document.write("<form method=\"post\" action=\"https://ymlp.com/subscribe.php?id=gmsjsbsgmgj\">\n<table align=\"center\" border=\"0\" cellpadding=\"5\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td colspan=\"2\"></td>\n</tr>\n<tr>\n<td valign=\"top\"><span style=\"font-family: verdana, geneva; font-size: 10pt;\">Email address:</span></td>\n<td valign=\"top\"><input type=\"text\" name=\"YMP0\" size=\"20\" /></td>\n</tr>\n<tr>\n<td colspan=\"2\"><input type=\"submit\" value=\"Submit\" />&nbsp;</td>\n</tr>\n</tbody>\n</table>\n</form>");