document.write("<form action='http://ikse.org/cgi-bin/ml/add2ml.cgi' method='post' name='ml_form'>\
        <input type=hidden value=shawnee.be name=domaine>\
        <input type=hidden value=ml name=ml>\
        <input type=hidden value=http://demi-pension.com/ name=return_link>\
        <table border=0 cellpadding=0 cellspacing=2 width=328 bgcolor=#cccc99>\
                <tr>\
                        <th colspan=2 align=center bgcolor=#ffffcc><b><font color=#000000>Inscription &agrave; la la Mailing List ml@shawnee.be</font></b></td>\
                </tr>\
                <tr>\
                        <td colspan=2 align=center>\
                                <div align=center>\
                                <font color=#000000>\
                                Votre email : <input type=text name=email size=30 value=votre_adresse@mail.net maxlength=64></font></div>\
                        </td>\
                </tr>\
                <tr>\
                        <td align=center>\
                                <div align=center>\
                                <font color=#000000><input type=radio value=sub name=action class='iradio' checked>Inscription</font></div>\
                        </td>\
                        <td align=center>\
                                <div align=center>\
                                <font color=#000000><input type=radio value=unsub name=action class='iradio'>Desinscription</font></div>\
                        </td>\
                </tr>\
                <tr>\
                        <td></td>\
                        <td align=right><input type=submit name=btn_ok value=Envoyer></td>\
                </tr>\
        </table>\
</form>");