document.write("<div style=\"text-align: left;\">&nbsp;</div>\n<form method=\"post\" action=\"https://ymlp.com/subscribe.php?id=guhmwjegmgus\">\n<table cellpadding=\"5\" cellspacing=\"0\" align=\"center\" border=\"0\">\n<tbody>\n<tr>\n<td colspan=\"2\"><span style=\"font-size: 10pt;\"><span style=\"font-family: verdana, geneva;\">Add your e-mail address&nbsp;to receive news from Theo Bard</span></span></td>\n</tr>\n<tr>\n<td valign=\"top\"><span style=\"font-family: verdana, geneva; font-size: 10pt;\">E-mail address:</span></td>\n<td valign=\"top\"><input size=\"20\" name=\"YMP0\" type=\"text\" /></td>\n</tr>\n<tr>\n<td colspan=\"2\"><input value=\"Submit\" type=\"submit\" />&nbsp;</td>\n</tr>\n</tbody>\n</table>\n</form>");