document.write('<table width=\"100%\" border=0 cellspacing=0 cellpadding=5 class=text>');
document.write('<form action=https://nl.triger.com.pl/newsletter.php?GID=39&amp;HOST=&amp;zapisz=1 method=post>');
document.write('<tr><td>Wpisz swój e-mail, aby dostawać informacje o nowościach:</td></tr>');
document.write('<tr><td>');
document.write('<input type=\"hidden\" name=\"N1\" value=\"57\"><input type=\"hidden\" name=\"N2\" value=\"250\"></td></tr>');
document.write('<tr><td align=center nowrap>');
document.write('<input name=Email size=23><br><INPUT TYPE=IMAGE NAME=\"zapisz\" ALT=\"Zapisz\" SRC=\"home/167/des/gfx/btn-ok.gif\" vspace=5 border=0><br>');
document.write('');
document.write('</td></tr>');
document.write('</form>');
document.write('</table>');
document.write('');