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=\"1026546009\"><input type=\"hidden\" name=\"meta_split_id\" value=\"\"><input type=\"hidden\" name=\"unit\" value=\"mypetnewsletter\"><input type=\"hidden\" name=\"redirect\" value=\"http://www.mypet.net.au/ThankyouNewsletter.htm\" id=\"redirect_a27b355e0323ff80eb7b07b622e92d71\"><input type=\"hidden\" name=\"meta_redirect_onlist\" value=\"\"><input type=\"hidden\" name=\"meta_adtracking\" value=\"MPNewsletterpage\"><input type=\"hidden\" name=\"meta_message\" value=\"1\"><input type=\"hidden\" name=\"meta_required\" value=\"from,custom First Name,custom Last Name,custom City,custom Country,custom Type of pets\"><input type=\"hidden\" name=\"meta_forward_vars\" value=\"0\"><table><tr><td colspan=2><center><div><div align=\"center\"><font face=\"Arial\" color=\"#0000cc\" size=\"6\"><strong>Free Newsletter</strong></font></div><div align=\"center\"><font face=\"Arial\" color=\"#0000cc\">Receive latest updates from <br><strong><font size=\"5\">www.mypet.net.au  <br></font></strong>Specials - </font><font face=\"Arial\" color=\"#0000cc\">Pet Hints - Competitions</font></div><div align=\"center\"><font face=\"Arial\" color=\"#0000cc\">Events - Fun Corner - Bindi's Blogs</font></div><div align=\"center\"><font face=\"Arial\" color=\"#0000cc\">Money Saving ideas - </font><font face=\"Arial\" color=\"#0000cc\">and lots more!</font></div></div></center></td></tr><tr><td>E-mail Address:</td><td><input type=\"text\" name=\"from\" value=\"\" size=\"20\"></td></tr><tr><td>First Name:</td><td><input type=\"text\" name=\"custom First 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>Phone:</td><td><input type=\"text\" name=\"custom Phone\" value=\"\" size=\"20\"></td></tr><tr><td>City:</td><td><input type=\"text\" name=\"custom City\" 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\"><input type=\"checkbox\" name=\"custom Age Under 18\"> Age Under 18</td></tr><tr><td colspan=\"2\"><input type=\"checkbox\" name=\"custom Age 18  40\"> Age 18 - 40</td></tr><tr><td colspan=\"2\"><input type=\"checkbox\" name=\"custom Age 40  60\"> Age 40 - 60</td></tr><tr><td colspan=\"2\"><input type=\"checkbox\" name=\"custom Age Over 60\"> Age Over 60</td></tr><tr><td valign=\"top\">Type of pet/s:</td><td><textarea name=\"custom Type of pets\" rows=\"2\" cols=\"20\"></textarea></td></tr>    <tr><td colspan=2><center></center></td></tr><tr><td align=\"center\" colspan=\"2\"><input type=\"submit\" name=\"submit\" value=\"Send FREE Newsletter\"></td></tr></table></form></center>");

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