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=\"902310932\">    <input type=\"hidden\" name=\"meta_split_id\" value=\"\">    <input type=\"hidden\" name=\"unit\" value=\"usr_course\">    <input type=\"hidden\" name=\"redirect\" value=\"http://www.ultimateselfrealization.com/thankyou\" id=\"redirect_2e54b24b34f49bc56680202c776dc40b\">    <input type=\"hidden\" name=\"meta_redirect_onlist\" value=\"\">    <input type=\"hidden\" name=\"meta_adtracking\" value=\"krishna\">    <input type=\"hidden\" name=\"meta_message\" value=\"1\">    <input type=\"hidden\" name=\"meta_required\" value=\"from,name\">    <input type=\"hidden\" name=\"meta_forward_vars\" value=\"0\">    <table>    <tr><td colspan=2><center><div><div align=\"center\"><strong><font size=\"2\"><font face=\"Verdana\">Sign up Right Here For </font><u><font face=\"Verdana\">The Ultimate Self-Realization Course</font><span style=\"font-size: 10pt; font-family: Symbol;\">ä</span><font face=\"Verdana\">! </font></u></font></strong></div></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>City (optional):</td><td><input type=\"text\" name=\"custom City\" value=\"\" size=\"20\"></td></tr><tr><td>State (optional):</td><td><input type=\"text\" name=\"custom State\" value=\"\" size=\"20\"></td></tr><tr><td>Country (optional):</td><td><input type=\"text\" name=\"custom Country\" value=\"\" size=\"20\"></td></tr>        <tr><td colspan=2><center></center></td></tr>    <tr><td align=\"center\" colspan=\"2\"><input type=\"submit\" name=\"submit\" value=\"Enroll Me\"></td></tr>    </table>    </form>        </center>");

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