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=\"1310786383\">    <input type=\"hidden\" name=\"meta_split_id\" value=\"\">    <input type=\"hidden\" name=\"unit\" value=\"forensicloanmod\">    <input type=\"hidden\" name=\"redirect\" value=\"http://www.aweber.com/thankyou-coi.htm?m=audio\" id=\"redirect_71315c983c6059ec2280050cec0d1c2f\">    <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,custom Phone,custom How did you hear about us\">    <input type=\"hidden\" name=\"meta_forward_vars\" value=\"0\">    <table>    <tr><td colspan=2><center><DIV align=left><FONT style=\"BACKGROUND-COLOR: #ffff00\" color=#330099><STRONG>Fill Out the Form Below And&nbsp;One&nbsp;Of Our Loan Modification Experts Will Contact You To Discuss Your Options&nbsp;To&nbsp;Avoid or Stop Foreclosure Now</STRONG>!</FONT></DIV><DIV align=center>&nbsp;</DIV><DIV align=center><EM><STRONG><U><FONT style=\"BACKGROUND-COLOR: #ff6600\">It's</FONT> <FONT style=\"BACKGROUND-COLOR: #ff6600\">Fast</FONT> <FONT style=\"BACKGROUND-COLOR: #ff6600\">and</FONT> <FONT style=\"BACKGROUND-COLOR: #ff6600\">Easy</FONT></U></STRONG></EM></DIV></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>Best Time To Call:</td><td><select name=\"custom Best Time To Call\"><option value=\"Morning\">Morning</option><option value=\"Afternoon\">Afternoon</option><option value=\"Evening\">Evening</option></select></td></tr><tr><td colspan=\"2\" align=\"left\"> What Service Are You Interested In?:</td></tr><tr><td colspan=\"2\"><input type=\"radio\" name=\"custom How did you hear about us\" value=\"Forensic Audit\"> Forensic Audit</td></tr><tr><td colspan=\"2\"><input type=\"radio\" name=\"custom How did you hear about us\" value=\"Loan Modification\"> Loan Modification</td></tr><tr><td colspan=\"2\"><input type=\"radio\" name=\"custom How did you hear about us\" value=\"Short Sale\"> Short Sale</td></tr><tr><td colspan=\"2\"><input type=\"radio\" name=\"custom How did you hear about us\" value=\"Debt Settlement\"> Debt Settlement</td></tr><tr><td colspan=\"2\"><input type=\"radio\" name=\"custom How did you hear about us\" value=\"Save My Home\"> Save My Home</td></tr><tr><td colspan=\"2\"><input type=\"radio\" name=\"custom How did you hear about us\" value=\"Appraisal\"> Appraisal</td></tr><tr><td valign=\"top\">Briefly Explain Your Situation or Ask a Question:</td><td><textarea name=\"custom What service are you interested in\" rows=\"10\" cols=\"30\"></textarea></td></tr>        <tr><td colspan=2><center><DIV>&nbsp; <CENTER><DIV align=center><FONT size=1><STRONG>Describe Your Situation</STRONG></FONT></DIV><DIV align=center><STRONG><FONT size=1>And Get A Free Report</FONT></STRONG></DIV><DIV align=center>&nbsp;&nbsp;&nbsp;<FONT size=1>As soon as we receive&nbsp;your&nbsp;information,&nbsp;someone will be in contact with you within 24 hours.</FONT></DIV><DIV align=center><FONT size=1>&nbsp;&nbsp; If you&nbsp;need immediate assistance call us direct&nbsp;on our Hot Line 1 800 826-1929.</FONT></DIV><DIV align=center><FONT size=1>Nobody&nbsp;is going to sell you anything!</FONT></DIV><DIV align=center>&nbsp;<STRONG><FONT style=\"BACKGROUND-COLOR: #ffff00\" color=#000066 size=1>Take&nbsp;Action Today.&nbsp; It's <U>Not</U>&nbsp;Too Late!</FONT></STRONG></DIV></CENTER></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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