Create a Case

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<META HTTP-EQUIV="Content-type" CONTENT="text/html; charset=UTF-8">

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<!--  NOTE: Please add the following <FORM> element to your page.             -->
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<form action="https://webto.salesforce.com/servlet/servlet.WebToCase?encoding=UTF-8" method="POST">

<input type=hidden name="orgid" value="00D8c000006dRRD">
<input type=hidden name="retURL" value="http://highhemp.co">

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<!--  <input type="hidden" name="debug" value=1>                              -->
<!--  <input type="hidden" name="debugEmail"                                  -->
<!--  value="sfdc+highhemp@growwithimg.com">                                  -->
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<label for="name">Contact Name</label><input  id="name" maxlength="80" name="name" size="20" type="text" required/><br>

<label for="email">Email</label><input  id="email" maxlength="80" name="email" size="20" type="text" required/><br>

<label for="phone">Phone</label><input  id="phone" maxlength="40" name="phone" size="20" type="text" required/><br>

<label for="subject">Subject</label><input  id="subject" maxlength="80" name="subject" size="20" type="text" required/><br>

<label for="description">Description</label><textarea name="description"></textarea><br>

<input type="submit" name="submit">

</form>