document.write("<form method=\"post\" action=\"https://ymlp.com/subscribe.php?id=gqehqbmgmgjy\">\n<p>Fill out your e-mail address to receive our newsletter and/or daily gig listings</p>\n<p><label for=\"YMP0\">E-mail address</label><br /> <input class=\"form-control col-12 col-md-6\" type=\"text\" name=\"YMP0\" /></p>\n<p>Select the mailing list(s) you want to subscribe to:</p>\n<br />\n<div class=\"form-check\"><input name=\"CAT1\" value=\"1\" type=\"checkbox\" class=\"form-check-input\" /> <label for=\"CAT1\" class=\"form-check-label\">RGG Newsletter</label></div>\n<br />\n<div class=\"form-check\"><input name=\"CAT41\" value=\"1\" type=\"checkbox\" class=\"form-check-input\" /> <label for=\"CAT41\" class=\"form-check-label\">Daily Gig Listings</label></div>\n<br />\n<div class=\"inputgroup\"><input type=\"submit\" class=\"btn btn-colour1\" value=\"Submit\" /></div>\n</form>");