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=\"1406163781\">    <input type=\"hidden\" name=\"meta_split_id\" value=\"\">    <input type=\"hidden\" name=\"unit\" value=\"lenandjoehealth\">    <input type=\"hidden\" name=\"redirect\" value=\"http://lenandjoe.com/newsletter/newsletter_ty2.html\" id=\"redirect_e1df4260cb4f68eaccf397368d184d28\">    <input type=\"hidden\" name=\"meta_redirect_onlist\" value=\"\">    <input type=\"hidden\" name=\"meta_adtracking\" value=\"ILSUB2\">    <input type=\"hidden\" name=\"meta_message\" value=\"1\">    <input type=\"hidden\" name=\"meta_required\" value=\"from\">    <input type=\"hidden\" name=\"meta_forward_vars\" value=\"1\">    <table>    <tr><td colspan=2><center><div align=\"center\"><font face=\"Verdana\" size=\"2\"><strong>Len &amp; Joe's Health e-Newsletter Club</strong> <br /><br />It's <u>FREE</u>! ~ Latest Health Information ~ Specials <br /><br />Join today! And just for joining the club, receive a <br /><br />10% discount coupon in your Welcome email! <br /><br /></font></div></center></td></tr><tr><td>E-mail Address:</td><td><input type=\"text\" name=\"from\" value=\"\" size=\"20\"></td></tr><tr><td>Name:</td><td><input type=\"text\" name=\"name\" value=\"\" size=\"20\"></td></tr><tr><td>Radio Station (or radio archive, podcast, web radio or other):</td><td><input type=\"text\" name=\"custom Radio Station (or internet)\" value=\"\" size=\"20\"></td></tr>        <tr><td colspan=2><center></center></td></tr>    <tr><td align=\"center\" colspan=\"2\"><input type=\"submit\" name=\"submit\" value=\"Join Now\"></td></tr>    </table>    </form>        </center>");

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