    document.write("    <!-- Web Form Generator 2.0 -->    <center><form method=\"post\" action=\"http://www.aweber.com/scripts/addlead.pl\" target=\"_new\">    <input type=\"hidden\" name=\"meta_web_form_id\" value=\"1359126883\">    <input type=\"hidden\" name=\"meta_split_id\" value=\"\">    <input type=\"hidden\" name=\"unit\" value=\"adhd-remedy\">    <input type=\"hidden\" name=\"redirect\" value=\"http://www.remedy-adhd.com/thankyou.html\" id=\"redirect_cc6fb552deff9da42322f3fd24b62355\">    <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=center><FONT color=#ff0000 size=5></FONT>&nbsp;</DIV><DIV align=center><FONT color=#ff0000 size=4><TABLE style=\"BACKGROUND-COLOR: #ccccff; WIDTH: 100%; BORDER-COLLAPSE: collapse\" border=1 cellSpacing=0 borderColor=#000000 cellPadding=3><TBODY><TR vAlign=bottom><TD><DIV align=center><FONT color=#ff0000 size=5>Yes! Send Me Quickly&nbsp;My FREE Bonus </FONT><FONT color=#ff0000 size=5>\"Your Child &amp; ADHD </FONT></DIV><DIV align=center><FONT color=#ff0000 size=5>&nbsp;A Parents Guide.&nbsp; </FONT></DIV><DIV align=center>&nbsp;</DIV></TD></TR></TBODY></TABLE></FONT></DIV></center></td></tr><tr><td>First Name:</td><td><input type=\"text\" name=\"name\" value=\"\" size=\"20\"></td></tr><tr><td>Valid Email:</td><td><input type=\"text\" name=\"from\" value=\"\" size=\"20\"></td></tr>        <tr><td colspan=2><center><DIV align=center><FONT size=1>&nbsp;We&nbsp;will NOT rent, trade or release your information to a third party for any reason.</FONT></DIV><DIV align=center><FONT size=1>We&nbsp;respect&nbsp;YOUR email privacy and hate&nbsp;SPAM.&nbsp;</FONT></DIV></center></td></tr>    <tr><td align=\"center\" colspan=\"2\"><input type=\"submit\" name=\"submit\" value=\"Continue ==>\"></td></tr>    </table>    </form>        </center>");

        function setCookie(name, value, expires, path, domain, secure) {
        var curCookie = name + "=" + escape(value) +
        ((expires) ? "; expires=" + expires.toGMTString() : "") +
        ((path) ? "; path=" + path : "") +
        ((domain) ? "; domain=" + domain : "") +
        ((secure) ? "; secure" : "");
        document.cookie = curCookie;
    }

    function getCookie(name) {
        var dc = document.cookie;
        var prefix = name + "=";
        var begin = dc.indexOf("; " + prefix);
        if (begin == -1) {
        begin = dc.indexOf(prefix);
        if (begin != 0) return null;
        } else
        begin += 2;
        var end = document.cookie.indexOf(";", begin);
    if (end == -1)
        end = dc.length;
        return unescape(dc.substring(begin + prefix.length, end));
    }


            unique_track = new Image();
        unique_track.src = "http://forms.aweber.com/form/displays.htm?id=jMysnIxMbBwczA==";


