document.write("\n
 
\n
\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
\n
Fill out the form and we\'ll send you a
\n
FREE chapter from the best-selling book!
\n

\n
\n
First Name:
\n

\n
\n
E-mail address:
\n

\n
\n
 
\n
 
\n
\n
 
\n
(We\'ll keep it really safe
\n
and will only send you an occasional message
\n
plus you can easily unsubscribe at any time).
\n
\n
\n
");