PageLines PasteBin.

add_action('pagelines_before_branding_icons', 'a_man');

	function a_man(){?>

	<div style="float:right;">

		<img class="alignleft size-full wp-image-68" title="Report-cover-1" src="http://www.americasguy.com/wp-content/uploads/2012/04/Report-cover-1.png" alt="" width="120" height="154"><strong></strong>

			<strong>Claim Your Free Report- </strong>

			<em>Avoiding Home Repair Hell:<br>

			</em><em>What You Should Ask To Make Sure

			</em><em>You Find A True Home Repair Hero<br>

			</em><script type="text/javascript">

				jQuery(document).ready(function($){

					function blankFieldCheck()

						{

							err	= 0;

							msg	= '';

				if($('#31d5a31b1e-email').val() == '')

						{

							msg += '* Email Address'+"\n";

							err++;

						}

							if(msg != '')

						{

							msg	= 'Please fix the following fields before submitting the form:'+"\n\n"+msg;

							alert(msg);

						}

							return (err > 0 ? false : true);

						}

							$('#yks-mailchimp-form_31d5a31b1e').submit(function(e){

							e.preventDefault();

					// Make sure the api key exists

							if(blankFieldCheck())

						{

				$('#ykfmc-submit_31d5a31b1e').attr('disabled', 'disabled');

				$('#yks-status-31d5a31b1e').slideUp('fast');

				$.ajax({

					type:	'POST',

					url:	'http://www.americasguy.com/wp-admin/admin-ajax.php',

					data: {

								action:					'yks_mailchimp_form',

								form_action:		'frontend_submit_form',

								form_data:			$(this).serialize()

								},

					dataType: 'json',

					success: function(MAILCHIMP)

						{

						if(MAILCHIMP == '1')

							{

							$('#yks-status-31d5a31b1e').html('<div class="yks-success"><p>Thank You for subscribing! Check your email for the confirmation message.</p></div>');

							$('#yks-mailchimpFormContainerInner_31d5a31b1e').slideUp('fast', function(){

								$('#yks-status-31d5a31b1e').slideDown('fast');

							});

							}

						else

							{

							$('#ykfmc-submit_31d5a31b1e').removeAttr('disabled');

							$('#yks-status-31d5a31b1e').html('<div class="yks-error"><p>There was an error submiting the form -- please try again!</p></div>');

							$('#yks-status-31d5a31b1e').slideDown('fast');

							}

						}

				});

				}

			return false;

		});

		$('.yks-field-type-date').datepicker({

			changeMonth:	true,

			changeYear:		true,

			yearRange:		((new Date).getFullYear()-100)+':'+((new Date).getFullYear()),

			altFormat:		'yy-mm-dd'

		});

		$('#ui-datepicker-div').addClass('yks-mailchimpFormDatepickerContainer');

	});

</script>

<div class="yks-mailchimpFormContainer">

	<div class="yks-status" id="yks-status-31d5a31b1e"></div>

	<div class="yks-mailchimpFormContainerInner" id="yks-mailchimpFormContainerInner_31d5a31b1e">

		<form method="post" name="yks-mailchimp-form" id="yks-mailchimp-form_31d5a31b1e" rel="31d5a31b1e">

			<input type="hidden" name="yks-mailchimp-list-id" id="yks-mailchimp-list-id_31d5a31b1e" value="31d5a31b1e">

						<div class="yks-mailchimpFormDiv">

									<div class="yks-mailchimpFormDivRow">

						<label class="prompt yks-mailchimpFormDivRowLabel" for="31d5a31b1e-EMAIL">Email Address</label>

						<div class="prompt yks-mailchimpFormDivRowField">

							<input type="text" name="31d5a31b1e-EMAIL" class="31d5a31b1e-EMAIL yks-require" id="31d5a31b1e-email" value="">						</div>

					</div>

									<div class="yks-mailchimpFormDivRow">

						<label class="prompt yks-mailchimpFormDivRowLabel" for="31d5a31b1e-FNAME">First Name</label>

						<div class="prompt yks-mailchimpFormDivRowField">

							<input type="text" name="31d5a31b1e-FNAME" class="31d5a31b1e-FNAME" id="31d5a31b1e-fname" value="">						</div>

					</div>

								<div class="yks-mailchimpFormDivRow">

					<div class="yks-mailchimpFormDivSubmit">

						<p><input type="submit" class="ykfmc-submit" id="ykfmc-submit_31d5a31b1e" value="Submit"></p>

					</div>

				</div>

			</div>

					</form>

	</div>

</div>

</div>

<?php }