document.write("<style>\n.signupframe {\n    background: #ffffff;\n  color: #000000;\n  width: 190px;\n font-family: Verdana, Arial, Helvetica, sans-serif;\n}\n<\/style>\n<form method=post action=\"http://www.bestprobioticproducts.org/newsletter/signup.php\" name=\"icpsignup\" accept-charset=\"UTF-8\" onsubmit=\"return verifyRequired();\" >\n<input type=hidden name=redirect value=\"http://www.bestprobioticproducts.org/thank-you.html\" />\n<input type=hidden name=errorredirect value=\"http://www.bestprobioticproducts.org/error.html\" />\n<script type=\"text/javascript\">\nfunction verifyRequired() {\n  if (document.icpsignup[\"fields_email\"].value == \"\") {\n    document.icpsignup[\"fields_email\"].focus();\n    alert(\"The Email field is required.\");\n    return false;\n  }\n  if (document.icpsignup[\"fields_fname\"].value == \"\") {\n    document.icpsignup[\"fields_fname\"].focus();\n    alert(\"The Name field is required.\");\n    return false;\n  }\n\n\nreturn true;\n}\n<\/script>\n<div id=\"SignUp\">\n<table width=\"170\" class=\"signupframe\" border=\"0\" cellspacing=\"0\" cellpadding=\"2\">\n    <tr>\n      <td valign=top align=left>\n        <font size=\"1\" face=\"Arial,Helvetica, sans-serif\">*<\/font>&nbsp;<font size=\"2\">Email<\/font>\n      <\/td>\n <\/tr>\n <tr>\n    <td align=left>\n        <input type=text name=\"fields_email\">\n      <\/td>\n    <\/tr>\n      <td valign=top align=left>\n        <font size=\"1\" face=\"Arial,Helvetica, sans-serif\">*<\/font>&nbsp;<font size=\"2\">Name<\/font>\n      <\/td>\n  <\/tr>\n <tr>\n     <td align=left>\n        <input type=text name=\"fields_fname\">\n      <\/td>\n    <\/tr>\n  <tr>\n <input type=hidden name=siteid value=\"1000\">\n    <td valign=top align=left>\n <font size=\"1\">*<\/font><font size=\"2\"> = Required Field<\/font><\/td>\n    <\/tr>\n    <tr>\n  <td><input  id=\"btnSignUP\" class=\"onoffUpDown\" type=\"submit\" name=\"sa\" value=\"\"><\/td>\n    <\/tr>\n    <\/table>\n<\/div>\n<\/form>");