string(19) "Billing Information"
		<p>
	<strong>Account Informationaa:</strong>
	&nbsp;
	You are currently logged in as aarshad@awesomemotive.com. (<a href="https://edd.local/wp-login.php?action=logout&#038;redirect_to=https%3A%2F%2Fedd.local%2F&#038;_wpnonce=9a92bef8a0">log out</a>)</p>
<form id="edd_checkout_cart_form" method="post">
				Item Name
				Item Price
		<img width="25" height="25" src="http://edd.local/wp-content/uploads/2021/10/cristina-matos-albers-Ltv7a5m8i4c-unsplash-150x150.jpg" alt="" decoding="async" srcset="https://edd.local/wp-content/uploads/2021/10/cristina-matos-albers-Ltv7a5m8i4c-unsplash-150x150.jpg 150w, https://edd.local/wp-content/uploads/2021/10/cristina-matos-albers-Ltv7a5m8i4c-unsplash-300x300.jpg 300w, https://edd.local/wp-content/uploads/2021/10/cristina-matos-albers-Ltv7a5m8i4c-unsplash-1024x1024.jpg 1024w, https://edd.local/wp-content/uploads/2021/10/cristina-matos-albers-Ltv7a5m8i4c-unsplash-768x768.jpg 768w, https://edd.local/wp-content/uploads/2021/10/cristina-matos-albers-Ltv7a5m8i4c-unsplash-1536x1536.jpg 1536w, https://edd.local/wp-content/uploads/2021/10/cristina-matos-albers-Ltv7a5m8i4c-unsplash-2048x2048.jpg 2048w" sizes="(max-width: 25px) 100vw, 25px" />Sample Product — Medium			
				<label for="edd-cart-download-0-quantity">Quantity:</label>
				<input type="number" min="1" step="1" name="edd-cart-download-0-quantity" id="edd-cart-download-0-quantity" data-key="0" value="1"/>
				<input type="hidden" name="edd-cart-downloads[]" value="16"/>
				<input type="hidden" name="edd-cart-download-0-options" value="{&quot;price_id&quot;:&quot;1&quot;}"/>
		&#036;20.00&nbsp;&ndash;&nbsp;excludes 10% tax		
						<a
				class="edd-blocks-cart__action-remove edd_cart_remove_item_btn"
				href="https://edd.local/checkout-v2/?cart_item=0&#038;edd_action=remove&#038;edd_remove_from_cart_nonce=0092a40220"
							>
				Remove
			</a>
		Subtotal:&nbsp;&#036;20.00
		Tax:&nbsp;[10%] &#036;2.00
		<button>Enter a discount code</button>
		<label for="edd-discount">
			Discount		</label>
			<input type="text" id="edd-discount" name="edd-discount" placeholder="Enter discount code"/>
			<input type="submit" value="Apply"/>
		Total: &#036;22.00
		<input type="submit" name="edd_update_cart_submit" value="Update Cart"/>
	<input type="hidden" name="edd_action" value="update_cart"/>
</form>
<form method="post" id="edd_sl_renewal_form">
	<fieldset id="edd_sl_renewal_fields">
	<legend>Renew a License Key</legend>
							<label for="edd-license-key">Enter the license key you wish to renew.</label>
					<input type="text" name="edd_license_key" autocomplete="off" placeholder="Enter your license key" id="edd-license-key" value=""/>
					<input type="hidden" name="edd_action" value="apply_license_renewal"/>
				<input type="submit" id="edd-add-license-renewal" disabled value="Apply License Renewal"/>
	</fieldset>
</form>
	<form id="edd_purchase_form" action="https://edd.local/checkout-v2/?payment-mode=stripe" method="POST">
			<input type="hidden" name="edd_email" id="edd-email" value="aarshad@awesomemotive.com" required/>
	<input type="hidden" name="edd_first" id="edd-first" value="Ahamed"/>
	<input type="hidden" name="edd_last" id="edd-last" value="Arshad"/>
			<fieldset id="edd_cc_address">
			<legend>Billing Information</legend>
					<label for="billing_country">
			Billing Country*Required		</label>
				<select
							required
								autocomplete="billing country"
							name="billing_country"
			id="billing_country"
			class="edd-select edd-select-chosen edd_countries_filter edd-input country required edd-card-country"
						data-nonce="5f0aa1d18d" data-placeholder="Choose a Country"		>
							<option value="">
					Select a Country				</option>
									<option value="AF">
						Afghanistan					</option>
										<option value="AX">
						&#197;land Islands					</option>
										<option value="AL">
						Albania					</option>
										<option value="DZ">
						Algeria					</option>
										<option value="AS">
						American Samoa					</option>
										<option value="AD">
						Andorra					</option>
										<option value="AO">
						Angola					</option>
										<option value="AI">
						Anguilla					</option>
										<option value="AQ">
						Antarctica					</option>
										<option value="AG">
						Antigua and Barbuda					</option>
										<option value="AR">
						Argentina					</option>
										<option value="AM">
						Armenia					</option>
										<option value="AW">
						Aruba					</option>
										<option value="AU">
						Australia					</option>
										<option value="AT">
						Austria					</option>
										<option value="AZ">
						Azerbaijan					</option>
										<option value="BS">
						Bahamas					</option>
