inc_right_js =
'<table width="152" border="0" cellspacing="5" cellpaddin'
+ 'g="5">\n  <tr>\n    <td width="132" align="center" valig'
+ 'n="top"><!--\nDo not modify the NAME value of any of the'
+ ' INPUT fields\nthe FORM action, or any of the hidden fie'
+ 'lds (eg. input type=hidden).\nThese are all required for'
+ ' this form to function correctly.\n-->\n<style>\n\n	.myF'
+ 'orm td, input, select, textarea, checkbox {\n		font-fami'
+ 'ly: georgia, tahoma;\n		font-size: 14px;\n	}\n\n	.myForm'
+ ' {\n		background-color: #FFF3EA;\n		border: 3px solid #F'
+ 'F4E00;\n		padding: 10px;\n	}\n\n	.required {\n		color: r'
+ 'ed;\n	}\n</style>\n      <br>\n      <font size="2" face'
+ '="Georgia, Times New Roman, Times, serif"><strong> Subsc'
+ 'ribe \n      News Letter </strong></font> \n      <form '
+ 'method="post" action="http://www.dailomo.com/nl/sendstud'
+ 'io/form.php?form=6" id="frmSS6" onSubmit="return CheckFo'
+ 'rm6(this);">\n	    <table border="0" cellpadding="2" cla'
+ 'ss="myForm">\n          \n          <tr valign="top"> \n'
+ '            <td colspan="2"><span class="required"><font'
+ ' size="1" face="Verdana, Arial, Helvetica, sans-serif"><'
+ 'strong><font color="#666666">*</font></strong></font></s'
+ 'pan><font color="#666666" size="1"><strong><font face="V'
+ 'erdana, Arial, Helvetica, sans-serif"> \n              Y'
+ 'our email address:</font></strong></font></td>\n        '
+ '  </tr>\n          <tr valign="top"> \n            <td c'
+ 'olspan="2"><input name="email2" type="text" value="" siz'
+ 'e="8"></td>\n          </tr>\n          <tr valign="top"'
+ '> \n            <td colspan="2"><span class="required"><'
+ 'font size="1" face="Verdana, Arial, Helvetica, sans-seri'
+ 'f"><strong><font color="#666666">*</font></strong></font'
+ '></span><font color="#666666"><strong><font size="1" fac'
+ 'e="Verdana, Arial, Helvetica, sans-serif"> \n           '
+ '   Preferred Format:</font></strong></font></td>\n      '
+ '    </tr>\n          <tr valign="top"> \n            <td'
+ ' colspan="2"><select name="select">\n                <op'
+ 'tion value="h">HTML</option>\n                <option va'
+ 'lue="t">Text</option>\n              </select></td>\n   '
+ '       </tr>\n          <tr valign="top"> \n            '
+ '<td colspan="2"><span class="required"><font size="1" fa'
+ 'ce="Verdana, Arial, Helvetica, sans-serif"><strong><font'
+ ' color="#666666">*</font></strong></font></span><font co'
+ 'lor="#666666"><strong><font size="1" face="Verdana, Aria'
+ 'l, Helvetica, sans-serif"> \n              Enter the sec'
+ 'urity code shown:</font></strong></font></td>\n         '
+ ' </tr>\n          <tr valign="top"> \n            <td co'
+ 'lspan="2"> <script>\n				var SIDString = \'\';\n\n				func'
+ 'tion getRandomLetter() {\n					return String.fromCharCod'
+ 'e(getRandom(65, 90));\n				}\n\n				function getRandom(l'
+ 'owerBound, upperBound) {\n					return Math.floor((upperB'
+ 'ound - lowerBound + 1) * Math.random() + lowerBound);\n	'
+ '			}\n\n				function SetSID()\n				{\n					if (SIDString'
+ '.length > 0)\n					{\n						return SIDString;\n					}\n\n'
+ '\n					sidc = 0;\n\n					while (sidc < 32)\n					{\n					'
+ '	SIDString = SIDString + getRandomLetter();\n						sidc+'
+ '+;\n					}\n					return SIDString;\n				}\n			</script> '
+ '<script>\n					var url = "http://www.dailomo.com/nl/send'
+ 'studio/admin/resources/form_designs/captcha/index.php?c='
+ '" + getRandom(1,1000)+ "&ss=" + SetSID();\n						documen'
+ 't.write("<img src=\'" + url + "\' alt=\'img\'/>");\n					</s'
+ 'cript> <br/> <input name="captcha" type="text" value="" '
+ 'size="8"></td>\n          </tr>\n          <tr align="le'
+ 'ft" valign="top"> \n            <td colspan="2"><input n'
+ 'ame="submit2" type="submit" value="Subscribe"></td>\n   '
+ '       </tr>\n        </table>\n</form>\n\n<script langu'
+ 'age="javascript">\n\n			function CheckMultiple6(frm, nam'
+ 'e) {\n				for (var i=0; i < frm.length; i++)\n				{\n			'
+ '		fldObj = frm.elements[i];\n					fldId = fldObj.id;\n		'
+ '			if (fldId) {\n						var fieldnamecheck=fldObj.id.inde'
+ 'xOf(name);\n						if (fieldnamecheck != -1) {\n							if'
+ ' (fldObj.checked) {\n								return true;\n							}\n			'
+ '			}\n					}\n				}\n				return false;\n			}\n		function'
+ ' CheckForm6(f) {\n			if (f.email.value == "") {\n				ale'
+ 'rt("Please enter your email address.");\n				f.email.foc'
+ 'us();\n				return false;\n			}\n		\n						if (f.format.s'
+ 'electedIndex == -1) {\n							alert("Please choose a for'
+ 'mat to receive your email campaigns in");\n							f.form'
+ 'at.focus();\n							return false;\n						}\n					\n				i'
+ 'f (f.captcha.value == "") {\n					alert("Please enter th'
+ 'e security code shown");\n					f.captcha.focus();\n					'
+ 'return false;\n				}\n			\n				return true;\n			};\n		\n'
+ '</script>\n</td>\n  </tr>\n</table>';

// end_var_declaration
document.write(inc_right_js);