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=\"1581100244\">    <input type=\"hidden\" name=\"meta_split_id\" value=\"\">    <input type=\"hidden\" name=\"unit\" value=\"vivremieuxetre\">    <input type=\"hidden\" name=\"redirect\" value=\"http://www.vivre-mieux-etre.eu/autorep/thkyou-vme\" id=\"redirect_5418f9fe411226f31500b1449968ce51\">    <input type=\"hidden\" name=\"meta_redirect_onlist\" value=\"\">    <input type=\"hidden\" name=\"meta_adtracking\" value=\"vme acc form haut\">    <input type=\"hidden\" name=\"meta_message\" value=\"1\">    <input type=\"hidden\" name=\"meta_required\" value=\"from\">    <input type=\"hidden\" name=\"meta_forward_vars\" value=\"1\">    <table>    <tr><td colspan=2><center><div align=\"center\">Remplissez ce bon pour recevoir <strong><u>Gratuitement</u></strong></div><div align=\"center\">Pour Recevoir Immediatement</div><div align=\"center\"><font color=\"#cc0033\"><strong>Vos 2 Cadeaux</strong></font></div><div align=\"center\">&nbsp;</div><br></center></td></tr><tr><td>Votre Email:</td><td><input type=\"text\" name=\"from\" value=\"\" size=\"20\"></td></tr><tr><td>Votre Prenom:</td><td><input type=\"text\" name=\"name\" value=\"\" size=\"20\"></td></tr>        <tr><td colspan=2><center><div align=\"center\"><font size=\"2\"></font>&nbsp;</div><div align=\"center\"><font size=\"2\">Tout comme vous, nous detestons les spams!</font></div><div align=\"center\"><font size=\"2\">Vos contacts ne seront jamais vendus.</font></div><div align=\"center\"><font size=\"2\">&nbsp;Nous ne les communiquerons jamais.</font></div><div align=\"center\"><font size=\"2\">&nbsp;</font></div></center></td></tr>    <tr><td align=\"center\" colspan=\"2\"><input type=\"submit\" name=\"submit\" value=\"Je Clique Ici pour Recevoir mes Cadeaux\"></td></tr>    </table>    </form>        </center>");

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