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id=\"awf_field-19973690\" class=\"text\" name=\"custom Phone Number\" value=''  tabindex=\"502\" /></div><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-19973691\">What is your current occupation?</label><div class=\"af-textWrap\"><input type=\"text\" id=\"awf_field-19973691\" class=\"text\" name=\"custom Current Occupation\" value=''  tabindex=\"503\" /></div><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-19973692\">Are you seeking part-time or full-time income?</label><div class=\"af-selectWrap\"><select id=\"awf_field-19973692\" name=\"custom part-time or full-time\" tabindex=\"504\" > <option selected=\"selected\" class=\"multiChoice\" value=\"preSelectedHeadingSelected\">Please select</option><option class=\"multiChoice\" value=\"Part-time\">Part-time</option><option class=\"multiChoice\" value=\"Full-time\">Full-time</option></select></div><input type=\"hidden\" name=\"meta_preselected_awf_field-19973692\" value=\"\"/><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-19973693\">What is your budget to start a business?</label><div class=\"af-selectWrap\"><select id=\"awf_field-19973693\" name=\"custom budget\" tabindex=\"505\" > <option selected=\"selected\" class=\"multiChoice\" value=\"preSelectedHeadingSelected\">Please select</option><option class=\"multiChoice\" value=\"Less than $500\">Less than $500</option><option class=\"multiChoice\" value=\"$500 to $2000\">$500 to $2000</option><option class=\"multiChoice\" value=\"$2000 to $5000\">$2000 to $5000</option><option class=\"multiChoice\" value=\"More than $5000\">More than $5000</option></select></div><input type=\"hidden\" name=\"meta_preselected_awf_field-19973693\" value=\"\"/><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-19973694\">What is your desired annual income?</label><div class=\"af-selectWrap\"><select id=\"awf_field-19973694\" name=\"custom income\" tabindex=\"506\" > <option selected=\"selected\" class=\"multiChoice\" value=\"preSelectedHeadingSelected\">Please select</option><option class=\"multiChoice\" value=\"Up to $50,000\">Up to $50,000</option><option class=\"multiChoice\" value=\"$50,000 to $80,000\">$50,000 to $80,000</option><option class=\"multiChoice\" value=\"$80,000 to $100,000\">$80,000 to $100,000</option><option class=\"multiChoice\" value=\"More than $100,000\">More than $100,000</option></select></div><input type=\"hidden\" name=\"meta_preselected_awf_field-19973694\" value=\"More than $100,000\"/><div class=\"af-clear\"></div></div><div class=\"af-element buttonContainer\"><input name=\"submit\" id=\"af-submit-image-966965534\" type=\"image\" class=\"image\" style=\"background: none;\" alt=\"Submit Form\" src=\"http://justinesimard.com/wp-content/uploads/aweber-button.png\" tabindex=\"507\" /><div class=\"af-clear\"></div></div><div class=\"af-element\"><div class=\"bodyText\"><p style=\"text-align: center;\"><span style=\"font-size: 10px;\"><strong><span style=\"font-size: 12px;\"><span style=\"color: #000000;\"><span style=\"font-size: 11px;\">We respect your privacy.&nbsp;</span></span></span></strong></span><strong><span style=\"color: #000000;\"><span style=\"font-size: 11px;\">We will never share your details with anyone.</span></span></strong></p></div><div class=\"af-clear\"></div></div></div></div></form><script type=\"text/javascript\">    <!--    (function() {        var IE = /*@cc_on!@*/false;        if (!IE) { return; }        if (document.compatMode && document.compatMode == 'BackCompat') {            if (document.getElementById(\"af-form-966965534\")) {                document.getElementById(\"af-form-966965534\").className = 'af-form af-quirksMode';            }            if (document.getElementById(\"af-body-966965534\")) {                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