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=\"1887738882\"><input type=\"hidden\" name=\"meta_split_id\" value=\"\"><input type=\"hidden\" name=\"unit\" value=\"5kleadsperday\"><input type=\"hidden\" name=\"redirect\" value=\"http://www.littletickettowealth.com/?id=rogersample1\" id=\"redirect_ef72d0d19ceb99e134354f4f3389931c\"><input type=\"hidden\" name=\"meta_redirect_onlist\" value=\"http://www.littletickettowealth.com/?id=rogersample1\"><input type=\"hidden\" name=\"meta_adtracking\" value=\"{!add_url}\"><input type=\"hidden\" name=\"meta_message\" value=\"1\"><input type=\"hidden\" name=\"meta_required\" value=\"name,from,custom Phone\"><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:</td><td><input type=\"text\" name=\"custom Phone\" value=\"\" size=\"20\"></td></tr>    <tr><td colspan=2><center><div>Be sure to check your inbox and click the conformaiton email that will be sent to you before you will recieve our info on how to get an avalanche of new leads! </div></center></td></tr><tr><td align=\"center\" colspan=\"2\"><input type=\"submit\" name=\"submit\" value=\"Submit\"></td></tr></table></form></center>");

      function setCookie(name, value, expires, path, domain, secure) {
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      ((expires) ? "; expires=" + expires.toGMTString() : "") +
      ((path) ? "; path=" + path : "") +
      ((domain) ? "; domain=" + domain : "") +
      ((secure) ? "; secure" : "");
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   function getCookie(name) {
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      var prefix = name + "=";
      var begin = dc.indexOf("; " + prefix);
      if (begin == -1) {
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      var end = document.cookie.indexOf(";", begin);
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      unique_track = new Image();
      unique_track.src = "http://forms.aweber.com/form/displays.htm?id=jBwc7OzMHBwcTA==";