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Hey there,
Someone just submitted your form on ytlmega.bitballoon.com/products/form2. Here's what they had to say:
name 
Tush
number 
788
_replyto 
tush@tush.sh
street 
Yavatmal -Jamankar Nagar
address 
We
checkedlatitude 
20.3780656 (autodetected)
checkedlongitude 
78.15107880000005(autodetected)
DetectedLatitude 
20.384075
DetectedLongitude 
78.1348852
Product-page 
https://vioec.blogspot.in/2017/10/bitcoin-facts-mega-172.html?m=1
This form was submitted at 05:54 PM UTC - 21 October 2017.
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