document.write("    <!-- Web Form Generator 2.0 -->    <center><form method=\"post\" action=\"http://www.aweber.com/scripts/addlead.pl\" target=\"_new\">    <input type=\"hidden\" name=\"meta_web_form_id\" value=\"385857\">    <input type=\"hidden\" name=\"meta_split_id\" value=\"\">    <input type=\"hidden\" name=\"unit\" value=\"perfect_mail\">    <input type=\"hidden\" name=\"redirect\" value=\"http://www.aweber.com/thankyou-coi.htm?m=audio\" id=\"redirect_890929d9c47a231648e356a8cb3db27f\">    <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\">    <input type=\"hidden\" name=\"meta_forward_vars\" value=\"0\">    <table>    <tr><td colspan=2><center><div align=\"center\"><font color=\"#3366ff\" face=\"Arial\"><strong><div align=\"center\"><font color=\"#ff0066\" face=\"Arial\"><strong>Sign up&nbsp;and claim your FREE report: </strong></font></div><div align=\"center\"><font size=\"5\"><font color=\"#ff0066\"><font color=\"#333333\" face=\"Arial\"><strong>'</strong></font><font face=\"Arial\"><strong><font color=\"#333333\">The Perfect Ten'</font> </strong></font></font></font></div><div align=\"center\"><font size=\"2\"><em><font color=\"#ff0066\" face=\"Arial\"><strong>(<u>The</u> Ten Things You <u>Need</u> to Know to Get the Results You Need!)</strong></font></em></font></div><div align=\"center\"><em><font color=\"#ff0066\" size=\"2\"></font></em>&nbsp;</div><div align=\"center\"><img title=\"Southampton Personal Training\" alt=\"\" src=\"http://www.perfectfitforlife.com/images/fitnesspass.jpg\" border=\"0\" height=\"109\" width=\"143\"></div></strong></font></div></center></td></tr><tr><td>Email:</td><td><input type=\"text\" name=\"from\" value=\"\" size=\"20\"></td></tr><tr><td>First Name:</td><td><input type=\"text\" name=\"name\" value=\"\" size=\"20\"></td></tr><tr><td>Surname:</td><td><input type=\"text\" name=\"custom Surname\" value=\"\" size=\"20\"></td></tr>        <tr><td colspan=2><center><DIV><FONT size=2 face=Arial>I hate spam - your&nbsp;details are&nbsp;100% secure with me! </FONT></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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