										<option value="BH">
						Bahrain					</option>
										<option value="BD">
						Bangladesh					</option>
										<option value="BB">
						Barbados					</option>
										<option value="BY">
						Belarus					</option>
										<option value="BE">
						Belgium					</option>
										<option value="BZ">
						Belize					</option>
										<option value="BJ">
						Benin					</option>
										<option value="BM">
						Bermuda					</option>
										<option value="BT">
						Bhutan					</option>
										<option value="BO">
						Bolivia					</option>
										<option value="BQ">
						Bonaire, Saint Eustatius and Saba					</option>
										<option value="BA">
						Bosnia and Herzegovina					</option>
										<option value="BW">
						Botswana					</option>
										<option value="BV">
						Bouvet Island					</option>
										<option value="BR">
						Brazil					</option>
										<option value="IO">
						British Indian Ocean Territory					</option>
										<option value="BN">
						Brunei Darrussalam					</option>
										<option value="BG">
						Bulgaria					</option>
										<option value="BF">
						Burkina Faso					</option>
										<option value="BI">
						Burundi					</option>
										<option value="KH">
						Cambodia					</option>
										<option value="CM">
						Cameroon					</option>
										<option value="CA">
						Canada					</option>
										<option value="CV">
						Cape Verde					</option>
										<option value="KY">
						Cayman Islands					</option>
										<option value="CF">
						Central African Republic					</option>
										<option value="TD">
						Chad					</option>
										<option value="CL">
						Chile					</option>
										<option value="CN">
						China					</option>
										<option value="CX">
						Christmas Island					</option>
										<option value="CC">
						Cocos Islands					</option>
										<option value="CO">
						Colombia					</option>
										<option value="KM">
						Comoros					</option>
										<option value="CD">
						Congo, Democratic People&#039;s Republic					</option>
										<option value="CG">
						Congo, Republic of					</option>
										<option value="CK">
						Cook Islands					</option>
										<option value="CR">
						Costa Rica					</option>
										<option value="CI">
						Cote d&#039;Ivoire					</option>
										<option value="HR">
						Croatia/Hrvatska					</option>
										<option value="CU">
						Cuba					</option>
										<option value="CW">
						Cura&Ccedil;ao					</option>
										<option value="CY">
						Cyprus					</option>
										<option value="CZ">
						Czechia					</option>
										<option value="DK">
						Denmark					</option>
										<option value="DJ">
						Djibouti					</option>
										<option value="DM">
						Dominica					</option>
										<option value="DO">
						Dominican Republic					</option>
										<option value="TP">
						East Timor					</option>
										<option value="EC">
						Ecuador					</option>
										<option value="EG">
						Egypt					</option>
										<option value="GQ">
						Equatorial Guinea					</option>
										<option value="SV">
						El Salvador					</option>
										<option value="ER">
						Eritrea					</option>
										<option value="EE">
						Estonia					</option>
										<option value="ET">
						Ethiopia					</option>
										<option value="FK">
						Falkland Islands					</option>
										<option value="FO">
						Faroe Islands					</option>
										<option value="FJ">
						Fiji					</option>
										<option value="FI">
						Finland					</option>
										<option value="FR">
						France					</option>
										<option value="GF">
						French Guiana					</option>
										<option value="PF">
						French Polynesia					</option>
										<option value="TF">
						French Southern Territories					</option>
										<option value="GA">
						Gabon					</option>
										<option value="GM">
						Gambia					</option>
										<option value="GE">
						Georgia					</option>
										<option value="DE">
						Germany					</option>
										<option value="GR">
						Greece					</option>
										<option value="GH">
						Ghana					</option>
										<option value="GI">
						Gibraltar					</option>
										<option value="GL">
						Greenland					</option>
										<option value="GD">
						Grenada					</option>
										<option value="GP">
						Guadeloupe					</option>
										<option value="GU">
						Guam					</option>
										<option value="GT">
						Guatemala					</option>
										<option value="GG">
						Guernsey					</option>
										<option value="GN">
						Guinea					</option>
										<option value="GW">
