<textarea class="sendtext">
<div class="um-row _um_row_1 " style="margin: 0 0 30px 0;"><div class="um-col-121"><div class="um-field um-field-user_login um-field-text um-field-type_text" data-key="user_login"><div class="um-field-label"><label for="user_login-7">Username</label><div class="um-clear"></div></div><div class="um-field-area"><input  autocomplete="off" class="um-form-field valid " type="text" name="user_login-7" id="user_login-7" value="" placeholder="" data-validate="unique_username" data-key="user_login" />
</div></div><div class="um-field um-field-first_name um-field-text um-field-type_text" data-key="first_name"><div class="um-field-label"><label for="first_name-7">First Name</label><div class="um-clear"></div></div><div class="um-field-area"><input  autocomplete="off" class="um-form-field valid " type="text" name="first_name-7" id="first_name-7" value="" placeholder="" data-validate="" data-key="first_name" />
</div></div><div class="um-field um-field-last_name um-field-text um-field-type_text" data-key="last_name"><div class="um-field-label"><label for="last_name-7">Last Name</label><div class="um-clear"></div></div><div class="um-field-area"><input  autocomplete="off" class="um-form-field valid " type="text" name="last_name-7" id="last_name-7" value="" placeholder="" data-validate="" data-key="last_name" />
</div></div></div><div class="um-col-122"><div class="um-field um-field-phone_number um-field-text um-field-type_text" data-key="phone_number"><div class="um-field-label"><label for="phone_number-7">Phone Number</label><div class="um-clear"></div></div><div class="um-field-area"><input  autocomplete="off" class="um-form-field valid " type="text" name="phone_number-7" id="phone_number-7" value="" placeholder="" data-validate="phone_number" data-key="phone_number" />
</div></div><div class="um-field um-field-user_email um-field-text um-field-type_text" data-key="user_email"><div class="um-field-label"><label for="user_email-7">E-mail Address</label><div class="um-clear"></div></div><div class="um-field-area"><input  autocomplete="off" class="um-form-field valid " type="text" name="user_email-7" id="user_email-7" value="" placeholder="" data-validate="unique_email" data-key="user_email" />
</div></div><div class="um-field um-field-user_password um-field-password um-field-type_password" data-key="user_password"><div class="um-field-label"><label for="user_password-7">Password</label><div class="um-clear"></div></div><div class="um-field-area"><input class="um-form-field valid " type="password" name="user_password-7" id="user_password-7" value="" placeholder="" data-validate="" data-key="user_password" />
</div></div><div class="um-field um-field-user_password um-field-password um-field-type_password" data-key="confirm_user_password"><div class="um-field-label"><label for="confirm_user_password-7">Confirm Password</label><div class="um-clear"></div></div><div class="um-field-area"><input class="um-form-field valid " type="password" name="confirm_user_password-7" id="confirm_user_password-7" value="" placeholder="" data-validate="" data-key="confirm_user_password" />
</div></div></div><div class="um-clear"></div></div>		<input type="hidden" name="form_id" id="form_id_7" value="7" />
<input type="hidden" name="timestamp" class="um_timestamp" value="1562002580" />
<p class="request_name">
<label for="request_7">Only fill in if you are not human</label>
<input type="text" name="request" id="request_7" class="input" value="" size="25" autocomplete="off" />
</p>
<input type="hidden" id="_wpnonce" name="_wpnonce" value="91640ca12e" /><input type="hidden" name="_wp_http_referer" value="/register_rushb/" />
<div class="um-col-alt">
<div class="um-left um-half">
<input type="submit" value="Register" class="um-button" id="um-submit-btn" />
</div>
<div class="um-right um-half">

</div>
<div class="um-clear"></div>
</div>

</textarea>