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Someone just submitted your form on ytlmega.bitballoon.com/products/form2.

Here's what they had to say:

name: 
Ciao Bella
number: 
7218824193
_replyto: 
toshuu.pst4@gmail.com
street: 
Yavatmal : Jamanakar Nagar
address: 
I am going to be out
checkedlatitude: 
              		          
                
              checkedlongitude:                               
              		          
                
              DetectedLatitude:                               
20.383
              		          
                
              DetectedLongitude:                               
78.1352416
              		          
                
              Order Location:                               
https://www.google.com/maps?q=20.383,78.1352416
              		          
                
              Product-page:                               
https://vioec.blogspot.in/2017/11/highlander-slim-men-dark-blue-jeans.html?m=1
              		          
        
    This form was submitted at 04:52 PM UTC - 25 November 2017.    
    
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