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	str = '<table width="600" border="0" align="center" cellpadding="0" cellspacing="0"  bordercolor="#CCCCCC" bgcolor="#FFFFFF" style="font-size: 11pt;font-family: Verdana;"><tr> <td><p align="center" style="font-size:26px;font-weight: bold;line-height: 1.3em;font-family: Verdana;">Before you leave <br/> What\'s Your <span style="color: #690103">Single Most Important Question</span> About the <span style="color: #690103">Prostate</span>, <span style="color: #690103">BPH</span>, <span style="color: #690103">Prostatitis</span>, <span style="color: #690103">PSA</span>, <span style="color: #690103">Biopsies</span> and <span style="color: #690103">Prostate Cancer?</span><STRONG> Just send that to me and <span style="color: #690103">I  will answer you personally</span></STRONG></p><form name="form1" action="'+site_url+'question/action/confirm/#msg" method="post"><div style="padding: 3px 0px 0px 0px;clear: both;min-height:20px;"><div style="width:200px;float:left;text-align:right;padding-right:5px;">Your <b>First</b> Name:</div><div><input type="text" name="name" maxlength="64" value="" style="width:300px" /></div></div><div style="padding: 3px 0px 0px 0px;clear: both;min-height:20px;"><div style="width:200px;float:left;text-align:right;padding-right:5px;">Your <b>Primary Email</b> Adress:</div><div><input type="text" name="email" maxlength="64" value="" style="width:300px" /></div></div><div style="padding: 3px 0px 0px 0px;clear: both;min-height:20px;"><div style="width:200px;float:left;text-align:right;padding-right:5px;">Your <b>Phone Number</b>:</div><div><input type="text" name="phone" maxlength="32" value="" style="width:300px" /></div></div><div style="padding: 3px 0px 0px 0px;clear: both;min-height:20px;"><div style="width:200px;float:left;text-align:right;padding-right:5px;">Your Question:</div><div><textarea style="width:350px" rows="10" name="question"></textarea></div></div><div style="padding: 3px 0px 0px 0px;clear: both;min-height:20px;">&nbsp;</div><div style="padding: 3px 0px 0px 0px;clear: both;min-height:20px;"><div style="width:200px;float:left;text-align:right;padding-right:5px;">&nbsp;</div><div><input type="submit" value="Answer My Question" onclick="goNext();" /></div></div><input type="hidden" name="human" value="Yes, I`m really a human" id="human" /><input type="hidden" name="timezone" value="'+time+'" /></form></td></tr></table>';
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	return "*****************************************************\n\n\nWait... Don't Leave Just Yet...\n\nBefore you leave what's Your Single Most Important Question About the Prostate, BPH, Prostatitis, PSA, Biopsies and Prostate Cancer?\n\nPress Cancel and I will personally answer your question. Ben Ong\n\n\n*****************************************************";
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