						Guinea-Bissau					</option>
										<option value="GY">
						Guyana					</option>
										<option value="HT">
						Haiti					</option>
										<option value="HM">
						Heard and McDonald Islands					</option>
										<option value="VA">
						Holy See (City Vatican State)					</option>
										<option value="HN">
						Honduras					</option>
										<option value="HK">
						Hong Kong					</option>
										<option value="HU">
						Hungary					</option>
										<option value="IS">
						Iceland					</option>
										<option value="IN">
						India					</option>
										<option value="ID">
						Indonesia					</option>
										<option value="IR">
						Iran					</option>
										<option value="IQ">
						Iraq					</option>
										<option value="IE">
						Ireland					</option>
										<option value="IM">
						Isle of Man					</option>
										<option value="IL">
						Israel					</option>
										<option value="IT">
						Italy					</option>
										<option value="JM">
						Jamaica					</option>
										<option value="JP">
						Japan					</option>
										<option value="JE">
						Jersey					</option>
										<option value="JO">
						Jordan					</option>
										<option value="KZ">
						Kazakhstan					</option>
										<option value="KE">
						Kenya					</option>
										<option value="KI">
						Kiribati					</option>
										<option value="KW">
						Kuwait					</option>
										<option value="KG">
						Kyrgyzstan					</option>
										<option value="LA">
						Lao People&#039;s Democratic Republic					</option>
										<option value="LV">
						Latvia					</option>
										<option value="LB">
						Lebanon					</option>
										<option value="LS">
						Lesotho					</option>
										<option value="LR">
						Liberia					</option>
										<option value="LY">
						Libyan Arab Jamahiriya					</option>
										<option value="LI">
						Liechtenstein					</option>
										<option value="LT">
						Lithuania					</option>
										<option value="LU">
						Luxembourg					</option>
										<option value="MO">
						Macau					</option>
										<option value="MK">
						Macedonia					</option>
										<option value="MG">
						Madagascar					</option>
										<option value="MW">
						Malawi					</option>
										<option value="MY">
						Malaysia					</option>
										<option value="MV">
						Maldives					</option>
										<option value="ML">
						Mali					</option>
										<option value="MT">
						Malta					</option>
										<option value="MH">
						Marshall Islands					</option>
										<option value="MQ">
						Martinique					</option>
										<option value="MR">
						Mauritania					</option>
										<option value="MU">
						Mauritius					</option>
										<option value="YT">
						Mayotte					</option>
										<option value="MX">
						Mexico					</option>
										<option value="FM">
						Micronesia					</option>
										<option value="MD">
						Moldova, Republic of					</option>
										<option value="MC">
						Monaco					</option>
										<option value="MN">
						Mongolia					</option>
										<option value="ME">
						Montenegro					</option>
										<option value="MS">
						Montserrat					</option>
										<option value="MA">
						Morocco					</option>
										<option value="MZ">
						Mozambique					</option>
										<option value="MM">
						Myanmar					</option>
										<option value="NA">
						Namibia					</option>
										<option value="NR">
						Nauru					</option>
										<option value="NP">
						Nepal					</option>
										<option value="NL">
						Netherlands					</option>
										<option value="AN">
						Netherlands Antilles					</option>
										<option value="NC">
						New Caledonia					</option>
										<option value="NZ">
						New Zealand					</option>
										<option value="NI">
						Nicaragua					</option>
										<option value="NE">
						Niger					</option>
										<option value="NG">
						Nigeria					</option>
										<option value="NU">
						Niue					</option>
										<option value="NF">
						Norfolk Island					</option>
										<option value="KP">
						North Korea					</option>
										<option value="MP">
						Northern Mariana Islands					</option>
										<option value="NO">
						Norway					</option>
										<option value="OM">
						Oman					</option>
										<option value="PK">
						Pakistan					</option>
										<option value="PW">
						Palau					</option>
										<option value="PS">
						Palestinian Territories					</option>
										<option value="PA">
						Panama					</option>
										<option value="PG">
						Papua New Guinea					</option>
