/*--- Avanquest WebEasy Custom Script ---*/

<td width="100%" bordercolor="#FFFFFF" bgcolor="#ffcc33"><center><form method="post" action="http://www.aweber.com/scripts/addlead.pl"> 
<input type="hidden" name="meta_web_form_id" value="2009741698"> 
<input type="hidden" name="meta_split_id" value=""> 
<input type="hidden" name="unit" value="loattractiontip"> 
<input type="hidden" name="redirect" value="http://www.aweber.com/form/thankyou_vo.html" id="redirect_83b0708ff850a364a24c68a9ef086a7d"> 
<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 width="225" height="308"> 
<tr><td width="73" height="25"><font face="Arial" size="1">First Name *:</font></td><td width="168" height="25"><input type="text" name="name" value="" size="20"></td></tr> 
<tr><td width="73" height="25"><font face="Arial" size="1">Email*:</font></td><td width="168" height="25"><input type="text" name="from" value="" size="20"></td></tr> 
<tr><td width="73" height="25"><font face="Arial" size="1">Address:</font></td><td width="168" height="25"><input type="text" name="custom Address" value="" size="20"></td></tr> 
<tr><td width="73" height="25"><font face="Arial" size="1">City:</font></td><td width="168" height="25"><input type="text" name="custom City" value="" size="20"></td></tr> 
<tr><td width="73" height="25"><font face="Arial" size="1">State or Prov:</font></td><td width="168" height="25"><input type="text" name="custom State or Prov" value="" size="20"></td></tr> 
<tr><td width="73" height="25"><font face="Arial" size="1">Country:</font></td><td width="168" height="25"><input type="text" name="custom Country" value="" size="20"></td></tr> 
<tr><td width="73" height="34"><font face="Arial" size="1">Zip or Postal Code:</font></td><td width="168" height="34"><input type="text" name="custom Zip or Postal Code" value="" size="20"></td></tr> 
<tr><td width="73" height="50"><font face="Arial" size="1">How did you hear about 
    us?:</font></td><td width="168" height="50"><input type="text" name="custom How did you hear about us" value="" size="20"></td></tr> 
<tr><td align="center" colspan="2" width="247" height="31"><input type="submit" name="submit" value="Send My Downloads Now!"></td></tr> 
</table> 
</form> 
 
      <div align="center"> 
        <font face="Arial" size="1">*required</font> 
      </div> 
      <div align="center"> 
        &nbsp; 
      </div> 
      <div align="center"> 
        <span class="bluesmall"><font face="Arial" size="1">You’ll also get a 
        FREE subscription to </font></span> 
      </div> 
      <div align="center"> 
        <span class="bluesmall"><font face="Arial" size="1"><b><i>The Law of 
        Attraction Tips</i></b> </font></span> 
      </div> 
      <div align="center"> 
        <span class="bluesmall"><font face="Arial" size="1">my weekly ezine that 
        can help you attract virtually anything you want! <br> 
        (a $97 value)</font></span> 
      </div> 
</center> 
</td> 


/*--- EndOfFile ---*/

