<style type="text/css">
#af-form-1176228432 .af-body .af-textWrap{width:98%;display:block;float:none;}
#af-form-1176228432 .af-body .privacyPolicy{color:#000000;font-size:12px;}
#af-form-1176228432 .af-body a{color:#013FAA;text-decoration:underline;font-style:normal;font-weight:normal;}
#af-form-1176228432 .af-body input.text, #af-form-1176228432 .af-body textarea{background-color:#FFFFFF;border-color:#000000;border-width:1px;border-style:solid;color:#000000;text-decoration:none;font-style:normal;font-weight:normal;font-size:12px;}
#af-form-1176228432 .af-body input.text:focus, #af-form-1176228432 .af-body textarea:focus{background-color:#FFFFFF;border-color:#013FAA;border-width:1px;border-style:solid;}
#af-form-1176228432 .af-body label.previewLabel{display:block;float:none;text-align:left;width:auto;color:#000000;text-decoration:none;font-style:normal;font-weight:normal;}
#af-form-1176228432 .af-body{padding-bottom:15px;background-repeat:no-repeat;background-position:inherit;background-image:none;color:#000000;font-size:12px;}
#af-form-1176228432 .af-footer{padding-right:15px;padding-left:15px;background-color:#transparent;border-width:1px;border-bottom-style:none;border-left-style:none;border-right-style:none;border-top-style:none;color:#000000;font-size:12px;}
#af-form-1176228432 .af-header{padding-bottom:12px;padding-top:15px;padding-right:75px;padding-left:10px;background-color:transparent;background-repeat:no-repeat;background-position:top right;background-image:url("http://30minutehit.com/images/ft/header.png");border-width:1px;border-bottom-style:none;border-left-style:none;border-right-style:none;border-top-style:none;color:#000;font-size:16px;}
#af-form-1176228432 .af-quirksMode .bodyText{padding-top:2px;padding-bottom:2px;}
#af-form-1176228432 .af-quirksMode{padding-right:15px;padding-left:15px;}
#af-form-1176228432 .af-standards .af-element{padding-right:15px;padding-left:15px;}
#af-form-1176228432 .bodyText p{margin:1em 0;}


#af-form-1176228432 .buttonContainer input.submit{background-image:url("http://forms.aweber.com/images/auto/gradient/button/07c.png");background-position:top left;background-repeat:repeat-x;background-color:#0057ac;border:1px solid #0057ac;color:#FFFFFF;text-decoration:none;font-style:normal;font-weight:normal;font-size:14px;}
#af-form-1176228432 .buttonContainer input.submit{width:auto;}
#af-form-1176228432 .buttonContainer{text-align:right;}


#af-form-1176228432 body,#af-form-1176228432 dl,#af-form-1176228432 dt,#af-form-1176228432 dd,#af-form-1176228432 h1,#af-form-1176228432 h2,#af-form-1176228432 h3,#af-form-1176228432 h4,#af-form-1176228432 h5,#af-form-1176228432 h6,#af-form-1176228432 pre,#af-form-1176228432 code,#af-form-1176228432 fieldset,#af-form-1176228432 legend,#af-form-1176228432 blockquote,#af-form-1176228432 th,#af-form-1176228432 td{float:none;color:inherit;position:static;margin:0;padding:0;}
#af-form-1176228432 button,#af-form-1176228432 input,#af-form-1176228432 submit,#af-form-1176228432 textarea,#af-form-1176228432 select,#af-form-1176228432 label,#af-form-1176228432 optgroup,#af-form-1176228432 option{float:none;position:static;margin:0;}
#af-form-1176228432 div{margin:0;}
#af-form-1176228432 fieldset{border:0;}
#af-form-1176228432 form,#af-form-1176228432 textarea,.af-form-wrapper,.af-form-close-button,#af-form-1176228432 img{float:none;color:inherit;position:static;background-color:none;border:none;margin:0;padding:0;}
#af-form-1176228432 input,#af-form-1176228432 button,#af-form-1176228432 textarea,#af-form-1176228432 select{font-size:100%;}
#af-form-1176228432 p{color:inherit;}
#af-form-1176228432 select,#af-form-1176228432 label,#af-form-1176228432 optgroup,#af-form-1176228432 option{padding:0;}
#af-form-1176228432 table{border-collapse:collapse;border-spacing:0;}
#af-form-1176228432 ul,#af-form-1176228432 ol{list-style-image:none;list-style-position:outside;list-style-type:disc;padding-left:40px;}
#af-form-1176228432,#af-form-1176228432 .quirksMode{width:195px;}
#af-form-1176228432.af-quirksMode{overflow-x:hidden;}
#af-form-1176228432{background-color:transparent;border-color:#CFCFCF;border-width:1px;border-style:none;}
#af-form-1176228432{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;}
.af-element label{text-align:left;display:block;float:left;}
.af-element{padding:5px 0;}
.af-form-wrapper{text-indent:0;}
.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 {
}
</style>
<form method="post" class="af-form-wrapper" action="http://www.aweber.com/scripts/addlead.pl"  >
<div style="display: none;">
</div>
<div id="af-form-1176228432" class="af-form"><div id="af-header-1176228432" class="af-header"><div class="bodyText"><p><strong>FREE TRIAL</strong></p>
<p>
<meta />
<span style="color: #3f3f3f; font-family: Arial, Helvetica, sans-serif; font-size: 12px; line-height: 16px;">Try the circuit for free! Simply fill out the form&nbsp;below.</span></p></div></div>

<div id="af-body-1176228432" class="af-body af-standards">

  <div class="af-element">

    <label class="previewLabel">Name</label>
    <input class="af-textWrap" class="text" title="please select name" id="text_0" name="text_0" type="text" />
  
  </div>
  <div class="af-clear"></div>



<div class="af-element">
  
    <label class="previewLabel">Phone</label>
    <input class="af-textWrap" title="{cf_title}" id="text_6" name="text_6" type="text" />
  
</div>

<div class="af-element">
  
    <label class="previewLabel">Email</label>
    <input class="af-textWrap"  title="" id="text_4" name="text_4" type="text" />
  
  </div>


<div class="af-element">

    <label class="previewLabel">Location</label>   
<select id="select_10" size="1" title="{cf_title}"  name="USERNAME">
    <option value=""></option>
<option value="Abbotsford">Abbotsford</option>
<option value="Burnaby">Burnaby</option>
<option value="Calgary">Calgary</option>
<option value="Edmonton">Edmonton</option>
<option value="Langley">Langley</option>
<option value="Maple Ridge">Maple Ridge</option>
<option value="North Vancouver">North Vancouver</option>     
<option value="Port Coquitlam">Port Coquitlam</option>
<option value="Richmond">Richmond</option>
<option value="South Surrey">South Surrey</option>
<option value="Spanaway">Spanaway</option>
<option value="Vancouver">Vancouver</option>

    </select>
  
  </div>
  <div class="cfclear">&nbsp;</div>

<div class="af-element buttonContainer">
  <div class="form_element cf_button">
    <input value="Submit" name="{cf_name}" type="submit" />
  </div>

  <div class="cfclear">&nbsp;</div>
</div>
</div>

<div class="form_item">
    <input class="cf_hidden" size="20" id="Referer_url" name="Referer_url" value="<?php echo $_SERVER['HTTP_REFERER']; ?>" type="hidden" />
<input class="cf_hidden" size="20" id="radio" name="radio" value="Web" type="hidden" />
  </div>
</div>
</div>

