/*
opt in Script- by Geo. McCalip
*/

document.write('<p></p>')

document.write('<center>')
document.write('<table width="190" cellpadding="0" cellspacing="0" border="0">')
document.write('<tr>')
document.write('<td>')
document.write('<form action="http://kincaiddirect.createsend.com/t/r/s/ttjtui/" method="post">')
document.write('<div>')
document.write('<font size=-1>')
document.write('<label for="name">Name:</label><br /><input type="text" name="cm-name" id="name" size="25" /><br />')
document.write('<label for="ttjtui-ttjtui">Email:</label><br /><input type="text" name="cm-ttjtui-ttjtui" id="ttjtui-ttjtui" size="25" /><br />')
document.write('<center>')
document.write('<input type="submit" value="Subscribe" />')
document.write('</center>')
document.write('</div>')
document.write('</font>')
document.write('</form>')
document.write('</td>')
document.write('</tr>')
document.write('</table>')
document.write('</center>')
document.write('<p></p>')