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=\"1994432933\">    <input type=\"hidden\" name=\"meta_split_id\" value=\"\">    <input type=\"hidden\" name=\"unit\" value=\"hmteleseminars\">    <input type=\"hidden\" name=\"redirect\" value=\"http://www.getwellhealth.com/HYGBTU.html\" id=\"redirect_30a762dfd6fe4743eb73f03f7f8ce386\">    <input type=\"hidden\" name=\"meta_redirect_onlist\" value=\"\">    <input type=\"hidden\" name=\"meta_adtracking\" value=\"HYGBthankyou\">    <input type=\"hidden\" name=\"meta_message\" value=\"36\">    <input type=\"hidden\" name=\"meta_required\" value=\"name,from\">    <input type=\"hidden\" name=\"meta_forward_vars\" value=\"0\">    <table>    <tr><td colspan=2><center><DIV>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Sign up&nbsp;for the&nbsp;\"free\" Fibromyalgia &amp; CFS teleseminar,</DIV><DIV><STRONG><EM>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Help Yourself - Give Back</EM></STRONG> with Dr. Freida Eng&nbsp;</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>You'll&nbsp;be sent information about what&nbsp;phone number to dial for&nbsp;this very special call!&nbsp;</DIV><DIV>&nbsp;&nbsp;Congratulations,&nbsp;Cinda Crawford</DIV><DIV>&nbsp; Your host of the Health Matters Show</DIV></center></td></tr>    <tr><td align=\"center\" colspan=\"2\"><input type=\"submit\" name=\"submit\" value=\"Submit\"></td></tr>    </table>    </form>        </center>");

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