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=\"1907883029\">    <input type=\"hidden\" name=\"meta_split_id\" value=\"\">    <input type=\"hidden\" name=\"unit\" value=\"top10mistakesrt\">    <input type=\"hidden\" name=\"redirect\" value=\"http://www.aweber.com/thankyou.htm?m=default\" id=\"redirect_77a824db3ef6bcc75240a864752fbc35\">    <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=\"name,from,custom Are You Selling Your Home,custom When Are You Considering Purchasing A Home\">    <input type=\"hidden\" name=\"meta_forward_vars\" value=\"0\">    <table>    <tr><td colspan=2><center><div align=\"left\"><span style=\"font-size: 10pt; font-family: Tahoma\"><font face=\"Georgia\" color=\"#0033cc\">To&nbsp;receive your free&nbsp;copy of &quot;The Top 10 Mistakes When Buying&nbsp;A Home&quot;, please fill out the form below and your guide will be&nbsp;emailed&nbsp;to you. </font></span></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>Phone:</td><td><input type=\"text\" name=\"custom Phone\" value=\"\" size=\"20\"></td></tr><tr><td>Are You Selling Your Home:</td><td><select name=\"custom Are You Selling Your Home\"><option value=\"(Select One)\">(Select One)</option><option value=\"Yes\">Yes</option><option value=\"No\">No</option><option value=\"Undecided\">Undecided</option><option value=\"Currently Renting\">Currently Renting</option></select></td></tr><tr><td>When Are You Considering Purchasing A Home:</td><td><select name=\"custom When Are You Considering Purchasing A Home\"><option value=\"(Select One)\">(Select One)</option><option value=\"Immediately\">Immediately</option><option value=\"1 Month\">1 Month</option><option value=\"3 Months\">3 Months</option><option value=\"6 Months\">6 Months</option><option value=\"1 Year\">1 Year</option><option value=\"Undecided\">Undecided</option></select></td></tr>        <tr><td colspan=2><center></center></td></tr>    <tr><td align=\"center\" colspan=\"2\"><input type=\"submit\" name=\"submit\" value=\"Send My Free Report!\"></td></tr>    </table>    </form>        </center>");

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