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=\"788856\">    <input type=\"hidden\" name=\"meta_split_id\" value=\"\">    <input type=\"hidden\" name=\"unit\" value=\"lcforccfreecd\">    <input type=\"hidden\" name=\"redirect\" value=\"http://www.aweber.com/thankyou-coi.htm?m=audio\" id=\"redirect_f8ecbab045ec5b6c71980e8edbb605e3\">    <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 Title,custom Mailing Address,custom City,custom State,custom Zip Code\">    <input type=\"hidden\" name=\"meta_forward_vars\" value=\"0\">    <table>    <tr><td colspan=2><center><div align=\"center\"><span></span><font size=\"4\"><strong><font face=\"Verdana\">FREE CD</font></strong></font> <font size=\"4\"><br>Manage, Motivate and Retain Great Staff!</font><br></div><div><font size=\"2\" face=\"Verdana\">&nbsp;</font><font size=\"2\" face=\"Verdana\"></font></div><div align=\"left\"></div><div><font size=\"2\" face=\"Verdana\">To claim your <strong>FREE CD</strong> that's packed with some great content just for directors, owners and administrators of child care programs, simply fill in your information below. The CD is FREE and shipping is my treat, too!&nbsp; Enjoy!!</font></div><div><font size=\"2\" face=\"Verdana\">&nbsp;</font></div><div><font size=\"2\" face=\"Verdana\">&nbsp;</font></div><div><font size=\"2\"><br></font></div></center></td></tr><tr><td>Email:</td><td><input type=\"text\" name=\"from\" value=\"\" size=\"20\"></td></tr><tr><td>Full Name:</td><td><input type=\"text\" name=\"name\" value=\"\" size=\"20\"></td></tr><tr><td>Title:</td><td><input type=\"text\" name=\"custom Title\" value=\"\" size=\"20\"></td></tr><tr><td>Organization:</td><td><input type=\"text\" name=\"custom Organization\" value=\"\" size=\"20\"></td></tr><tr><td>Mailing Address:</td><td><input type=\"text\" name=\"custom Mailing Address\" value=\"\" size=\"20\"></td></tr><tr><td>Address Line 2:</td><td><input type=\"text\" name=\"custom Mailing Address Line 2\" value=\"\" size=\"20\"></td></tr><tr><td>City:</td><td><input type=\"text\" name=\"custom City\" value=\"\" size=\"20\"></td></tr><tr><td>State:</td><td><input type=\"text\" name=\"custom State\" value=\"\" size=\"20\"></td></tr><tr><td>Zip Code:</td><td><input type=\"text\" name=\"custom Zip Code\" value=\"\" size=\"20\"></td></tr>        <tr><td colspan=2><center><div><font size=\"1\">We never rent, sell, or give your information to anyone for any reason.</font><br></div></center></td></tr>    <tr><td align=\"center\" colspan=\"2\"><input type=\"submit\" name=\"submit\" value=\"Submit\"></td></tr>    </table>    </form>        </center>");

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