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<div id="mc_embed_signup">

<form action="https://heritageartandframes.us18.list-manage.com/subscribe/post?u=91cf5af2aaf1d2e526b238ff8&amp;id=f360cd2027" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate>

    <div id="mc_embed_signup_scroll">

<h2>Subscribe to our mailing list</h2>

<div class="indicates-required"><span class="asterisk">*</span> indicates required</div>

<div class="mc-field-group">

<label for="mce-EMAIL">Email Address  <span class="asterisk">*</span>

</label>

<input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL">

</div>

<div class="mc-field-group">

<label for="mce-FNAME">First Name </label>

<input type="text" value="" name="FNAME" class="" id="mce-FNAME">

</div>

<div class="mc-field-group">

<label for="mce-LNAME">Last Name </label>

<input type="text" value="" name="LNAME" class="" id="mce-LNAME">

</div>

<div class="mc-field-group size1of2">

<label for="mce-BIRTHDAY-month">Birthday </label>

<div class="datefield">

<span class="subfield monthfield"><input class="birthday " type="text" pattern="[0-9]*" value="" placeholder="MM" size="2" maxlength="2" name="BIRTHDAY[month]" id="mce-BIRTHDAY-month"></span> / 

<span class="subfield dayfield"><input class="birthday " type="text" pattern="[0-9]*" value="" placeholder="DD" size="2" maxlength="2" name="BIRTHDAY[day]" id="mce-BIRTHDAY-day"></span> 

<span class="small-meta nowrap">( mm / dd )</span>

</div>

</div> <div id="mce-responses" class="clear">

<div class="response" id="mce-error-response" style="display:none"></div>

<div class="response" id="mce-success-response" style="display:none"></div>

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    <div class="clear"><input type="submit" value="Subscribe" name="subscribe" id="mc-embedded-subscribe" class="button"></div>

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</form>

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