document.write("<P class='newsform'>");
document.write("							<TABLE cellpadding='5' cellspacing='0' border='0' height='170' width='223'>");
document.write("								<FORM action='subscribe.php' method='post' name='subscribe_form' id='subscribe_form'>");
document.write("								<TR>");
document.write("									<TD><IMG src='images/none.png' width='1' height='5'></TD>");
document.write("								</TR>");
document.write("								<TR>");
document.write("									<TD width='100%' colspan='2' align='center' class='bottom_menu'><B>NEWSLETTER</B>");
document.write("									<BR>");
document.write("									Sign up to receive health tips from<BR>Dr. Beautiful and be entered<BR>to win a Wellness Filter!");
document.write("									</TD>");
document.write("								</TR>");
document.write("								<TR>");
document.write("									<TD width='50' align='right'>Name:</TD>");
document.write("									<TD width='*'><INPUT type='text' id='name' name='name' size='18' maxlength='50'></TD>");
document.write("								</TR>");
document.write("								<TR>");
document.write("									<TD align='right'>Email:</TD>");
document.write("									<TD><INPUT type='text' id='email' name='email' size='18' maxlength='50'></TD>");
document.write("								</TR>");
document.write("								<TR>");
document.write("									<TD>&nbsp;</TD>");
document.write("									<TD><INPUT name='Submit' type='submit' value='Subscribe' onClick='return validateNewsForm ( );'></TD>");
document.write("								</TR>");
document.write("								</FORM>");
document.write("							</TABLE>");
document.write("						</P>");