<input
				type="text"
				class="mf-input "
				id="mf-input-text-0a94e98"
				name="mf-text"
				placeholder="${ parent.decodeEntities(`First Name`) } "
									onInput=${parent.handleChange}
					onBlur=${parent.handleChange}
					aria-invalid=${validation.errors['mf-text'] ? 'true' : 'false'}
					ref=${el =>{
												parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)
					}}
								/>
							<${validation.ErrorMessage}
					errors=${validation.errors}
					name="mf-text"
					as=${html``}
					/>
			<input
				type="text"
				class="mf-input "
				id="mf-input-text-e1d0537"
				name="mf-text"
				placeholder="${ parent.decodeEntities(`Last Name`) } "
									onInput=${parent.handleChange}
					onBlur=${parent.handleChange}
					aria-invalid=${validation.errors['mf-text'] ? 'true' : 'false'}
					ref=${el =>{
												parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)
					}}
								/>
							<${validation.ErrorMessage}
					errors=${validation.errors}
					name="mf-text"
					as=${html``}
					/>
			<input
				type="text"
				class="mf-input "
				id="mf-input-text-08fe584"
				name="mf-text"
				placeholder="${ parent.decodeEntities(`Company Name`) } "
									onInput=${parent.handleChange}
					onBlur=${parent.handleChange}
					aria-invalid=${validation.errors['mf-text'] ? 'true' : 'false'}
					ref=${el =>{
												parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)
					}}
								/>
							<${validation.ErrorMessage}
					errors=${validation.errors}
					name="mf-text"
					as=${html``}
					/>
			<input
				type="tel"
				class="mf-input "
				id="mf-input-telephone-6ae0720" 
				name="mf-telephone"
				placeholder="${ parent.decodeEntities(`Mobile Number`) } "
									onInput=${parent.handleChange}
					aria-invalid=${validation.errors['mf-telephone'] ? 'true' : 'false'}
					ref=${el => parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
								/>
							<${validation.ErrorMessage}
					errors=${validation.errors}
					name="mf-telephone"
					as=${html``}
					/>
			<input 
				type="email" 
				defaultValue="" 
				class="mf-input " 
				id="mf-input-email-2402701" 
				name="mf-email" 
				placeholder="${ parent.decodeEntities(`Email Address`) } " 
				onBlur=${parent.handleChange} onFocus=${parent.handleChange} aria-invalid=${validation.errors['mf-email'] ? 'true' : 'false' } 
				ref=${el=> parent.activateValidation({"message":"This field is required.","emailMessage":"Please enter a valid Email address","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
							/>
						<${validation.ErrorMessage} 
				errors=${validation.errors} 
				name="mf-email" 
				as=${html``}
			/>
			<input
				type="text"
				class="mf-input "
				id="mf-input-text-9e8c917"
				name="mf-text"
				placeholder="${ parent.decodeEntities(`Inquiry`) } "
									onInput=${parent.handleChange}
					onBlur=${parent.handleChange}
					aria-invalid=${validation.errors['mf-text'] ? 'true' : 'false'}
					ref=${el =>{
												parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)
					}}
								/>
							<${validation.ErrorMessage}
					errors=${validation.errors}
					name="mf-text"
					as=${html``}
					/>
			<textarea id="mf-input-text-area-28309dd"
				name="mf-textarea" 
				placeholder="${ parent.decodeEntities(`Write your message`) } "
				cols="30" rows="10"
									onInput=${ parent.handleChange }
					aria-invalid=${validation.errors['mf-textarea'] ? 'true' : 'false'}
					ref=${ el => parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
								></textarea>
							<${validation.ErrorMessage}
					errors=${validation.errors}
					name="mf-textarea"
					as=${html``}
					/>
			 parent.handleCheckbox(el, 'onLoad')}
									class="mf-checkbox multi-option-input-type"
					id="mf-input-checkbox-ebe5b2d">
						<label>
														<input type="checkbox"
								class="mf-input mf-checkbox-input "
								name="mf-checkbox"
								value="value-1"
								defaultChecked=""
																									onInput=${ el =>  parent.handleCheckbox(el.target, 'onClick') }
									aria-invalid=${validation.errors['mf-checkbox'] ? 'true' : 'false'}
									ref=${el => {
																				parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
									}
																/>
								${ parent.decodeEntities(`I agree to receive other communication from BlockChainTrust.`) } 							
						</label>
			<input type="hidden" name="mf-checkbox" value="" />
							<${validation.ErrorMessage}
					errors=${validation.errors}
					name="mf-checkbox"
					as=${html``}
					/>