										<option value="PY">
						Paraguay					</option>
										<option value="PE">
						Peru					</option>
										<option value="PH">
						Philippines					</option>
										<option value="PN">
						Pitcairn Island					</option>
										<option value="PL">
						Poland					</option>
										<option value="PT">
						Portugal					</option>
										<option value="PR">
						Puerto Rico					</option>
										<option value="QA">
						Qatar					</option>
										<option value="XK">
						Republic of Kosovo					</option>
										<option value="RE">
						Reunion Island					</option>
										<option value="RO">
						Romania					</option>
										<option value="RU">
						Russian Federation					</option>
										<option value="RW">
						Rwanda					</option>
										<option value="BL">
						Saint Barth&eacute;lemy					</option>
										<option value="SH">
						Saint Helena					</option>
										<option value="KN">
						Saint Kitts and Nevis					</option>
										<option value="LC">
						Saint Lucia					</option>
										<option value="MF">
						Saint Martin (French)					</option>
										<option value="SX">
						Saint Martin (Dutch)					</option>
										<option value="PM">
						Saint Pierre and Miquelon					</option>
										<option value="VC">
						Saint Vincent and the Grenadines					</option>
										<option value="SM">
						San Marino					</option>
										<option value="ST">
						S&atilde;o Tom&eacute; and Pr&iacute;ncipe					</option>
										<option value="SA">
						Saudi Arabia					</option>
										<option value="SN">
						Senegal					</option>
										<option value="RS">
						Serbia					</option>
										<option value="SC">
						Seychelles					</option>
										<option value="SL">
						Sierra Leone					</option>
										<option value="SG">
						Singapore					</option>
										<option value="SK">
						Slovak Republic					</option>
										<option value="SI">
						Slovenia					</option>
										<option value="SB">
						Solomon Islands					</option>
										<option value="SO">
						Somalia					</option>
										<option value="ZA">
						South Africa					</option>
										<option value="GS">
						South Georgia					</option>
										<option value="KR">
						South Korea					</option>
										<option value="SS">
						South Sudan					</option>
										<option value="ES">
						Spain					</option>
										<option value="LK" selected>
						Sri Lanka					</option>
										<option value="SD">
						Sudan					</option>
										<option value="SR">
						Suriname					</option>
										<option value="SJ">
						Svalbard and Jan Mayen Islands					</option>
										<option value="SZ">
						Swaziland					</option>
										<option value="SE">
						Sweden					</option>
										<option value="CH">
						Switzerland					</option>
										<option value="SY">
						Syrian Arab Republic					</option>
										<option value="TW">
						Taiwan					</option>
										<option value="TJ">
						Tajikistan					</option>
										<option value="TZ">
						Tanzania					</option>
										<option value="TH">
						Thailand					</option>
										<option value="TL">
						Timor-Leste					</option>
										<option value="TG">
						Togo					</option>
										<option value="TK">
						Tokelau					</option>
										<option value="TO">
						Tonga					</option>
										<option value="TT">
						Trinidad and Tobago					</option>
										<option value="TN">
						Tunisia					</option>
										<option value="TR">
						Turkey					</option>
										<option value="TM">
						Turkmenistan					</option>
										<option value="TC">
						Turks and Caicos Islands					</option>
										<option value="TV">
						Tuvalu					</option>
										<option value="UG">
						Uganda					</option>
										<option value="UA">
						Ukraine					</option>
										<option value="AE">
						United Arab Emirates					</option>
										<option value="GB">
						United Kingdom					</option>
										<option value="US">
						United States					</option>
										<option value="UY">
						Uruguay					</option>
										<option value="UM">
						US Minor Outlying Islands					</option>
										<option value="UZ">
						Uzbekistan					</option>
										<option value="VU">
						Vanuatu					</option>
										<option value="VE">
						Venezuela					</option>
										<option value="VN">
						Vietnam					</option>
										<option value="VG">
						Virgin Islands (British)					</option>
										<option value="VI">
						Virgin Islands (USA)					</option>
										<option value="WF">
						Wallis and Futuna Islands					</option>
										<option value="EH">
