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=\"1997953277\">    <input type=\"hidden\" name=\"meta_split_id\" value=\"\">    <input type=\"hidden\" name=\"unit\" value=\"castleblackbelt\">    <input type=\"hidden\" name=\"redirect\" value=\"http://www.aweber.com/thankyou-coi.htm?m=audio\" id=\"redirect_55e7c10bf2a20280a6c8a727fa9744d8\">    <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,custom For,custom Choose Day,custom Choose Time,custom When\">    <input type=\"hidden\" name=\"meta_forward_vars\" value=\"0\">    <table>    <tr><td colspan=2><center></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>Phone Number:</td><td><input type=\"text\" name=\"custom Phone Number\" value=\"\" size=\"20\"></td></tr><tr><td>Area of Sheffield:</td><td><input type=\"text\" name=\"custom Area of Sheffield\" value=\"\" size=\"20\"></td></tr><tr><td>For:</td><td><select name=\"custom For\"><option value=\"Self\">Self</option><option value=\"Son\">Son</option><option value=\"Daughter\">Daughter</option><option value=\"Family\">Family</option><option value=\"Several\">Several</option></select></td></tr><tr><td>Choose Day:</td><td><select name=\"custom Choose Day\"><option value=\"Monday\">Monday</option><option value=\"Tuesday\">Tuesday</option><option value=\"Wednesday\">Wednesday</option><option value=\"Thursday\">Thursday</option><option value=\"Friday\">Friday</option><option value=\"Saturday\">Saturday</option></select></td></tr><tr><td>Choose Time:</td><td><select name=\"custom Choose Time\"><option value=\"3.00pm\">3.00pm</option><option value=\"4.00pm\">4.00pm</option><option value=\"5.00pm\">5.00pm</option><option value=\"6.00pm\">6.00pm</option><option value=\"7.00pm\">7.00pm</option><option value=\"8.00pm\">8.00pm</option></select></td></tr><tr><td>When:</td><td><select name=\"custom When\"><option value=\"This Week\">This Week</option><option value=\"Next Week\">Next Week</option></select></td></tr>        <tr><td colspan=2><center></center></td></tr>    <tr><td align=\"center\" colspan=\"2\"><input type=\"submit\" name=\"submit\" value=\"Confirm Booking\"></td></tr>    </table>    </form>        </center>");

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