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=\"214365504\"><input type=\"hidden\" name=\"meta_split_id\" value=\"\"><input type=\"hidden\" name=\"unit\" value=\"jv-marketing\"><input type=\"hidden\" name=\"redirect\" value=\"http://www.jvwithjp.com/thankyou.html\" id=\"redirect_f3daf63186ede388e069a8f524aa1d7c\"><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 List Size,custom Describe type of people on your list,custom Best Phone Number,custom Street Address 1,custom City,custom State or Province,custom Zip or Postal Code,custom Your Website URLs\"><input type=\"hidden\" name=\"meta_forward_vars\" value=\"0\"><table><tr><td colspan=2><center></center></td></tr><tr><td>First and Last Name:</td><td><input type=\"text\" name=\"name\" value=\"\" size=\"20\"></td></tr><tr><td>Your E-Mail:</td><td><input type=\"text\" name=\"from\" value=\"\" size=\"20\"></td></tr><tr><td>Best Phone Number:</td><td><input type=\"text\" name=\"custom Best Phone Number\" value=\"\" size=\"20\"></td></tr><tr><td>List Size:</td><td><select name=\"custom List Size\"><option value=\"Less than 1000\">Less than 1000</option><option value=\"1001 - 5000\">1001 - 5000</option><option value=\"5001 - 10000\">5001 - 10000</option><option value=\"10001 - 20000\">10001 - 20000</option><option value=\"20001 - 50000\">20001 - 50000</option><option value=\"Over 50000\">Over 50000</option></select></td></tr><tr><td valign=\"top\">Describe type of people on your list:</td><td><textarea name=\"custom Describe type of people on your list\" rows=\"10\" cols=\"30\"></textarea></td></tr><tr><td valign=\"top\">Your Website URLs:</td><td><textarea name=\"custom Your Website URLs\" rows=\"10\" cols=\"30\"></textarea></td></tr><tr><td>Street Address 1:</td><td><input type=\"text\" name=\"custom Street Address 1\" value=\"\" size=\"20\"></td></tr><tr><td>Street Address 2:</td><td><input type=\"text\" name=\"custom Street Address 2\" value=\"\" size=\"20\"></td></tr><tr><td>City:</td><td><input type=\"text\" name=\"custom City\" value=\"\" size=\"20\"></td></tr><tr><td>State or Province:</td><td><input type=\"text\" name=\"custom State or Province\" value=\"\" size=\"20\"></td></tr><tr><td>Zip or Postal Code:</td><td><input type=\"text\" name=\"custom Zip or Postal Code\" value=\"\" size=\"20\"></td></tr><tr><td>Country:</td><td><input type=\"text\" name=\"custom Country\" value=\"\" size=\"20\"></td></tr>    <tr><td colspan=2><center></center></td></tr><tr><td align=\"center\" colspan=\"2\"><input type=\"submit\" name=\"submit\" value=\"Submit\"></td></tr></table></form></center>");

      function setCookie(name, value, expires, path, domain, secure) {
     var curCookie = name + "=" + escape(value) +
      ((expires) ? "; expires=" + expires.toGMTString() : "") +
      ((path) ? "; path=" + path : "") +
      ((domain) ? "; domain=" + domain : "") +
      ((secure) ? "; secure" : "");
     document.cookie = curCookie;
   }

   function getCookie(name) {
      var dc = document.cookie;
      var prefix = name + "=";
      var begin = dc.indexOf("; " + prefix);
      if (begin == -1) {
    begin = dc.indexOf(prefix);
    if (begin != 0) return null;
      } else
    begin += 2;
      var end = document.cookie.indexOf(";", begin);
   if (end == -1)
      end = dc.length;
      return unescape(dc.substring(begin + prefix.length, end));
   }


      unique_track = new Image();
      unique_track.src = "http://forms.aweber.com/form/displays.htm?id=TIwszGysrAws";