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Hello,

This is my code. It was working last time I tested it and now it’s not working. I’m getting the general “Oops. Something went wrong. Please try again later.”

<center><label>Email address</label>
<input type=”email” name=”EMAIL” required=””>

<p>

<label>Which one best describes you?</label>
<br>

<label>
<input name=”_mc4wp_lists[]” type=”checkbox” value=”4438fe536e”> <span>Consumer</span>
</label>
<label>
<input name=”_mc4wp_lists[]” type=”checkbox” value=”d680e64f5b”> <span>Physician</span>
</label>
<br>

<p>
<label>
<input name=”AGREE_TO_TERMS” type=”checkbox” value=”1″ required=””>I consent to receive emails from Omni Bioceutical Innovations.</label>
</p>
<br>
<p>

    <input type=”submit” value=”Subscribe”>
</p>