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=\"1956901748\">    <input type=\"hidden\" name=\"meta_split_id\" value=\"\">    <input type=\"hidden\" name=\"unit\" value=\"the-hcg-diet\">    <input type=\"hidden\" name=\"redirect\" value=\"http://www.pounds-and-inches.com/123589mediadownloadpackage1\" id=\"redirect_714b9c3742caed809910da13068a4126\">    <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=\"name,from\">    <input type=\"hidden\" name=\"meta_forward_vars\" value=\"0\">    <table>    <tr><td colspan=2><center><div align=\"center\">Fill in the form below and have </div><div align=\"center\">\"The HCG Diet\" eBook emailed to you!</div><div align=\"center\">&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>Referred by:</td><td><input type=\"text\" name=\"custom Referred by\" value=\"Pounds and Inches\" size=\"20\"></td></tr>        <tr><td colspan=2><center><div><span class=\"text\"><font size=\"1\"><span style=\"font-size: 10px; line-height: 13px;\">By clicking submit you agree to our </span></font><a href=\"http://pounds-and-inches.com/termsandconditions1.html\" target=\"_blank\"><font size=\"1\"><span style=\"font-size: 10px; line-height: 13px;\">Terms &amp; <br soft=\"\"></span></font></a><a href=\"http://pounds-and-inches.com/termsandconditions1.html\" target=\"_blank\"><font size=\"1\"><span style=\"font-size: 10px; line-height: 13px;\">Conditions.</span></font></a><font size=\"1\"><span style=\"font-size: 10px; line-height: 13px;\"> &nbsp;You Won't be Spammed - <br soft=\"\">we hate it as much as you do!</span></font></span></div></center></td></tr>    <tr><td align=\"center\" colspan=\"2\"><input type=\"submit\" name=\"submit\" value=\"Submit\"></td></tr>    </table>    </form>        </center>");

        function setCookie(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;
    }

    function getCookie(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));
    }


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