document.write("");
if (typeof window.awf_Form_=='undefined') window.awf_Form_ = new Object();
awf_Form_.isPreview = false;
awf_Form_.setCookie = function(name, value, expires, path, domain, secure) {
var curCookie = name + "=" + escape(value) +
((expires) ? "; expires=" + expires.toGMTString() : "") +
((path) ? "; path=" + path : "") +
((domain) ? "; domain=" + domain : "") +
((secure) ? "; secure" : "");
document.cookie = curCookie;
}
awf_Form_.getCookie = function(name) {
var dc = document.cookie;
var prefix = name + "=";
var begin = dc.indexOf("; " + prefix);
if (begin == -1) {
begin = dc.indexOf(prefix);
if (begin != 0) return null;
} else
begin += 2;
var end = document.cookie.indexOf(";", begin);
if (end == -1)
end = dc.length;
return unescape(dc.substring(begin + prefix.length, end));
}
var unique_track = new Image();
unique_track.src = "http://forms.pro-response.com/form/displays.htm?id=LKxMTEzMjKwM";