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style=\"display: none;\"><input type=\"hidden\" name=\"meta_web_form_id\" value=\"440226948\" /><input type=\"hidden\" name=\"meta_split_id\" value=\"\" /><input type=\"hidden\" name=\"listname\" value=\"newlifechiro\" /><input type=\"hidden\" name=\"redirect\" value=\"http://www.aweber.com/thankyou-coi.htm?m=video\" id=\"redirect_a1b52d388f12b2d808cf0e8644b24a10\" /><input type=\"hidden\" name=\"meta_adtracking\" value=\"Home_Page_New_Patient_Special\" /><input type=\"hidden\" name=\"meta_message\" value=\"14\" /><input type=\"hidden\" name=\"meta_required\" value=\"name,email\" /><input type=\"hidden\" name=\"meta_tooltip\" value=\"custom Preferred Appt Date (awf_month)||preSelectedHeadingSelected,,custom Preferred Appt Date (awf_day)||preSelectedHeadingSelected\" /></div><div id=\"af-form-440226948\" class=\"af-form\"><div id=\"af-header-440226948\" class=\"af-header\"><div class=\"bodyText\"><p align=\"center\"><strong><span style=\"background-color: #ffff00; color: #ff0000;\"><span style=\"font-size: 8pt;\"><span style=\"color: black;\"><span style=\"font-size: 18px;\">NEW PATIENT SPECIAL!!!</span><br /></span></span></span><span style=\"font-size: 11pt;\"><span style=\"color: #ff0000;\">&nbsp;</span></span></strong></p><p align=\"center\"><strong><span style=\"font-size: 11pt;\"><span style=\"color: #ff0000;\">Sign up today for an evaluation with Dr. Vince Leone, recently named <em><span style=\"color: #000080;\">\"Best of the Northwest\"</span></em> and recently seen on KIRO!</span></span></strong></p><table align=\"center\" border=\"0\" cellpadding=\"0\" cellspacing=\"1\" style=\"width: 200px;\"><tbody><tr><td align=\"left\" valign=\"top\"><p align=\"center\">&nbsp;</p></td><td align=\"left\" valign=\"top\">&nbsp;&nbsp; <br /></td><td align=\"left\" valign=\"top\">&nbsp;<img alt=\"Fort Collins Chiropractic\" border=\"0\" src=\"http://www.fortcollinschiropractor.org/images/arrow-down.png\" style=\"width: 45px; height: 54px;\" title=\"Fort Collins Chiropractic\" /><img alt=\"Fort Collins Chiropractic\" border=\"0\" src=\"http://www.fortcollinschiropractor.org/images/arrow-down.png\" style=\"width: 45px; height: 54px;\" title=\"Fort Collins Chiropractic\" /><img alt=\"Fort Collins Chiropractic\" border=\"0\" src=\"http://www.fortcollinschiropractor.org/images/arrow-down.png\" style=\"width: 45px; height: 54px;\" title=\"Fort Collins Chiropractic\" /></td></tr></tbody></table><table class=\"main6c580c88-7f5c-4eaf-84ed-2f55754912ae\" id=\"6c580c88-7f5c-4eaf-84ed-2f55754912ae\" width=\"240\"><tbody><tr><td class=\"tl6c580c88-7f5c-4eaf-84ed-2f55754912ae\"></td><td class=\"top6c580c88-7f5c-4eaf-84ed-2f55754912ae\"></td><td class=\"tr6c580c88-7f5c-4eaf-84ed-2f55754912ae\"></td></tr><tr><td class=\"left6c580c88-7f5c-4eaf-84ed-2f55754912ae\"></td><td class=\"centre6c580c88-7f5c-4eaf-84ed-2f55754912ae\"><p><span style=\"color: #000080;\">New Patient Special Includes:</span></p><p><span style=\"color: #000080;\">-Consultation</span></p><p><span style=\"color: #000080;\">-Comprehensive Spinal Exam</span></p><p><span style=\"color: #000080;\">-X-Rays (if necessary)</span></p><p><span style=\"color: #000080;\">-1 Hour Massage</span></p><p style=\"text-align: center;\"><span style=\"color: #000080;\"><strong><span style=\"font-size: 24px;\">Just $49!!