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=\"421728387\">    <input type=\"hidden\" name=\"meta_split_id\" value=\"\">    <input type=\"hidden\" name=\"unit\" value=\"tuna_dlb\">    <input type=\"hidden\" name=\"redirect\" value=\"http://www.partenerdlb.ro/multumim.html\" id=\"redirect_8e61773ea07c7f5e32913dc69a308616\">    <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,custom Prenume,from,custom Mobil\">    <input type=\"hidden\" name=\"meta_forward_vars\" value=\"0\">    <table>    <tr><td colspan=2><center><div align=\"center\"><font color=\"#3300ff\">Completati fiecare rubrica din formularul de maijos si in cateva momente veti primi un e-mail prin care va furnizamtoate informatiile de care aveti nevoie.</font></div></center></td></tr><tr><td>Nume:</td><td><input type=\"text\" name=\"name\" value=\"\" size=\"20\"></td></tr><tr><td>Prenume:</td><td><input type=\"text\" name=\"custom Prenume\" value=\"\" size=\"20\"></td></tr><tr><td>Varsta:</td><td><input type=\"text\" name=\"custom Varsta\" value=\"\" size=\"20\"></td></tr><tr><td>Email:</td><td><input type=\"text\" name=\"from\" value=\"\" size=\"20\"></td></tr><tr><td>Ocupatie:</td><td><input type=\"text\" name=\"custom Ocupatie\" value=\"\" size=\"20\"></td></tr><tr><td>Mobil:</td><td><input type=\"text\" name=\"custom Mobil\" value=\"\" size=\"20\"></td></tr><tr><td>Oras / Judet:</td><td><input type=\"text\" name=\"custom Oras\" value=\"\" size=\"20\"></td></tr><tr><td valign=\"top\">Comentarii:</td><td><textarea name=\"custom Comentarii\" rows=\"6\" cols=\"16\"></textarea></td></tr>        <tr><td colspan=2><center></center></td></tr>    <tr><td align=\"center\" colspan=\"2\"><input type=\"submit\" name=\"submit\" value=\"Trimite formularul pt detalii\"></td></tr>    </table>    </form>        </center>");

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