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=\"432904009\"><input type=\"hidden\" name=\"meta_split_id\" value=\"\"><input type=\"hidden\" name=\"unit\" value=\"publicityresult\"><input type=\"hidden\" name=\"redirect\" value=\"http://publicityresults.presskit247.com/DrPhilLanding\" id=\"redirect_3bf0fbc2cb7dac77f29ba22488f72c04\"><input type=\"hidden\" name=\"meta_redirect_onlist\" value=\"http://publicityresults.presskit247.com/DrPhilLanding\"><input type=\"hidden\" name=\"meta_adtracking\" value=\"\"><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><FONT face=Arial><STRONG><FONT size=4><FONT color=#ff9933><FONT color=#ff6600>Want to see the pitch that landed our client on</FONT> <FONT color=#000099>Dr. Phil</FONT> </FONT><FONT color=#ff6600>within 8 hours?</FONT>&nbsp;</FONT></STRONG></FONT></DIV></center></td></tr><tr><td>Name:</td><td><input type=\"text\" name=\"name\" value=\"\" size=\"20\"></td></tr><tr><td>Email:</td><td><input type=\"text\" name=\"from\" value=\"\" size=\"20\"></td></tr>    <tr><td colspan=2><center><DIV><SPAN style=\"WORD-SPACING: 0px; FONT: 16px 'Times New Roman'; TEXT-TRANSFORM: none; COLOR: #000000; TEXT-INDENT: 0px; WHITE-SPACE: normal; LETTER-SPACING: normal; BORDER-COLLAPSE: separate; orphans: 2; widows: 2; -webkit-border-horizontal-spacing: 0px; -webkit-border-vertical-spacing: 0px; -webkit-text-decorations-in-effect: none; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px\"><SPAN style=\"FONT-SIZE: 13px; COLOR: #ffcc66; FONT-FAMILY: Arial; -webkit-border-horizontal-spacing: 2px; -webkit-border-vertical-spacing: 2px\"><FONT color=#ff6600>Just enter your name and email address above. I'll send you the EXACT pitch we sent to land our client that coverage and more!</FONT></SPAN></SPAN>&nbsp;</DIV></center></td></tr><tr><td align=\"center\" colspan=\"2\"><input type=\"submit\" name=\"submit\" value=\"Send NOW!\"></td></tr></table></form></center>");

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