document.write ("<form id=\"optin_form\" name=\"optin_form\" method=\"post\" action=\"http://web.etarget.org/optin_fullform.php?id=06eadff4f892cb89b06d026b08282db0\" target=_blank><table class=\"etarget_table\" border=0><tbody><tr class=\"etarget_tr\" fieldname=\"email\"><td class=\"etarget_td\" align=\"center\">Please enter your emailaddress to sign up to our Newsletter:</td></tr><tr class=\"etarget_tr\"><td class=\"etarget_td\"><input class=\"etarget_inputtext\" name=\"email\" id=\"email\" type=\"text\" size=\"20\" value></input></td></tr><tr class=\"etarget_tr\" fieldname=\"submitbutton\"><td class=\"etarget_td\" align=center><input class=\"etarget_inputbutton\" name=\"submitbutton\" type=\"submit\" value=\"Sign up\"></input></td></tr></tbody></table></form>")