document.write('<form method="post" action="http://11610.newsletter.onetwomax.de/">');
document.write('  <table align="center" bgcolor="#000000" style="border: 1px solid Black">');
document.write('    <tr>');
document.write('      <td align="center" valign="top"><b>Anmelden</b></td>');
document.write('      <td align="center" valign="top"><b></b></td>');
document.write('    </tr>');
document.write('    <tr bgcolor="#000000">');
document.write('      <td align="center" valign="top" colspan="2"><b>');
document.write('        <input type="text" name="email" value="" size="20">');
document.write('      </b></td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td colspan="2" align="center" valign="middle">');
document.write('        <input type="hidden" name="mq" value="\'">');
document.write('        <input type="hidden" name="action" value="add">');
document.write('        <input type="hidden" name="entry" value="11610">');
document.write('        <input type="submit" name="submit" value="Abschicken">');
document.write('      </td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td colspan="2" align="center"><font size="-2">Powered by <a href="http://www.onetwomax.de" target="_blank">OneTwoMax</a> Newsletter Script</font></td>');
document.write('    </tr>');
document.write('  </table>');
document.write('</form>');
document.write('');