</span></strong><br /></span></p></td></tr></tbody></table></div></div><div id=\"af-body-440226948\" class=\"af-body af-standards\"><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-12819139\">Name: </label><div class=\"af-textWrap\"><input id=\"awf_field-12819139\" type=\"text\" name=\"name\" class=\"text\" value=\"\"  tabindex=\"500\" /></div><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-12819140\">Email: </label><div class=\"af-textWrap\"><input class=\"text\" id=\"awf_field-12819140\" type=\"text\" name=\"email\" value=\"\" tabindex=\"501\"  /></div><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-12819141\">Phone:</label><div class=\"af-textWrap\"><input type=\"text\" id=\"awf_field-12819141\" class=\"text\" name=\"custom Phone\" value=''  tabindex=\"502\" /></div><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-12819142month\">Preferred Appt Date:</label> <div class=\"af-dateWrap\"><select id=\"awf_field-12819142month\" name=\"custom Preferred Appt Date (awf_month)\" tabindex=\"503\" > <option selected=\"selected\" value=\"preSelectedHeadingSelected\">Month</option><option value=\"1\">January</option><option value=\"2\">February</option><option value=\"3\">March</option><option value=\"4\">April</option><option value=\"5\">May</option><option value=\"6\">June</option><option value=\"7\">July</option><option value=\"8\">August</option><option value=\"9\">September</option><option value=\"10\">October</option><option value=\"11\">November</option><option value=\"12\">December</option></select><select id=\"awf_field-12819142day\" name=\"custom Preferred Appt Date (awf_day)\" tabindex=\"504\" > <option selected=\"selected\" value=\"preSelectedHeadingSelected\">Day</option><option value=\"1\">1</option><option value=\"2\">2</option><option value=\"3\">3</option><option value=\"4\">4</option><option value=\"5\">5</option><option value=\"6\">6</option><option value=\"7\">7</option><option value=\"8\">8</option><option value=\"9\">9</option><option value=\"10\">10</option><option value=\"11\">11</option><option value=\"12\">12</option><option value=\"13\">13</option><option value=\"14\">14</option><option value=\"15\">15</option><option value=\"16\">16</option><option value=\"17\">17</option><option value=\"18\">18</option><option value=\"19\">19</option><option value=\"20\">20</option><option value=\"21\">21</option><option value=\"22\">22</option><option value=\"23\">23</option><option value=\"24\">24</option><option value=\"25\">25</option><option value=\"26\">26</option><option value=\"27\">27</option><option value=\"28\">28</option><option value=\"29\">29</option><option value=\"30\">30</option><option value=\"31\">31</option></select></div><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-12819143\">Appointment Time (Monday-Thursday):</label><div class=\"af-selectWrap\"><select id=\"awf_field-12819143\" name=\"custom Appointment Time\" tabindex=\"505\" > <option class=\"multiChoice\" value=\"9:30\">9:30</option><option class=\"multiChoice\" value=\"10:30\">10:30</option><option class=\"multiChoice\" value=\"11:30\">11:30</option><option class=\"multiChoice\" value=\"3:30\">3:30</option><option class=\"multiChoice\" value=\"4:30\">4:30</option><option class=\"multiChoice\" value=\"5:30\">5:30</option></select></div><input type=\"hidden\" name=\"meta_preselected_awf_field-12819143\" value=\"\"/><div class=\"af-clear\"></div></div><div class=\"af-element buttonContainer\"><input name=\"submit\" class=\"submit\" type=\"submit\" value=\"Submit\" tabindex=\"506\" /><div class=\"af-clear\"></div></div><div class=\"af-element privacyPolicy\" style=\"text-align: center\"><p><a title=\"Privacy Policy\" href=\"http://www.aweber.com/permission.htm\" target=\"_blank\">We respect your email privacy</a></p><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-440226948\")) {                document.getElementById(\"af-form-440226948\").className = 'af-form af-quirksMode';            }            if (document.getElementById(\"af-body-440226948\")) {                document.getElementById(\"af-body-440226948\").className = \"af-body inline 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