document.write("<FORM ACTION=\"http://www.ToddMcPhetridge.com/CSMailto/CSMailto.cgi\" METHOD=POST enctype=\"multipart/form-data\">\n");
document.write("<input type=hidden name=command value=mailform>\n");
document.write("<table border=\"0\" cellspacing=\"10\" cellpadding=\"2\">\n");
document.write("<tr>\n");
document.write("    <td nowrap><span class=\"headingpage\">Newsletter</span>&nbsp;&nbsp;\n");
document.write("<span class=\"headingform\">First Name:</span>\n");
document.write("<input name=\"FirstName\" size=\"18\"></td>\n");
document.write("    <td nowrap><span class=\"headingform\">Email Address:</span>\n");
document.write("<input name=\"Email\" size=\"18\"></td>\n");
document.write("    <td colspan=\"4\" align=\"left\" valign=\"top\" nowrap>\n");
document.write("        <input name=\"B1\" type=\"submit\" value=\"     Submit     \">\n");
document.write("    </td>\n");
document.write("  </tr>\n");
document.write("</table>\n");
document.write("<input type=hidden name=form-name value=\"ToddRidgeNewsletter\">\n");
document.write("<input type=hidden name=form-formheading value=\"\">\n");
document.write("</FORM>\n");