
document.writeln("<style type=\"text/css\">");
document.writeln(".box5896355 {");
document.writeln("  font-family: Arial;");
document.writeln("  width: 200px;");
document.writeln("  }");
document.writeln(".box5896355 .boxtop {");
document.writeln("  background: url(http://static1.grsites.com/user/folders/jakifalco/r5896230/boxtop24701705.png) no-repeat top;");
document.writeln("  text-align: center;");
document.writeln("  padding: 8px 10px;");
document.writeln("  font-size: 16px;");
document.writeln("  font-weight: bold;");
document.writeln("  color: #ffffff;");
document.writeln("  height: 30px;");
document.writeln("  }");
document.writeln(".box5896355 .boxmid {");
document.writeln("  margin: 0 0 -2px 0;");
document.writeln("  text-align: left;");
document.writeln("  padding: 2px 20px;");
document.writeln("  color: #000000;");
document.writeln("  font-size: 10px;");
document.writeln("  background: url(http://static1.grsites.com/user/folders/jakifalco/r5896230/boxmid69441146.png) repeat-y;");
document.writeln("  }");
document.writeln(".box5896355 .boxbot {");
document.writeln("  margin: 0;");
document.writeln("  height: 28px;");
document.writeln("  background: url(http://static1.grsites.com/user/folders/jakifalco/r5896230/boxbot44119617.png) no-repeat bottom;");
document.writeln("  }");
document.writeln("</style>");
document.writeln("<div class=\"box5896355\">");
document.writeln("	<div class=\"boxtop\">");
document.writeln("  		Little Moos Newsletter");
document.writeln("	</div>");
document.writeln("	<div class=\"boxmid\">");
document.writeln("		<!-- Start Bravenet.com Service Code -->");
document.writeln("<script type=\"text/javascript\">");
document.writeln("function validate_elist_877999484()");
document.writeln("{");
document.writeln("    e = document.getElementById(\'elist_err877999484\');");
document.writeln("    e.innerHTML=\"\";");
document.writeln("    if (!document.getElementById(\'elistaddress877999484\').value.match(/^[-!#$%&\'*+./0-9=?A-Z^_`a-z{|}]+@[-!#$%&\'*+/0-9=?A-Z^_`a-z{|}~.]+?.+[a-zA-Z]{2,4}$/i)) ");
document.writeln("    {");
document.writeln("        e.innerHTML += \'Invalid email address\';");
document.writeln("    }");
document.writeln("    if (e.innerHTML != \"\") return false;");
document.writeln("    return true;");
document.writeln("}");
document.writeln("</script>");
document.writeln("<div align=\"center\">");
document.writeln("<div style=\"border:0px solid #999999; width:0px; margin: 0px; background-color:#F2F4FA;\">");
document.writeln("<form action=\"http://pub16.bravenet.com/elist/add.php\" method=\"post\" style=\"margin:0px;\" onsubmit=\"return validate_elist_877999484()\">");
document.writeln("</div>");
document.writeln("Name: <input type=\"text\" id=\"elistname\" name=\"ename\" size=\"25\" maxlength=\"60\" style=\"width: 100px\"><br>");
document.writeln("Email: <input type=\"text\" name=\"emailaddress\" id=\"elistaddress877999484\" size=\"25\" maxlength=\"100\" style=\"width: 100px\"><br>");
document.writeln("<input type=\"radio\" name=\"action\" value=\"join\" checked style=\"border: 0px;\">Subscribe ");
document.writeln("<input type=\"radio\" name=\"action\" value=\"leave\" style=\"border: 0px;\">Unsubscribe ");
document.writeln("<input type=\"hidden\" name=\"usernum\" style=\"border: 0px solid black; height: 0px; width: 0px;\" value=\"1300489418\"><input type=\"hidden\" name=\"cpv\"  style=\"border: 0px solid black; height: 0px; width: 0px;\"  value=\"1\">");
document.writeln("<input type=\"submit\" name=\"submit\" value=\"GO\"></div>");
document.writeln("<div style=\"color: red\" id=\"elist_err877999484\"></div>");
document.writeln("<div align=\"center\" style=\"margin-bottom:10px;\"><a title=\"\" href=\"http://www.bravenet.com/webtools/elist/\" style=\"font: bold 11px tahoma, sans-serif; color: #004891;\" target=\"_blank\"></a><br><a title=\"\" href=\"\" style=\"font: 10px tahoma, sans-serif; color: #004891;\" target=\"_blank\"></a></div></form>");
document.writeln("</div></div>");
document.writeln("<!-- End Bravenet.com Service Code -->");
document.writeln("	</div>");
document.writeln("	<div class=\"boxbot\"></div>");
document.writeln("</div>");


