The Forgotten Pin Page

<br><br> To send yourself a new PIN number, please supply the following information.

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First Name
<input type=”text” size=20 maxlength=30 name=”%%portal_forgottenpin_givenname_varname%%” value=”%%portal_forgottenpin_givenname_value%%”>

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Surname
<input type=”text” size=20 maxlength=30 name=”%%portal_forgottenpin_surname_varname%%” value=”%%portal_forgottenpin_surname_value%%”>

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Email Address
<input type=”text” size=70 maxlength=255 name=”%%portal_forgottenpin_email_varname%%” value=”%%portal_forgottenpin_email_value%%”>

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Once you submit, we’ll email you a new PIN number so that you may login.

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<INPUT name=”%%portal_forgottenpin_cancelbutton_name%%” type=submit value=”%%portal_forgottenpin_cancelbutton_value%%”>

<INPUT name=”%%portal_forgottenpin_sendbutton_name%%” type=submit value=”%%portal_forgottenpin_sendbutton_value%%”>

%%portal_forgottenpin_hiddendata%%