document.writeln("<form action=\"gdform.php\" method=\"post\">");
document.writeln("<table width=\"100%\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\">");
document.writeln("<tr>");
document.writeln("<td><strong>Welcome</strong></td>");
document.writeln("<td align=\"right\"><font style=\"color:#C8C8C8\"><strong>Get Email Updates</strong></font>&nbsp;&nbsp;");
document.writeln("<input class=\"GetEmail\" type=\"text\" name=\"email\" />&nbsp;&nbsp;");
document.writeln("<input class=\"GetEmail\" type=\"text\" name=\"email2\" />&nbsp;&nbsp;");
document.writeln("<input class=\"GetEmail\" type=\"text\" name=\"email3\" />&nbsp;&nbsp;");
document.writeln("<input type=\"image\" src=\"t/btn_submit1.gif\" width=\"62\" height=\"20\" border=\"0\" style=\"vertical-align:middle\" /></a></td>");
document.writeln("</tr>");
document.writeln("</table>");
document.writeln("</form>");