						Western Sahara					</option>
										<option value="WS">
						Western Samoa					</option>
										<option value="YE">
						Yemen					</option>
										<option value="ZM">
						Zambia					</option>
										<option value="ZW">
						Zimbabwe					</option>
							</select>
					<label for="card_address">
			Billing Address		</label>
				<input
			type="text"
			name="card_address"
			id="card_address"
			value="423"
			placeholder="Address line 1"
			class="edd-input address edd-card-address"
							autocomplete="billing address-line1"
						/>
					<label for="card_address_2">
			Billing Address Line 2 (optional)		</label>
				<input
			type="text"
			name="card_address_2"
			id="card_address_2"
			value=""
			placeholder="Address line 2"
			class="edd-input address-2 edd-card-address-2"
							autocomplete="billing address-line2"
						/>
					<label for="card_city">
			Billing City*Required		</label>
				<input
			type="text"
			name="card_city"
			id="card_city"
			value="Colombo"
			placeholder="City"
			class="edd-input city required edd-card-city"
							autocomplete="billing locality"
								required
						/>
					<label for="card_state">
			Billing State / Province*Required		</label>
					<input
			type="text"
			name="card_state"
			id="card_state"
			value="Western Province"
			placeholder="State / Province"
			class="edd-input state required edd-card-state card_state"
							required
						/>
					<label for="card_zip">
			Billing Postal / ZIP Code*Required		</label>
				<input
			type="text"
			name="card_zip"
			id="card_zip"
			value="00900"
			placeholder="Postal / ZIP Code"
			class="edd-input zip required edd-card-zip"
							autocomplete="billing postal-code"
								required
						/>
					<label for="card_phone">
			Phone Number		</label>
				<input
			type="tel"
			name="card_phone"
			id="card_phone"
			value="076 688 3814"
						class="edd-input__phone edd-input phone edd-card-phone"
			data-country="lk" data-placeholder="(001) 555-0123"		/>
					<label for="edd-vat-number">
			VAT Number		</label>
					<input
			type="text"
			name="vat_number"
			id="edd-vat-number"
			value=""
			placeholder="e.g. DE123456789"
			class="edd-input edd-vat-number-input"
					/>
				<button type="button" name="edd-vat-check" id="edd-vat-check-button">Validate</button>
		<input type="hidden" id="edd-checkout-address-fields-nonce" name="edd-checkout-address-fields-nonce" value="b5411fb0fa" />		</fieldset>
	<fieldset id="edd_cc_fields">
							<legend>Payment Info</legend>
				<svg width="18" height="28" aria-hidden="true" role="img"> <use href="#icon-lock" xlink:href="#icon-lock"></use> </svg>				
				This is a secure SSL encrypted payment.
		<p></p><!-- Extra spacing -->
	</fieldset>
	<input type="hidden" id="edd-process-stripe-token" data-timestamp="1753694440" data-token="eeef17250d06f6a9ba57e214fa9b663be4b2648344dbac2ed68ed2c1a93999c8" />	<fieldset id="edd_purchase_submit">
		<fieldset id="edd-privacy-policy-agreement">
					<p><!-- wp:heading --></p>
<h2>Who we are</h2>
<p><!-- /wp:heading --><br />
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<p><strong>Suggested text: </strong>Our website address is: http://edd.local.</p>
<p><!-- /wp:paragraph --><br />
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<h2>Comments</h2>
<p><!-- /wp:heading --><br />
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<p><strong>Suggested text: </strong>When visitors leave comments on the site we collect the data shown in the comments form, and also the visitor&#8217;s IP address and browser user agent string to help spam detection.</p>
<p><!-- /wp:paragraph --><br />
<!-- wp:paragraph --></p>
<p>An anonymized string created from your email address (also called a hash) may be provided to the Gravatar service to see if you are using it. The Gravatar service privacy policy is available here: https://automattic.com/privacy/. After approval of your comment, your profile picture is visible to the public in the context of your comment.</p>
<p><!-- /wp:paragraph --><br />
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<h2>Media</h2>
<p><!-- /wp:heading --><br />
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<p><strong>Suggested text: </strong>If you upload images to the website, you should avoid uploading images with embedded location data (EXIF GPS) included. Visitors to the website can download and extract any location data from images on the website.</p>
<p><!-- /wp:paragraph --><br />
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<h2>Cookies</h2>
<p><!-- /wp:heading --><br />
