document.write ("<font size=2 face=arial>")
document.write ("<form action=http://www.response-o-matic.com/cgi-bin/rom.pl method=POST target='_new'>")
document.write ("Sign up for <i><font color=#ffff00>Ruth's Fanzine</font></i> (sent monthly)<br>")
document.write ("<font size=2 face=arial>Email </font>")
document.write ("<input type=text name=visitor_email_address size=15>")
document.write ("<input type=submit name=Submit value=send>")
document.write ("</font>")
document.write ("<input type=hidden name=required_fields value=visitor_email_address>")
document.write ("<input type=hidden name=your_email_address value=RDKerce@aol.com>")
document.write ("<input type=hidden name=your_name value='Ruth D. Kerce, Romance Author'>")
document.write ("<input type=hidden name=email_subject_line value=Subscribe>")
document.write ("<input type=hidden name=thank_you_title value='Thank you for subscribing!'>")
document.write ("<input type=hidden name=return_link_url value=http://www.ruthkerce.com>")
document.write ("<input type=hidden name=return_link_name value='Return to Ruths Website'>")
document.write ("<input type=hidden name=background_color value=#ffffff>")
document.write ("<input type=hidden name=text_color value=#000000>")
document.write ("<input type=hidden name=link_color value=#aa0000>")
document.write ("<input type=hidden name=visited_link_color value=#660000>")
document.write ("<input type=hidden name=active_link_color value=#0000ff>")
document.write ("<br><font size=2 color='#ffff00'><font color='#00ffff'>giveaways</font> each month - for subscribers only</font>")
document.write ("</form>")

document.write ("</font>")