<?php
$config = tve_leads_errors_config();
/* always include all elements inside a thrv-leads-form-box element */
?>

<div class="thrv-leads-screen-filler tve_no_drag tve_no_icons tve_element_hover thrv_wrapper tve_blank_set">
	<div class="tve-screen-filler-content tve_editor_main_content">
		<div class="thrv_wrapper thrv_lead_generation tve_clearfix thrv_lead_generation_vertical tve_blue tve_2" data-inputs-count="2" data-tve-style="1" style="margin-top: 5px; margin-bottom: 0;">
			<div class="thrv_lead_generation_code" style="display: none;"></div>
			<input type="hidden" class="tve-lg-err-msg" value="<?php echo htmlspecialchars( json_encode( $config ) ) ?>"/>
			<div class="thrv_lead_generation_container tve_clearfix">
				<div class="tve_lead_generated_inputs_container tve_clearfix">
					<div class="tve_lead_fields_overlay"></div>
					<div class=" tve_lg_input_container tve_lg_2 tve_lg_input">
						<input type="text" data-placeholder="" value="" name="email" placeholder="Your Email Address"/>
					</div>
					<div class="tve_lg_input_container tve_submit_container tve tve_lg_2 tve_lg_submit">
						<button type="Submit">Yes, Send me the FREE Offer</button>
					</div>
				</div>
			</div>
		</div>
	</div>
	<a href="javascript:void(0)" class="tve-screen-filler-close" title="Close">x</a>
</div>