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<p><strong>Suggested text: </strong>If you leave a comment on our site you may opt-in to saving your name, email address and website in cookies. These are for your convenience so that you do not have to fill in your details again when you leave another comment. These cookies will last for one year.</p>
<p><!-- /wp:paragraph --><br />
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<p>If you visit our login page, we will set a temporary cookie to determine if your browser accepts cookies. This cookie contains no personal data and is discarded when you close your browser.</p>
<p><!-- /wp:paragraph --><br />
<!-- wp:paragraph --></p>
<p>When you log in, we will also set up several cookies to save your login information and your screen display choices. Login cookies last for two days, and screen options cookies last for a year. If you select &quot;Remember Me&quot;, your login will persist for two weeks. If you log out of your account, the login cookies will be removed.</p>
<p><!-- /wp:paragraph --><br />
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<p>If you edit or publish an article, an additional cookie will be saved in your browser. This cookie includes no personal data and simply indicates the post ID of the article you just edited. It expires after 1 day.</p>
<p><!-- /wp:paragraph --><br />
<!-- wp:heading --></p>
<h2>Embedded content from other websites</h2>
<p><!-- /wp:heading --><br />
<!-- wp:paragraph --></p>
<p><strong>Suggested text: </strong>Articles on this site may include embedded content (e.g. videos, images, articles, etc.). Embedded content from other websites behaves in the exact same way as if the visitor has visited the other website.</p>
<p><!-- /wp:paragraph --><br />
<!-- wp:paragraph --></p>
<p>These websites may collect data about you, use cookies, embed additional third-party tracking, and monitor your interaction with that embedded content, including tracking your interaction with the embedded content if you have an account and are logged in to that website.</p>
<p><!-- /wp:paragraph --><br />
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<h2>Who we share your data with</h2>
<p><!-- /wp:heading --><br />
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<p><strong>Suggested text: </strong>If you request a password reset, your IP address will be included in the reset email.</p>
<p><!-- /wp:paragraph --><br />
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<h2>How long we retain your data</h2>
<p><!-- /wp:heading --><br />
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<p><strong>Suggested text: </strong>If you leave a comment, the comment and its metadata are retained indefinitely. This is so we can recognize and approve any follow-up comments automatically instead of holding them in a moderation queue.</p>
<p><!-- /wp:paragraph --><br />
<!-- wp:paragraph --></p>
<p>For users that register on our website (if any), we also store the personal information they provide in their user profile. All users can see, edit, or delete their personal information at any time (except they cannot change their username). Website administrators can also see and edit that information.</p>
<p><!-- /wp:paragraph --><br />
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<h2>What rights you have over your data</h2>
<p><!-- /wp:heading --><br />
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<p><strong>Suggested text: </strong>If you have an account on this site, or have left comments, you can request to receive an exported file of the personal data we hold about you, including any data you have provided to us. You can also request that we erase any personal data we hold about you. This does not include any data we are obliged to keep for administrative, legal, or security purposes.</p>
<p><!-- /wp:paragraph --><br />
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<h2>Where your data is sent</h2>
<p><!-- /wp:heading --><br />
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<p><strong>Suggested text: </strong>Visitor comments may be checked through an automated spam detection service.</p>
<p><!-- /wp:paragraph --></p>
					<a href="#"
					  >Show Privacy Policy</a>
					<a href="#"
					   style="display:none;">Hide Privacy Policy</a>
					<input name="edd_agree_to_privacy_policy" type="checkbox" id="edd-agree-to-privacy-policy" value="1" required/>
					<label for="edd-agree-to-privacy-policy">Agree to Privacy Policy?</label>
		</fieldset>
				<input type="hidden" name="edd-user-id" value="1"/>
		<input type="hidden" name="edd_action" value="purchase"/>
	<input type="hidden" name="edd-gateway" value="stripe" />
	<input type="hidden" id="edd-process-checkout-nonce" name="edd-process-checkout-nonce" value="c9a03bf343" />
				<input type="submit" id="edd-purchase-button" name="edd-purchase" value="Purchase"/>
			</fieldset>
	</form>