document.write("<div id='epmSignUp'><form action='http://app.emailpromanager.com/epm/signup_register.php' method='post'><div>Subscribe to our eNewsletter: <input type='text' name='email' size='20' class='epmTextBox'></div><div><input type='submit' name='signup' value='Register' class='epmSubmit'></div><input type='hidden' name='ci' value='7'><input type='hidden' name='gi' value='8'></form></div>")