<input type="hidden" name="captcha_digest" value="[% captcha_digest %]" />
<span class="hint">Please type this following characters into the preceding box: <strong>[% captcha %]</strong></span>
<span class="hint">Note: The preceding box is case-sensitive. Ensure that the entered characters are in all-caps.</span>
</li>
</ol>
</fieldset>
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