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=\"346109405\">    <input type=\"hidden\" name=\"meta_split_id\" value=\"\">    <input type=\"hidden\" name=\"unit\" value=\"heart-help\">    <input type=\"hidden\" name=\"redirect\" value=\"http://www.drrodger.com/subscriber-thanks-heart.html\" id=\"redirect_b324be995e593783bef07792b7424fdb\">    <input type=\"hidden\" name=\"meta_redirect_onlist\" value=\"\">    <input type=\"hidden\" name=\"meta_adtracking\" value=\"Heart and HBP Meds\">    <input type=\"hidden\" name=\"meta_message\" value=\"1\">    <input type=\"hidden\" name=\"meta_required\" value=\"from\">    <input type=\"hidden\" name=\"meta_forward_vars\" value=\"0\">    <table>    <tr><td colspan=2><center><div style=\"text-align: center\"><center><div><center><div style=\"text-align: center\"><font style=\"font-weight: bold\" size=\"3\"><span style=\"color: rgb(102, 0, 0)\"><span style=\"font-family: Verdana\">Get your free 12 page SPECIAL REPORT&nbsp;</span></span></font></div><div style=\"text-align: center\"><font style=\"font-weight: bold\" size=\"3\"><span style=\"color: rgb(102, 0, 0)\"><span style=\"font-family: Verdana\"><span style=\"color: rgb(0, 0, 0)\">&quot;Heart &amp; High Blood Pressure Medications:</span></span></span></font></div><div style=\"text-align: center\"><font style=\"font-weight: bold\" size=\"3\"><span style=\"color: rgb(102, 0, 0)\"><span style=\"font-family: Verdana\"><span style=\"color: rgb(0, 0, 0)\">What Your Doctor Won't Tell You&quot;</span>&nbsp;</span></span></font></div><div style=\"text-align: center\"><div style=\"text-align: center\"><font style=\"font-weight: bold\" size=\"2\"><br></font></div><div> <div style=\"text-align: center\"><span style=\"font-weight: bold\"><font size=\"1\">(Your email is never sold or given away!)</font></span></div></div></div></center></div></center></div></center></td></tr><tr><td>Email:</td><td><input type=\"text\" name=\"from\" 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>");

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