document.write(
'<form action=\"/cgi-bin/formsubmit.cgi\" method=\"post\" onSubmit=\"MM_validateForm(\'email\',\'\',\'RisEmail\');return document.MM_returnValue;\">'
+'Sign up to receive the latest news and exclusive offers from J.W. Hulme.<br>'
+'<input name=\"email\" class= \"navburg\" type=\"text\" id=\"email\" size=\"20\" value=\"Enter Email Address\" '
+'onfocus=\"if (this.value==\'Enter Email Address\') this.value=\'\';\" '
+'onblur=\"if (this.value==\'\') this.value=\'Enter Email Address\';\">&nbsp;'
+'<BR><input type=\"submit\" class=\"buttons\" value=\"Sign-up\">'
+'<input type=hidden name=\"redirect\" value=\"/signup-thanks.asp\">'
+'<input type=hidden name=\"signup\" value=\"Email Sign-up Request\">'
+'<input type=hidden name=\"print_config\" value=\"email\">'
+'<input type=hidden name=\"recipient\" value=\"3\">'
+'</form>'
);