document.write("\n
\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
\n
Fill out your e-mail address
\n
for updates from the Cosmos!
\n
E-mail address:
Name:
Last Name:
Address:
 
\n
");