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=\"294014718\"><input type=\"hidden\" name=\"meta_split_id\" value=\"\"><input type=\"hidden\" name=\"unit\" value=\"bayshorepets\"><input type=\"hidden\" name=\"redirect\" value=\"http://bayshorepets.com/thanks/thanks.htm\" id=\"redirect_609b4b5585317284377764ce82dd8b3b\"><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=\"from\"><input type=\"hidden\" name=\"meta_forward_vars\" value=\"1\"><table><tr><td colspan=2><center><div align=\"center\"><font face=\"Verdana\"><font size=\"5\"><span></span></font></font><span>BayShore Pets <br> Customer Reward Program<br> Sign In to Receive <br> Important Announcements<br> Early Bird Sales<br> Specials and Unusual New Items<br>&nbsp; PLUS a $5.00 Coupon Just for You!</span> </div></center></td></tr><tr><td>Your Email:</td><td><input type=\"text\" name=\"from\" value=\"\" size=\"20\"></td></tr><tr><td>Your Name:</td><td><input type=\"text\" name=\"name\" value=\"\" size=\"20\"></td></tr><tr><td colspan=\"2\"><input type=\"checkbox\" name=\"custom Reptiles\"> Reptiles</td></tr><tr><td colspan=\"2\"><input type=\"checkbox\" name=\"custom Birds\"> Birds</td></tr><tr><td colspan=\"2\"><input type=\"checkbox\" name=\"custom Tropical Fish\"> Tropical Fish</td></tr><tr><td colspan=\"2\"><input type=\"checkbox\" name=\"custom Marine Fish\"> Marine Fish</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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