document.write('<table width="250" height="200" border="0" cellspacing="0" cellpadding="0">'); 
document.write(' <tr>');
document.write('    <td align="left" valign="top" style="background-image: url(http://www.eyournews.com/images/publicFormBack.gif); background-repeat: no-repeat; background-position: left top;"><table width="100%" border="0" cellspacing="0" cellpadding="20">'); 
document.write('     <tr> ');
document.write('          <td>&nbsp;</td>');
document.write('        </tr>');
document.write('        <tr>');
document.write('          <td align="center"><form name="form1" method="post" action="http://www.eyournews.com/public-subscribe.php" target="_blank">');
document.write('              <p></p>');
document.write(' <p><input type="hidden" name="nl" value="1000" />');
document.write(' E-mail: <input name="email" type="text" id="email" size="20">');
document.write('              <br />');
document.write('              Preferred method:<br />');
document.write('<input name="type" type="radio" value="H" checked>HTML ');
document.write('<input name="type" type="radio" value="T">Text <br />');
document.write('<input name="submit" type="submit" value="Subscribe"></p>');
document.write('            </form></td>');
document.write('        </tr>');
document.write('      </table>   </td>');
document.write('  </tr>');
document.write('</table>');