"text")) return false;
if (!checkfilled(document.change_form,"company")) return false;
if (!checkfilled(document.change_form,"phone")) return false;
if (!checkint(document.change_form,"city_code", -2147483648, 2147483648)) return false;
'
action='/request/?do=add'>