document.write('<scr' + 'ipt type="text/javascript" src="http://static.mailcampaign.co.za/cms/scripts/prototype.js"></scr' + 'ipt>');
document.write('<scr' + 'ipt type="text/javascript" src="http://static.mailcampaign.co.za/cms/scripts/validate.js"></scr' + 'ipt>');
document.write('<style type="text/css">');
document.write('#ml_form ul{list-style:none; margin:0; padding:0}');
document.write('#ml_form ul li{margin-bottom:1em; clear:both}');
document.write('#ml_form ul ul li{margin-bottom:0; clear:both}');
document.write('.textile ul{list-style:disc; margin:1em}');
document.write('.textile ul li{list-style:disc; margin-left:1.5em !important}');
document.write('.textile ol{list-style:decimal; margin:1em; padding:0}');
document.write('.textile ol li{list-style:decimal; margin-left:1em; margin-bottom:0 !important; padding:0}');
document.write('#ml_form .form_title{margin-bottom:1.5em}');
document.write('#ml_form h1{margin-bottom:0}');
document.write('#ml_form label{width:100% !important; display:block; font-size:120%}');
document.write('#ml_form input{width:auto}');
document.write('#ml_form .tip{color:#999; font-size:90%}');
document.write('#ml_form .required{font-weight:bold; color:#C00; font-size:140%}');
document.write('#ml_form .text{width:90%; border:1px solid #999; padding:3px}');
document.write('#ml_form .text_currency{width:87%}');
document.write('#ml_form .text_small{width:25%}');
document.write('#ml_form .text_medium{width:50%}');
document.write('#ml_form .text_large{width:90%}');
document.write('#ml_form textarea.text{width:90%; height:15em}');
document.write('#ml_form textarea.text_small{height:4em; width:90%}');
document.write('#ml_form textarea.text_medium{height:8em; width:90%}');
document.write('#ml_form select{width:92%; padding:1px}');
document.write('#ml_form input.file{width:100%}');
document.write('/* Float fix */');
document.write('#ml_form ul.horizontal:after{ content:".";  display:block;  height:0;  clear:both;  visibility:hidden}');
document.write('/* Hides from IE-mac \\*/');
document.write('* html #ml_form ul.horizontal {height: 1%;}');
document.write('/* End hide from IE-mac */');
document.write('/* End float fix */');
document.write('#ml_form ul.horizontal li{float:left; clear:none; width:49%}');
document.write('#ml_form ul.horizontal .text_large{width:84%}');
document.write('#ml_form ul.horizontal select{width:88%}');
document.write('#ml_form .alert{color:#C00; background:#FEC; font-weight:bold; width:93%}');
document.write('#ml_form input.errored, #ml_form textarea.errored, #ml_form select.errored{border:2px solid rgb(204,0,0) !important}');
document.write('#ml_form .required{vertical-align:top}');
document.write('</style>');
document.write('<div id="ml_form">');
document.write('<form id="ml_form_form" method="post" action="http://app.mailcampaign.co.za/17/s/29/" enctype="multipart/form-data" accept-charset="utf-8">');
document.write('<input type="hidden" name="form_id" value="16" />');
document.write('');
document.write('<div class="form_title">');
document.write('<h1>Subscribe to newsletter</h1>');
document.write('<div class="tip"></div>');
document.write('</div>');
document.write('<div id="message"></div>');
document.write('<ul>');
document.write('<li>');
document.write('<label for="field_119">Name</label>');
document.write('<input type="text" class="text" id="field_119" name="field_119" value="" />');
document.write('<span class="required">*</span>');
document.write('</li>');
document.write('<li>');
document.write('<label for="field_120">E-mail address</label>');
document.write('<input type="text" class="text" id="field_120" name="field_120" value="" />');
document.write('<span class="required">*</span>');
document.write('</li>');
document.write('</ul>');
document.write('');
document.write('<input type="submit" value="Submit" />');
document.write('</form>');
document.write('</div>');
document.write('<scr' + 'ipt type="text/javascript">');
document.write('var validator = new Validator(\'ml_form_form\', \'\', \'below\', \'message\');');
document.write('validator.AddValidation(\'field_119\', \'required\', \'\', \'Please enter a value\');');
document.write('validator.AddValidation(\'field_120\', \'required\', \'\', \'Please enter a value\');');
document.write('validator.AddValidation(\'field_120\', \'email\', \'\', \'Please enter an e-mail address\');');
document.write('</scr' + 'ipt>');
document.write('');