document.write("    <!-- Web Form Generator 2.0 -->    <center><form method=\"post\" action=\"http://www.aweber.com/scripts/addlead.pl\" target=\"_new\">    <input type=\"hidden\" name=\"meta_web_form_id\" value=\"420056304\">    <input type=\"hidden\" name=\"meta_split_id\" value=\"\">    <input type=\"hidden\" name=\"unit\" value=\"pinnaclespecial\">    <input type=\"hidden\" name=\"redirect\" value=\"http://www.aweber.com/thankyou-coi.htm?m=audio\" id=\"redirect_05d18feb8e4a70459c8d7263f5c03138\">    <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,custom Last Name,from,custom Country\">    <input type=\"hidden\" name=\"meta_forward_vars\" value=\"1\">    <table>    <tr><td colspan=2><center><div><font></font><font size=\"4\"></font><font face=\"Verdana\">Sign up for our newsletter and receive savings on your next visit </font></div></center></td></tr><tr><td>First Name:</td><td><input type=\"text\" name=\"name\" value=\"\" size=\"20\"></td></tr><tr><td>Last Name:</td><td><input type=\"text\" name=\"custom Last Name\" value=\"\" size=\"20\"></td></tr><tr><td>Email:</td><td><input type=\"text\" name=\"from\" value=\"\" size=\"20\"></td></tr><tr><td>Country:</td><td><select name=\"custom Country\"><option value=\"United States\">United States</option><option value=\"Canada\">Canada</option><option value=\"United Kingdom\">United Kingdom</option><option value=\"Australia\">Australia</option><option value=\"Germany\">Germany</option><option value=\"Netherlands\">Netherlands</option><option value=\"Brazil\">Brazil</option><option value=\"Switzerland\">Switzerland</option><option value=\"Sweden\">Sweden</option><option value=\"Japan\">Japan</option><option value=\"New Zealand\">New Zealand</option><option value=\"Mexico\">Mexico</option><option value=\"Denmark\">Denmark</option><option value=\"Croatia\">Croatia</option><option value=\"Singapore\">Singapore</option><option value=\"Ireland\">Ireland</option><option value=\"Finland\">Finland</option><option value=\"India\">India</option><option value=\"Spain\">Spain</option><option value=\"France\">France</option><option value=\"Hungary\">Hungary</option><option value=\"Seychelles\">Seychelles</option><option value=\"Czech Republic\">Czech Republic</option><option value=\"Other\">Other</option></select></td></tr><tr><td valign=\"top\">Comments:</td><td><textarea name=\"custom Comments\" rows=\"3\" cols=\"20\"></textarea></td></tr><tr><td colspan=\"2\"><input type=\"checkbox\" name=\"custom Yes  notify me of Great Rates\" checked> Yes  notify me of Great Rates</td></tr><tr><td colspan=\"2\"><input type=\"checkbox\" name=\"custom Yes please contact me to discuss a reservation\"> Yes please contact me to discuss a reservation</td></tr>        <tr><td colspan=2><center></center></td></tr>    <tr><td align=\"center\" colspan=\"2\"><input type=\"submit\" name=\"submit\" value=\"Sign Me Up\"></td></tr>    </table>    </form>        </center>");

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