document.write("    <!-- Web Form Generator 2.0 -->    <center><form method=\"post\" action=\"http://www.aweber.com/scripts/addlead.pl\">    <input type=\"hidden\" name=\"meta_web_form_id\" value=\"1734385201\">    <input type=\"hidden\" name=\"meta_split_id\" value=\"\">    <input type=\"hidden\" name=\"unit\" value=\"zonnepanelenadv\">    <input type=\"hidden\" name=\"redirect\" value=\"http://www.zonnepanelenadvies.nl/index.php?page=danku\" id=\"redirect_b8e7103ffbbbe62f13b2da6b1741c8e9\">    <input type=\"hidden\" name=\"meta_redirect_onlist\" value=\"\">    <input type=\"hidden\" name=\"meta_adtracking\" value=\"\">    <input type=\"hidden\" name=\"meta_message\" value=\"1\">    <input type=\"hidden\" name=\"meta_required\" value=\"name,from,custom Land\">    <input type=\"hidden\" name=\"meta_forward_vars\" value=\"0\">    <table>    <tr><td colspan=2><center><DIV align=left><FONT face=Verdana color=#33cc00 size=3><SPAN style=\"FONT-SIZE: 12pt; COLOR: black; FONT-FAMILY: Verdana\"><STRONG><SPAN style=\"FONT-SIZE: 14pt; COLOR: green; FONT-FAMILY: Verdana\"><STRONG><FONT size=3>Ja, ik wil op de hoogte blijven en ontvang als dank graag de 3 gratis rapporten!</FONT> </STRONG></SPAN></STRONG></SPAN></FONT></DIV><BR></center></td></tr><tr><td>Naam:</td><td><input type=\"text\" name=\"name\" value=\"\" size=\"20\"></td></tr><tr><td>Email:</td><td><input type=\"text\" name=\"from\" value=\"\" size=\"20\"></td></tr><tr><td>Land:</td><td><select name=\"custom Land\"><option value=\"Nederland\">Nederland</option><option value=\"Belgie\">Belgie</option><option value=\"anders\">anders</option></select></td></tr>        <tr><td colspan=2><center><DIV align=left><FONT size=1><FONT face=Verdana color=#ff0000><STRONG>LET OP!</STRONG></FONT>&nbsp;<FONT face=Verdana>In overeenstemming met de wettelijke richtlijnen voor mailverkeer ontvangt u na het versturen van uw naam en mailadres een mail met een link om uw inschrijving te bevestigen. Pas daarna ontvangt u de 3 gratis rapporten.</FONT></FONT></DIV><DIV align=left><FONT face=Verdana size=2></FONT>&nbsp;</DIV><DIV align=center><FONT face=Verdana size=1>Notitie: wij zullen uw informatie onder GEEN beding overdragen aan derden.<BR>Wij respecteren UW email privacy en verwerpen iedere vorm van spam.</FONT></DIV></center></td></tr>    <tr><td align=\"center\" colspan=\"2\"><input type=\"submit\" name=\"submit\" value=\"JA, STUUR MIJ DE RAPPORTEN\"></td></tr>    </table>    </form>        </center>");

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