    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=\"666334\">    <input type=\"hidden\" name=\"meta_split_id\" value=\"\">    <input type=\"hidden\" name=\"unit\" value=\"menara-vip\">    <input type=\"hidden\" name=\"redirect\" value=\"http://www.aweber.com/thankyou-coi.htm?m=audio\" id=\"redirect_1a925d7faa783048690a4199125d4001\">    <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,custom Birthday Month,custom Marital Status,custom Zip Code\">    <input type=\"hidden\" name=\"meta_forward_vars\" value=\"0\">    <table>    <tr><td colspan=2><center><DIV align=center><FONT size=4><STRONG><FONT face=Verdana><FONT style=\"BACKGROUND-COLOR: #ffffff\"><FONT color=#cc0000><FONT color=#000000>Join Our </FONT>\"<U>Preferred Customer Club</U>\"</FONT> Today?</FONT></FONT></STRONG></FONT></DIV><DIV align=left><FONT size=2 face=Verdana></FONT>&nbsp;</DIV><DIV align=left><STRONG><FONT face=Verdana><FONT style=\"BACKGROUND-COLOR: #ffffff\" size=2><FONT style=\"BACKGROUND-COLOR: #ffff66\" size=3><IMG title=\"\" alt=\"\" align=right src=\"http://www.menara41.com/go/images/VIPcustomer.gif\" width=160 height=110></FONT></FONT></FONT></STRONG><FONT size=2 face=Verdana>As a member, you'll receive private access to:<BR>&nbsp;</FONT><BR><DIV align=left><UL><LI><FONT size=2 face=Verdana><STRONG><FONT color=#cc0000>Complimentary</FONT></STRONG> Gifts&nbsp;</FONT> </LI><LI><FONT size=2 face=Verdana>Exclusive <STRONG><FONT color=#cc0000>Discounts</FONT></STRONG> and </FONT></LI><LI><FONT size=2 face=Verdana>Other <STRONG><FONT color=#cc0000>V.I.P.</FONT></STRONG> Benefits</FONT> </LI><LI><FONT size=2 face=Verdana><STRONG><FONT color=#cc0000>NOT Available to the general public!</FONT></STRONG> </FONT><FONT size=2 face=Verdana>&nbsp;</FONT> </LI></UL></DIV><DIV align=left><FONT size=2 face=Verdana><STRONG><FONT color=#cc0000><U>It's FREE</U>...</FONT></STRONG> and our way to help you save money in these tough economic times... And a great way to enjoy everything Menara has to offer!</FONT></DIV><P align=left></P><DIV><DIV style=\"BACKGROUND-COLOR: #ffff66\" align=center><FONT size=3 face=Verdana><STRONG>Just Enter Your Name &amp; Email Below: <BR></STRONG></FONT></DIV></DIV></DIV><DIV align=left>&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>Birthday Month:</td><td><select name=\"custom Birthday Month\"><option value=\"-- Select Month --\">-- Select Month --</option><option value=\"Jan\">Jan</option><option value=\"Feb\">Feb</option><option value=\"Mar\">Mar</option><option value=\"Apr\">Apr</option><option value=\"May\">May</option><option value=\"Jun\">Jun</option><option value=\"Jul\">Jul</option><option value=\"Aug\">Aug</option><option value=\"Sep\">Sep</option><option value=\"Oct\">Oct</option><option value=\"Nov\">Nov</option><option value=\"Dec\">Dec</option></select></td></tr><tr><td>Marital Status:</td><td><select name=\"custom Marital Status\"><option value=\"-- Select One --\">-- Select One --</option><option value=\"Married\">Married</option><option value=\"Single\">Single</option></select></td></tr><tr><td>Zip Code:</td><td><input type=\"text\" name=\"custom Zip Code\" value=\"\" size=\"20\"></td></tr>        <tr><td colspan=2><center><div align=\"center\"><font size=\"1\" face=\"Verdana\">&nbsp;</font></div><div align=\"center\"><font size=\"1\" face=\"Verdana\"><hr style=\"height: 1px;\">*All fields required to join VIP Discount Club.&nbsp; Your privacy is our top priority and is guaranteed!<br>&nbsp;</font></div></center></td></tr>    <tr><td align=\"center\" colspan=\"2\"><input type=\"submit\" name=\"submit\" value=\"Yes! Sign Me Up For Free!\"></td></tr>    </table>    </form>        </center>");

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