document.write("<form method=\"post\" action=\"http://ymlp.com/subscribe.php?YMLPID=geewuqsgmgh\" target=\"YMLP_popup\" onsubmit=\"window.open( \'http://ymlp.com/subscribe.php?YMLPID=geewuqsgmgh\',\'YMLP_popup\',\'scrollbars=yes,width=600,height=450\'); return true;\"><table border=\"0\" align=\"center\" cellspacing=\"0\" cellpadding=\"5\">\n<tr><td colspan=\"2\"><font size=\"2\" face=\"verdana,geneva\">Veuillez saisir votre adresse e-mail<br />pour recevoir notre newsletter!</font></td></tr>\n<tr><td valign=\"top\"><font size=\"2\" face=\"verdana,geneva\">Adresse e-mail:</font></td><td valign=\"top\"><input type=\"text\" name=\"YMP0\" size=\"20\" /></td></tr>\n<tr><td valign=\"top\"><font size=\"2\" face=\"verdana,geneva\">Prénom:</font></td><td valign=\"top\"><input type=\"text\" name=\"YMP2\" size=\"20\" /></td></tr>\n<tr><td valign=\"top\"><font size=\"2\" face=\"verdana,geneva\">Nom de famille:</font></td><td valign=\"top\"><input type=\"text\" name=\"YMP3\" size=\"20\" /></td></tr>\n<tr><td valign=\"top\"><font size=\"2\" face=\"verdana,geneva\">Langue | Language:</font></td><td valign=\"top\"><input type=\"radio\" name=\"YMP6\" value=\"Français\" />Français<br /><input type=\"radio\" name=\"YMP6\" value=\"Anglais\" />English<br /></td></tr>\n<tr><td colspan=\"2\"><input type=\"submit\" value=\"Envoyer\"  />&nbsp;</td></tr>\n</table>\n</form>\n");