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=\"1098356307\"><input type=\"hidden\" name=\"meta_split_id\" value=\"\"><input type=\"hidden\" name=\"unit\" value=\"wasabicontacts\"><input type=\"hidden\" name=\"redirect\" value=\"http://www.aweber.com/thankyou-coi.htm?m=audio\" id=\"redirect_ea6e442aa8081c646858e74103c257e6\"><input type=\"hidden\" name=\"meta_redirect_onlist\" value=\"\"><input type=\"hidden\" name=\"meta_adtracking\" value=\"website contact\"><input type=\"hidden\" name=\"meta_message\" value=\"1\"><input type=\"hidden\" name=\"meta_required\" value=\"from,name,custom Company,custom Address 1,custom Address 2,custom Zip Code,custom Country,custom Phone number,custom Urgency,custom Message\"><input type=\"hidden\" name=\"meta_forward_vars\" value=\"0\"><table><tr><td colspan=2><center><div>Contact us with a detailed message.&nbsp;</div></center></td></tr><tr><td>Email:</td><td><input type=\"text\" name=\"from\" value=\"\" size=\"20\"></td></tr><tr><td>Name:</td><td><input type=\"text\" name=\"name\" value=\"\" size=\"20\"></td></tr><tr><td>Company:</td><td><input type=\"text\" name=\"custom Company\" value=\"\" size=\"20\"></td></tr><tr><td>Address 1:</td><td><input type=\"text\" name=\"custom Address 1\" value=\"\" size=\"20\"></td></tr><tr><td>Address 2:</td><td><input type=\"text\" name=\"custom Address 2\" value=\"\" size=\"20\"></td></tr><tr><td>State:</td><td><input type=\"text\" name=\"custom State\" value=\"\" size=\"20\"></td></tr><tr><td>Zip Code:</td><td><input type=\"text\" name=\"custom Zip Code\" value=\"\" size=\"20\"></td></tr><tr><td>Country:</td><td><input type=\"text\" name=\"custom Country\" value=\"\" size=\"20\"></td></tr><tr><td>Phone number:</td><td><input type=\"text\" name=\"custom Phone number\" value=\"\" size=\"20\"></td></tr><tr><td>Fax number:</td><td><input type=\"text\" name=\"custom Fax Number\" value=\"\" size=\"20\"></td></tr><tr><td>Urgency:</td><td><select name=\"custom Urgency\"><option value=\"Critical\">Critical</option><option value=\"Urgent\">Urgent</option><option value=\"General\">General</option></select></td></tr><tr><td valign=\"top\">Message:</td><td><textarea name=\"custom Message\" rows=\"30\" cols=\"60\"></textarea></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) {
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      ((expires) ? "; expires=" + expires.toGMTString() : "") +
      ((path) ? "; path=" + path : "") +
      ((domain) ? "; domain=" + domain : "") +
      ((secure) ? "; secure" : "");
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   function getCookie(name) {
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      var prefix = name + "=";
      var begin = dc.indexOf("; " + prefix);
      if (begin == -1) {
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    begin += 2;
      var end = document.cookie.indexOf(";", begin);
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      end = dc.length;
      return unescape(dc.substring(begin + prefix.length, end));
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      unique_track = new Image();
      unique_track.src = "http://forms.aweber.com/form/displays.htm?id=jAycHMysbMwM7A==";