document.write('<form action="http://www.busoplotto.com/signup.php" method="post"><table border=0><tr><th colspan="2">Enter Your Email Address</th></tr><tr><td align="right">Email : <input type="text" name="email" size="15"></td><td align="left"><input type="submit" name="submit" value="Sign up"></td></tr></table></form>');