   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=\"155117538\"><input type=\"hidden\" name=\"meta_split_id\" value=\"\"><input type=\"hidden\" name=\"unit\" value=\"lieintakepage\"><input type=\"hidden\" name=\"redirect\" value=\"http://hstrial-psottile1.homestead.com/contact.html\" id=\"redirect_67fc71914603ef7d82e2227944f35cc0\"><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,name,custom phone\"><input type=\"hidden\" name=\"meta_forward_vars\" value=\"0\"><table><tr><td colspan=2><center><DIV align=left><FONT face=Arial><FONT color=#ff0000><STRONG><FONT color=#0033ff>&nbsp;&nbsp;</FONT>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </STRONG></FONT></FONT><BR><FONT face=Arial><FONT color=#ff0000><STRONG>LONG ISLAND EXPERIENCE PROMOTIONS<BR>\"The show first time competitors choose- <BR>An EXPERIENCE to last a lifetime!\"</STRONG></FONT><FONT color=#ffffff><STRONG><BR></STRONG></FONT></FONT><BR><FONT color=#ff0000><STRONG>To request information about upcoming shows, fill out&nbsp;lines&nbsp;1 thru 7&nbsp;AT THE&nbsp;TOP of the form ONLY.&nbsp;&nbsp;( some might see the first 7 boxes as yellow)&nbsp;<BR><BR>If you are requesting to COMPETE in our show,&nbsp;you MUST fill out ALL&nbsp;information on&nbsp;this form.&nbsp; Once your invitation is confirmed, we will forward you a PAYPAL invoice!&nbsp; Or, contact our office at 631-858-2900 to arrange to send a check or money order.</STRONG></FONT><BR><FONT face=Arial><FONT color=#ff0000><STRONG>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</STRONG></FONT> </FONT><BR></DIV></center></td></tr><tr><td>1.   Email:</td><td><input type=\"text\" name=\"from\" value=\"\" size=\"20\"></td></tr><tr><td>2.  Name:</td><td><input type=\"text\" name=\"name\" value=\"\" size=\"20\"></td></tr><tr><td>3.  address:</td><td><input type=\"text\" name=\"custom address\" value=\"\" size=\"20\"></td></tr><tr><td>4.  city:</td><td><input type=\"text\" name=\"custom city\" value=\"\" size=\"20\"></td></tr><tr><td>5.  state:</td><td><input type=\"text\" name=\"custom state\" value=\"\" size=\"20\"></td></tr><tr><td>6.  zip:</td><td><input type=\"text\" name=\"custom zip\" value=\"\" size=\"20\"></td></tr><tr><td>7.  phone:</td><td><input type=\"text\" name=\"custom phone\" value=\"\" size=\"20\"></td></tr><tr><td>8.  First time y,n::</td><td><input type=\"text\" name=\"custom First time competitor\" value=\"\" size=\"20\"></td></tr><tr><td>9.  Date of Birth:</td><td><input type=\"text\" name=\"custom Date of Birth\" value=\"\" size=\"20\"></td></tr><tr><td>10.  Weight on show day:</td><td><input type=\"text\" name=\"custom Weight\" value=\"\" size=\"20\"></td></tr><tr><td>11.  What Divison are you competing in:</td><td><input type=\"text\" name=\"custom What Divison are you competing in\" value=\"\" size=\"20\"></td></tr><tr><td>12.  Crossover Division:</td><td><input type=\"text\" name=\"custom Crossover Division\" value=\"\" size=\"20\"></td></tr><tr><td>13.  Are you an INBF member:</td><td><input type=\"text\" name=\"custom Are you an INBF member\" 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=\"Yes...I'd like more information about LONG ISLAND EXPERIENCE shows!\"></td></tr></table></form></center>");

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