document.write("<style type=\"text/css\">#af-form-398379244 .af-body .af-textWrap{width:98%;display:block;float:none;}#af-form-398379244 .af-body .privacyPolicy{color:#FFFFFF;font-size:12px;font-family:Verdana, sans-serif;}#af-form-398379244 .af-body a{color:#EE7829;text-decoration:underline;font-style:normal;font-weight:normal;}#af-form-398379244 .af-body input.text, #af-form-398379244 .af-body textarea{background-color:#FFFFFF;border-color:#5C533D;border-width:1px;border-style:solid;color:#575757;text-decoration:none;font-style:normal;font-weight:normal;font-size:inherit;font-family:inherit;}#af-form-398379244 .af-body input.text:focus, #af-form-398379244 .af-body textarea:focus{background-color:#FFF5DB;border-color:#000000;border-width:1px;border-style:solid;}#af-form-398379244 .af-body label.previewLabel{display:block;float:none;text-align:left;width:auto;color:#FFFFFF;text-decoration:none;font-style:normal;font-weight:normal;font-size:13px;font-family:inherit;}#af-form-398379244 .af-body{padding-bottom:10px;padding-top:10px;background-repeat:repeat;background-position:bottom left;background-image:none;color:#FFFFFF;font-size:12px;font-family:Verdana, sans-serif;}#af-form-398379244 .af-footer{padding-bottom:2px;padding-top:2px;padding-right:15px;padding-left:15px;background-color:transparent;background-repeat:repeat;background-position:left;background-image:url(\"http://forms.aweber.com/images/forms/grunge-lines/urban/header.png\");border-bottom-style:none;border-left-style:none;border-right-style:none;border-top-style:none;color:#FFFFFF;font-size:14px;font-family:Verdana, sans-serif;}#af-form-398379244 .af-header{padding-bottom:2px;padding-top:2px;padding-right:15px;padding-left:15px;background-color:transparent;background-repeat:no-repeat;background-position:top left;background-image:url(\"http://forms.aweber.com/images/forms/grunge-lines/urban/header.png\");border-width:1px;border-bottom-style:none;border-left-style:none;border-right-style:none;border-top-style:none;color:#FFFFFF;font-size:18px;font-family:Verdana, sans-serif;}#af-form-398379244 .af-quirksMode .bodyText{padding-top:2px;padding-bottom:2px;}#af-form-398379244 .af-quirksMode{padding-right:15px;padding-left:15px;}#af-form-398379244 .af-standards .af-element{padding-right:15px;padding-left:15px;}#af-form-398379244 .bodyText p{margin:1em 0;}#af-form-398379244 .buttonContainer input.submit{background-color:#ee7829;background-image:url(\"http://forms.aweber.com/images/forms/grunge-lines/urban/button.png\");color:#FFFFFF;text-decoration:none;font-style:normal;font-weight:normal;font-size:inherit;font-family:inherit;}#af-form-398379244 .buttonContainer input.submit{width:auto;}#af-form-398379244 .buttonContainer{text-align:right;}#af-form-398379244 body,#af-form-398379244 dl,#af-form-398379244 dt,#af-form-398379244 dd,#af-form-398379244 h1,#af-form-398379244 h2,#af-form-398379244 h3,#af-form-398379244 h4,#af-form-398379244 h5,#af-form-398379244 h6,#af-form-398379244 pre,#af-form-398379244 code,#af-form-398379244 fieldset,#af-form-398379244 legend,#af-form-398379244 blockquote,#af-form-398379244 th,#af-form-398379244 td{float:none;color:inherit;position:static;margin:0;padding:0;}#af-form-398379244 button,#af-form-398379244 input,#af-form-398379244 submit,#af-form-398379244 textarea,#af-form-398379244 select,#af-form-398379244 label,#af-form-398379244 optgroup,#af-form-398379244 option{float:none;position:static;margin:0;}#af-form-398379244 div{margin:0;}#af-form-398379244 fieldset{border:0;}#af-form-398379244 form,#af-form-398379244 textarea,.af-form-wrapper,.af-form-close-button,#af-form-398379244 img{float:none;color:inherit;position:static;background-color:none;border:none;margin:0;padding:0;}#af-form-398379244 input,#af-form-398379244 button,#af-form-398379244 textarea,#af-form-398379244 select{font-size:100%;}#af-form-398379244 p{color:inherit;}#af-form-398379244 select,#af-form-398379244 label,#af-form-398379244 optgroup,#af-form-398379244 option{padding:0;}#af-form-398379244 table{border-collapse:collapse;border-spacing:0;}#af-form-398379244 ul,#af-form-398379244 ol{list-style-image:none;list-style-position:outside;list-style-type:disc;padding-left:40px;}#af-form-398379244,#af-form-398379244 .quirksMode{width:450px;}#af-form-398379244.af-quirksMode{overflow-x:hidden;}#af-form-398379244{background-color:#34353B;border-color:#DBD5C5;border-width:1px;border-style:solid;}#af-form-398379244{overflow:hidden;}.af-body .af-textWrap{text-align:left;}.af-body input.image{border:none!important;}.af-body input.submit,.af-body input.image,.af-form .af-element input.button{float:none!important;}.af-body input.text{width:100%;float:none;padding:2px!important;}.af-body.af-standards input.submit{padding:4px 12px;}.af-clear{clear:both;}.af-element label{text-align:left;display:block;float:left;}.af-element{padding:5px 0;}.af-form-wrapper{text-indent:0;}.af-form{text-align:left;margin:auto;}.af-header,.af-footer{margin-bottom:0;margin-top:0;padding:10px;}.af-quirksMode .af-element{padding-left:0!important;padding-right:0!important;}.lbl-right .af-element label{text-align:right;}body {}</style><form method=\"post\" class=\"af-form-wrapper\" action=\"http://www.aweber.com/scripts/addlead.pl\" target=\"_new\" ><div style=\"display: none;\"><input type=\"hidden\" name=\"meta_web_form_id\" value=\"398379244\" /><input type=\"hidden\" name=\"meta_split_id\" value=\"\" /><input type=\"hidden\" name=\"listname\" value=\"referalform\" /><input type=\"hidden\" name=\"redirect\" value=\"http://www.aweber.com/thankyou.htm?m=default\" id=\"redirect_806c517ba473089dd864b7e1345a506e\" /><input type=\"hidden\" name=\"meta_adtracking\" value=\"VillagePaysMore\" /><input type=\"hidden\" name=\"meta_message\" value=\"1\" /><input type=\"hidden\" name=\"meta_required\" value=\"name,email\" /><input type=\"hidden\" name=\"meta_forward_vars\" value=\"\" /><input type=\"hidden\" name=\"meta_tooltip\" value=\"\" /></div><div id=\"af-form-398379244\" class=\"af-form\"><div id=\"af-header-398379244\" class=\"af-header\"><div class=\"bodyText\"><p><span style=\"font-size: 36px;\"><em><strong><span style=\"color: #ff0000;\">STOP!</span></strong> </em></span><span style=\"font-family: georgia,palatino;\"><strong><span style=\"color: #ffffff;\">Give Us Names &amp;</span></strong></span>&nbsp;<span style=\"color: #00ff00;\"><strong><span style=\"font-size: 24px;\">Win $500</span></strong></span></p></div></div><div id=\"af-body-398379244\" class=\"af-body af-standards\"><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-6337551\">Your Name: </label><div class=\"af-textWrap\"><input id=\"awf_field-6337551\" type=\"text\" name=\"name\" class=\"text\" value=\"\"  /></div><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-6337552\">Your Email: </label><div class=\"af-textWrap\"><input class=\"text\" id=\"awf_field-6337552\" type=\"text\" name=\"email\" value=\"\"  /></div><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-6337553\">Who is The Potential Customer:</label><div class=\"af-textWrap\"><input type=\"text\" id=\"awf_field-6337553\" class=\"text\" name=\"custom Who is The Potential Customer\" value=''  /></div><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-6337554\">What is The Potential Customers Phone Number:</label><div class=\"af-textWrap\"><input type=\"text\" id=\"awf_field-6337554\" class=\"text\" name=\"custom What is The Potential Customers Phone Number\" value=''  /></div><div class=\"af-clear\"></div></div><div class=\"af-element buttonContainer\"><input name=\"submit\" id=\"af-submit-image-398379244\" type=\"image\" class=\"image\" style=\"background: none;\"  border=\"0\" src=\"http://www.aweber.com/images/forms/grunge-lines/urban/button.png\"/><div class=\"af-clear\"></div></div><div class=\"af-element privacyPolicy\" style=\"text-align: center\"><p><a href=\"http://www.aweber.com/permission.htm\" target=\"_blank\">We respect your email privacy</a></p><div class=\"af-clear\"></div></div></div><div id=\"af-footer-398379244\" class=\"af-footer\"><div class=\"bodyText\"><p style=\"text-align: center;\"><span style=\"font-family: georgia,palatino;\"><strong><em><span style=\"font-size: 24px;\"><span style=\"color: #00ff00;\">SHOW ME THE MONEY!</span></span></em></strong></span></p></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-398379244\")) {                document.getElementById(\"af-form-398379244\").className = 'af-form af-quirksMode';            }            if (document.getElementById(\"af-body-398379244\")) {                document.getElementById(\"af-body-398379244\").className = \"af-body inline af-quirksMode\";            }            if (document.getElementById(\"af-header-398379244\")) {                document.getElementById(\"af-header-398379244\").className = \"af-header af-quirksMode\";            }            if (document.getElementById(\"af-footer-398379244\")) {                document.getElementById(\"af-footer-398379244\").className = \"af-footer af-quirksMode\";            }        }    })();    --></script>");

if (typeof window.awf_Form_=='undefined') window.awf_Form_ = new Object();
awf_Form_.isPreview = false;
awf_Form_.setCookie = function(name, value, expires, path, domain, secure) {
    var curCookie = name + "=" + escape(value) +
        ((expires) ? "; expires=" + expires.toGMTString() : "") +
        ((path) ? "; path=" + path : "") +
        ((domain) ? "; domain=" + domain : "") +
        ((secure) ? "; secure" : "");
    document.cookie = curCookie;
}

awf_Form_.getCookie = function(name) {
    var dc = document.cookie;
    var prefix = name + "=";
    var begin = dc.indexOf("; " + prefix);
    if (begin == -1) {
        begin = dc.indexOf(prefix);
        if (begin != 0) return null;
    } else
        begin += 2;
    var end = document.cookie.indexOf(";", begin);
    if (end == -1)
        end = dc.length;
    return unescape(dc.substring(begin + prefix.length, end));
}

var unique_track = new Image();
        unique_track.src = "http://forms.aweber.com/form/displays.htm?id=zJwczOycTCws";

