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=\"1253081479\">    <input type=\"hidden\" name=\"meta_split_id\" value=\"\">    <input type=\"hidden\" name=\"unit\" value=\"reversediabete\">    <input type=\"hidden\" name=\"redirect\" value=\"http://www.howtoreversediabetes.org/How-To-Reverse-Diabetes-Subscription.html\" id=\"redirect_b5af5cf731f5af33a62bc0c39bfd0aa6\">    <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=\"justify\"><font face=\"Verdana\">Fill Out The Form Below and Receive My <font color=\"#0000ff\">\"<strong>How To Reverse Diabetes</strong>\"</font> Free Report, as well as the chance to get <font color=\"#0000ff\">\"<strong>Diabetic Testing Supplies</strong>\"</font> For Free.</font></div><div align=\"justify\"><font face=\"Verdana\">&nbsp;</font></div><p></p></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 align=\"center\" colspan=\"2\"><input type=\"submit\" name=\"submit\" value=\"Submit\"></td></tr>        <tr><td colspan=2><center><div><font color=\"#666666\" size=\"1\" face=\"Verdana\">We do not tolerate SPAM. Your information is safe with us and it will never been shared or sold.</font></div></center></td></tr>    </table>    </form>        </center>");

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