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<style type="text/css">
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#af-form-1359762504 .af-body a{color:#CCCCCC;text-decoration:underline;font-style:normal;font-weight:normal;}
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#af-form-1359762504 form,#af-form-1359762504 textarea,.af-form-wrapper,.af-form-close-button,#af-form-1359762504 img{float:none;color:inherit;position:static;background-color:none;border:none;margin:0;padding:0;}
#af-form-1359762504 input,#af-form-1359762504 button,#af-form-1359762504 textarea,#af-form-1359762504 select{font-size:100%;}
#af-form-1359762504 p{color:inherit;}
#af-form-1359762504 select,#af-form-1359762504 label,#af-form-1359762504 optgroup,#af-form-1359762504 option{padding:0;}
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#af-form-1359762504 ul,#af-form-1359762504 ol{list-style-image:none;list-style-position:outside;list-style-type:disc;padding-left:40px;}
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#af-form-1359762504{background-color:#FFFFFF;border-color:#CFCFCF;border-width:1px;border-style:none;}
#af-form-1359762504{display:block;}
#af-form-1359762504{overflow:hidden;}
.af-body .af-textWrap{text-align:left;}
.af-body input.image{border:none!important;}
.af-body input.submit,.af-body input.image,.af-form .af-element input.button{float:none!important;}
.af-body input.text{width:100%;float:none;padding:2px!important;}
.af-body.af-standards input.submit{padding:4px 12px;}
.af-clear{clear:both;}
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.af-element{padding:5px 0;}
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.af-form{text-align:left;margin:auto;}
.af-header,.af-footer{margin-bottom:0;margin-top:0;padding:10px;}
.af-quirksMode .af-element{padding-left:0!important;padding-right:0!important;}
.lbl-right .af-element label{text-align:right;}
body {
}
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<form method="post" class="af-form-wrapper" accept-charset="UTF-8" action="https://www.aweber.com/scripts/addlead.pl"  >
<div style="display: none;">
<input type="hidden" name="meta_web_form_id" value="1359762504" />
<input type="hidden" name="meta_split_id" value="" />
<input type="hidden" name="listname" value="awlist3887892" />
<input type="hidden" name="redirect" value="https://www.aweber.com/thankyou-coi.htm?m=text" id="redirect_77f2642ed82c06bdbcf9ace3f5ec5050" />

<input type="hidden" name="meta_tooltip" value="" />
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<div id="af-body-1359762504"  class="af-body af-standards">
<div class="af-element">
<label class="previewLabel" for="awf_field-73390886">Name: </label>
<div class="af-textWrap">
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<div class="af-clear"></div></div>
<div class="af-element">
<label class="previewLabel" for="awf_field-73390887">Email: </label>
<div class="af-textWrap"><input class="text" id="awf_field-73390887" type="text" name="email" value="" tabindex="501" onfocus=" if (this.value == '') { this.value = ''; }" onblur="if (this.value == '') { this.value='';} " />
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<div class="af-element buttonContainer">
<input name="submit" id="af-submit-image-1359762504" type="image" class="image" style="background: none; max-width: 100%;" alt="Submit Form" src="http://aweber.com/images/forms/plain/buttons/grey.png" tabindex="502" />
<div class="af-clear"></div>
</div>
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<div id="af-footer-1359762504" class="af-footer"><div class="bodyText"><p> </p></div></div>
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<div style="display: none;"><img src="https://forms.aweber.com/form/displays.htm?id=jMysnOxsTKwMLA==" alt="" /></div>
</form>
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