[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_image _builder_version=”3.0.69″ show_in_lightbox=”off” url_new_window=”off” use_overlay=”off” sticky=”off” align=”center” always_center_on_mobile=”on” border_style=”solid” force_fullwidth=”off” src=”https://www.erasmusvalenciavip.com/wp-content/uploads/2016/03/cropped-logovip.ps_.png” max_width=”200px” /][et_pb_code _builder_version=”3.0.69″]<!– Begin MailChimp Signup Form –><!– [et_pb_line_break_holder] –><link href="//cdn-images.mailchimp.com/embedcode/classic-10_7.css" rel="stylesheet" type="text/css"><!– [et_pb_line_break_holder] –><style type="text/css"><!– [et_pb_line_break_holder] –> #mc_embed_signup{background:#fff; clear:left; font:14px Helvetica,Arial,sans-serif; }<!– [et_pb_line_break_holder] –> /* Add your own MailChimp form style overrides in your site stylesheet or in this style block.<!– [et_pb_line_break_holder] –> We recommend moving this block and the preceding CSS link to the HEAD of your HTML file. */<!– [et_pb_line_break_holder] –></style><!– [et_pb_line_break_holder] –><div id="mc_embed_signup"><!– [et_pb_line_break_holder] –><form action="//erasmusvipvalencia.us8.list-manage.com/subscribe/post?u=b24e7c8605981035466c53ad5&id=0f31c85c8b" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate><!– [et_pb_line_break_holder] –> <div id="mc_embed_signup_scroll"><!– [et_pb_line_break_holder] –> <h2>Erasmus VIP Card</h2><!– [et_pb_line_break_holder] –><div class="indicates-required"><span class="asterisk">*</span> indicates required</div><!– [et_pb_line_break_holder] –><div class="mc-field-group"><!– [et_pb_line_break_holder] –> <label for="mce-FNAME">Full name <span class="asterisk">*</span><!– [et_pb_line_break_holder] –></label><!– [et_pb_line_break_holder] –> <input type="text" value="" name="FNAME" class="required" id="mce-FNAME"><!– [et_pb_line_break_holder] –></div><!– [et_pb_line_break_holder] –><div class="mc-field-group"><!– [et_pb_line_break_holder] –> <label for="mce-MMERGE2">Country <span class="asterisk">*</span><!– [et_pb_line_break_holder] –></label><!– [et_pb_line_break_holder] –> <input type="text" value="" name="MMERGE2" class="required" id="mce-MMERGE2"><!– [et_pb_line_break_holder] –></div><!– [et_pb_line_break_holder] –><div class="mc-field-group"><!– [et_pb_line_break_holder] –> <label for="mce-EMAIL">Email Address <span class="asterisk">*</span><!– [et_pb_line_break_holder] –></label><!– [et_pb_line_break_holder] –> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"><!– [et_pb_line_break_holder] –></div><!– [et_pb_line_break_holder] –> <div id="mce-responses" class="clear"><!– [et_pb_line_break_holder] –> <div class="response" id="mce-error-response" style="display:none"></div><!– [et_pb_line_break_holder] –> <div class="response" id="mce-success-response" style="display:none"></div><!– [et_pb_line_break_holder] –> </div> <!– real people should not fill this in and expect good things – do not remove this or risk form bot signups–><!– [et_pb_line_break_holder] –> <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_b24e7c8605981035466c53ad5_0f31c85c8b" tabindex="-1" value=""></div><!– [et_pb_line_break_holder] –> <div class="clear"><input type="submit" value="Subscribe" name="subscribe" id="mc-embedded-subscribe" class="button"></div><!– [et_pb_line_break_holder] –> </div><!– [et_pb_line_break_holder] –></form><!– [et_pb_line_break_holder] –></div><!– [et_pb_line_break_holder] –><script type='text/javascript' src='//s3.amazonaws.com/downloads.mailchimp.com/js/mc-validate.js'></script><script type='text/javascript'>(function($) {window.fnames = new Array(); window.ftypes = new Array();fnames[1]='FNAME';ftypes[1]='text';fnames[2]='MMERGE2';ftypes[2]='text';fnames[0]='EMAIL';ftypes[0]='email';}(jQuery));var $mcj = jQuery.noConflict(true);</script><!– [et_pb_line_break_holder] –><!–End mc_embed_signup–>[/et_pb_code][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section bb_built=”1″ custom_padding=”0px|0px|0px|0px” _builder_version=”3.0.69″][et_pb_row custom_padding=”0px|0px|0px|0px” _builder_version=”3.0.47″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.69″]
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